Journal of Hospital Medicine

👋🏾 We're officially here on LinkedIn! The Journal of Hospital Medicine’s mission is to advance hospital medicine as a specialty through publication of research and evidence-based clinical care. Our vision is to be the leading peer-reviewed publication for hospital medicine. Incorporating the diverse experiences and mindsets of providers in hospital medicine allows us to evaluate hospitalist care and how to advance our field forward. The article types we publish include original research, editorials, and perspectives, but also: 🔹 Clinical Guidelines 🔹 Clinical Care Conundrums 🔹 Point-Counterpoint 🔹 Innovations Corner 🔹 Leadership & Professional Development 🔹 Clinical & Methodologic Progress Notes 🔹 Trust in Healthcare Our authors' work ranges from bedside to C-suite to policy & beyond. Our journal amplifies the voices of the hospitalists doing the work to evolve our field. It’s why our hashtag is #MoreThanAJournal 😉 Join us as we start our journey on LinkedIn! Be sure to follow our Editor-In-Chief, Samir S. Shah, MD, MSCE, MHM as well. We'll be introducing more of our editorial board and sharing our excellent content by JHM's Digital Media Team. Follow us on X & Instagram @jhospmedicine 📸.

A study published in the Journal of Hospital Medicine highlights the significant impact of physical function loss on hospital readmissions for adults over 50. Deconditioning during hospitalization weakens muscles, increasing the risk of readmission and placing burdens on patients and their families. Medicare now penalizes hospitals for excessive 90-day readmissions, underscoring the importance of addressing this issue. Despite its significance, research on physical functioning post-discharge has been limited, with most care transition models focusing on discharge planning, care coordination, and education. Led by Erin Thomas of The Ohio State University, with contributions from experts including Jim G. Smith of WSU College of Agricultural, Human, and Natural Resource Sciences (CAHNR), the study emphasizes that loss of physical function is a public health concern. Hospitals often measure function inconsistently, ranging from strength assessments to daily activity evaluations. The findings will guide clinical practice guidelines to help providers identify at-risk patients, promote in-hospital rehabilitation, and recommend post-discharge services, shifting hospitalization from rest to active recovery. Our home health clients reduce hospital readmissions by providing personalized rehabilitation, physical therapy, and tailored care plans to restore strength and independence. They assess functional abilities, supply essential equipment, and promote activity, supporting smoother transitions home while alleviating caregiver burdens and addressing Medicare's emphasis on minimizing readmissions. Cliniqon is committed to delivering Guaranteed Quality, Ensured Compliance, and Unparalleled Outcomes in Home Health and Hospice agencies. #HomeHealthServices #HospiceCare #FrontEndServices #BackOfficeSolutions #HealthcareManagement #RevenueCycleManagement #HealthcareCompliance #PatientSupport #CareCoordination #MedicalBilling #ClaimsManagement #PatientEngagement #HealthcareOutsourcing #MedicalCoding #ProviderSupport #CliniqonCare #HealthcareSolutions #PatientCareExcellence #HomeHealthRCM #HospiceBilling UConn Health

To my clinician colleagues out there: if you're wondering when naltrexone is contraindicated, there is only one clear clinical scenario -> when a patient is on chronic opioid therapy for pain management. Data are lacking on the safety of naltrexone use in patients with Child-Pugh C cirrhosis or acute alcoholic hepatitis, so consider acamprosate in these patients. Check out our article for more details.

🛏️ Bedside Procedures for the Hospitalist: To Do or Not To Do? That is the question! In this Point-Counterpoint by J Cool MD et al, they discuss the positives and negatives that hospitalists may want to consider as they decide whether or not to pursue procedural intervention routes. Pros of Hospitalists Doing Procedures? 🔹 They know their patient best and can determine best timing! 🔹 Avoidance of critical delays waiting for procedural specialist availability 🔹 IM residents have great educational opportunities for procedures! Downfalls? 🔹 Procedures take time 🔹 Competency in procedures may not be sufficient and access to procedural specialists is greater 🔹 Competency requirements to supervise residents is less So where do we go from here? 🔹 Medicine Procedural Services may off the best of both worlds! Primary hospitalist consideration of best timing 🤝 Procedural expertise by trained hospitalists Read more here 🔗: https://lnkd.in/gPdfq_F8

Systematic review on improving inpatient handoffs in Journal of Hospital Medicine by Joshua Allen-Dicker, MD MPH SFHM and Mount Sinai Division of Hospital Medicine hospitalist Matt Kerwin and others found that less than half the studies reported an improvement in outcomes. Strategies combining structural tools plus education have better chance of success. Prior studies and the review hopefully build a foundation for future work on enhancing handoffs.

