After being briefed by hospitalists, primary care physicians meet or talk by phone with patients who have complex medication regimens at or soon after discharge, leading to a significant reduction in medication discrepancies.
Patients receive a notepad with sample questions and informational prompts intended to facilitate communication with physicians, leading to more notetaking by patients and a greater likelihood of having their questions answered by physicians.
Working as part of an “intensive care unit without walls,” critical care physicians (called intensivists) decide which patients require intensive care unit admission and oversee the care of all critically ill patients throughout the hospital, leading to declines in hospital and intensive care unit mortality, improved management of intensive care unit bed capacity, and low intensive care unit length of stay for terminally ill patients.
Physician–nurse infection prevention teams round on hospital units at least weekly, leading to a 70-percent decline in central line–associated infections and very low rates of surgical site infections.
Hospitalists used an electronic application to track the pending test results of recently discharged inpatients; the application proved to be of limited value, with nearly half of hospitalists never using it and nearly all reporting multiple barriers to doing so.
A collaborative medication review process involving physicians, nurses, and pharmacists virtually eliminates medication errors and significantly reduces readmissions in patients discharged to a nursing home.
A Medicare Advantage plan uses employed “extensivists” who perform traditional hospitalist functions for a smaller-than-average caseload of patients, and then continue to follow and care for these patients after discharge until their condition becomes stabilized, leading to low length of stay and fewer readmissions.
Adding a nurse practitioner and a multidisciplinary team reduced length of stay and costs at an academic medical center.
The surgical hospitalist model improves care and revenues for hospital-based emergency surgical care.