Lecture 1: Intro to Hospital Medicine Flashcards
What are the main two models in hospital medicine?
- Hospital/Clinician-centered: VA
- Patient-centric: Academic
What are the two main components of Patient Centered Care
- Patient experience
- Patient engagement
What falls under patient experience?
Sum of all interactions that influence patient perceptions across a continuum of care and is measured by patient surveys
What are the 7 components of HCAHPS?
- Discharge management
- Pain management
- Communication with Doctors
- Communication about Medicines
- Communication with Nurses
- Cleanliness and quietness of hospital environment
- Responsiveness of hospital staff
Affects Reimbursement in Value Based Care
Define Patient Engagement
Actions taken by individuals to obtain the greatest benefit from the health care services available to them
How engaged they are with using their health services
What 5 factors affect patient engagement?
- Literacy level
- Readiness to learn
- Readiness to change
- Learning style
- Family dynamics
What are the two models of co-management?
- Assigning hospitalist as Primary attending, subspecialist is consultant.
- Hospitalist is consultant, subspecialist is attending.
Define a Hospitalist (definition + 3 aspects)
- Physicians whose primary professional focus is the general medical care of hospitalized patients
- Patient care
- Research
- Leadership
What is the role of a consultant?
Give recommendations
NOT TO BECOME the primary provider
What is the traditional role of a consultant? (5)
- Requesting physician is in charge still
- Requesting physican treats primary medical problems still
- Specific question addressed
- Does not write orders
- Limited f/u… PRN
What is the co-management role of a consultant?
- Shared responsibility
- Med/surg consult treats primary medical problems
- Broader issues
- Consultant writes orders
- Daily f/u until discharge