What can Generative Artificial Intelligence (GAI) add to the work hospitalists do every day? In this perspective piece, Adam Rodman & Zahir Kanjee share the Promises & Perils of GAI. What are it's promising potential uses? 🔹 As a diagnostic aid to assist with differential diagnosis 🔹 Generating shift sign outs 🔹 Summarizing journal articles & medical literature 🔹 Automating discharge documentation 🔹 Writing instructions that are patient-friendly 🔹 Maximizing clinical revenue What about the perils of GAI? 🔸 Reliability is not quite available in it's early stages 🔸 It's not private/HIPAA compliant 🔸 LLMs have the ability to confidently make wrong statements ("hallucinations") 🔸 Management decisions are not useful 🔸 Clinician thought process is missed when AI generates our documentation Read the full article here: https://lnkd.in/ezc6yj6R #MoreThanAJournal #ArtificialIntelligence #MedicalCareEvolution #HospitalMedicine ----------------------------------------------------------- For wisdom in clinical care, mentorship, leadership, and all things hospital medicine, follow our EIC Samir S. Shah, MD, MSCE, MHM! Follow us on X @jhospmed & Instagram @jhospmed

To our hospital medicine community, we extend our heartfelt thoughts to those affected by the Southern California wildfires and our deepest gratitude to those who are caring for those impacted. We admire your strength and resilience throughout this challenging situation and are indebted to you for your selfless service to your communities. 💗

🎉 January is #NationalMentoringMonth! New research highlights how mentoring shapes professional identity and boosts career success for #hospitalists. Despite its benefits, barriers like time and access to mentors remain. Let’s prioritize mentoring to drive growth and retention in hospital medicine! 🔗: https://bit.ly/3DIR52s Society of Hospital Medicine | Journal of Hospital Medicine | University of Colorado Department of Medicine

NEW: Our Assistant Professor Adam Rule recently published an editorial in the Journal of Hospital Medicine, calling for health systems to engage clinicians when using traces of how people interact with medical software. "Having administrative leaders clearly communicate how they will and will not use [Electronic Health Records] usage data and that they understand the limitations of the data could help build trust," Rule and his co-author write. "This engagement could in turn help unlock the tremendous potential of EHR usage data to drive improvements to care delivery." Read the full piece: 🔗https://ow.ly/1ayk50UyX8Z

Introducing our “Meet the Editors” series! Get to know the team behind your favorite SHM publications. First up is Editor-In-Chief of The Journal of Hospital Medicine, Samir S. Shah, MD, MSCE, MHM. 👋 𝗪𝗵𝘆 𝗱𝗶𝗱 𝘆𝗼𝘂 𝘄𝗮𝗻𝘁 𝘁𝗼 𝗯𝗲 𝗮𝗻 𝗲𝗱𝗶𝘁𝗼𝗿 𝗳𝗼𝗿 𝗝𝗛𝗠? The journal’s commitment to our patients and what matters to them resonate deeply with my values and professional goals. 𝗪𝗵𝗮𝘁 𝗵𝗮𝘀 𝗯𝗲𝗲𝗻 𝘆𝗼𝘂𝗿 𝗳𝗮𝘃𝗼𝗿𝗶𝘁𝗲 𝗮𝗿𝘁𝗶𝗰𝗹𝗲/𝗽𝗮𝗽𝗲𝗿 𝘆𝗼𝘂 𝗵𝗮𝘃𝗲 𝘄𝗼𝗿𝗸𝗲𝗱 𝗼𝗻? One of my most important papers was published in JHM several years ago. We developed measures to quantify missed opportunities for earlier transition from IV to oral antibiotics, both by the number of days and by the percent of days a patient received an IV antibiotic when they could have received one by mouth. https://lnkd.in/eDYfv958 𝗪𝗵𝗮𝘁 𝗵𝗮𝘀 𝗯𝗲𝗲𝗻 𝘆𝗼𝘂𝗿 𝗯𝗶𝗴𝗴𝗲𝘀𝘁 𝗰𝗵𝗮𝗹𝗹𝗲𝗻𝗴𝗲 𝗼𝗿 𝘁𝗵𝗲 𝗵𝗮𝗿𝗱𝗲𝘀𝘁 𝗮𝗿𝘁𝗶𝗰𝗹𝗲/𝗽𝗮𝗽𝗲𝗿 𝘆𝗼𝘂 𝗵𝗮𝘃𝗲 𝘄𝗼𝗿𝗸𝗲𝗱 𝗼𝗻? I’ve spent the past few years honing my non-science skills, writing about leadership, mentorship, and writing. It was a little scary going from the very structured writing of research manuscripts to the freeform essay. 𝐅𝐚𝐯𝐨𝐫𝐢𝐭𝐞 𝐛𝐨𝐨𝐤𝐬: Siddhartha by Hermann Hesse & Drive by Daniel Pink