Comments on: Hospitalists: Better get used to it http://www.kevinmd.com/blog/2006/10/hospitalists-better-get-used-to-it.html Tue, 14 Feb 2012 19:56:00 +0000 hourly 1 By: onedaycloser1961http://www.kevinmd.com/blog/2006/10/hospitalists-better-get-used-to-it.html#comment-67896 onedaycloser1961 Wed, 18 Oct 2006 01:22:00 +0000 http://clients.emmense.com/kevinmd/2006/10/hospitalists-better-get-used-to-it.html#comment-67896 The worst case scenario for the patient and the hospital is hospitalists or ED docs (or pick a practice) that work for a corporate entity (or any 3rd party)in a remote location that is aligned with their own shareholders interests, not the hospital's or the patient's. The worst case scenario for the patient and the hospital is hospitalists or ED docs (or pick a practice) that work for a corporate entity (or any 3rd party)in a remote location that is aligned with their own shareholders interests, not the hospital’s or the patient’s.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/10/hospitalists-better-get-used-to-it.html#comment-67861 Anonymous Mon, 16 Oct 2006 15:09:00 +0000 http://clients.emmense.com/kevinmd/2006/10/hospitalists-better-get-used-to-it.html#comment-67861 Most hospitalists are not employed by the hospital and their billing is separate. Most hospitalists are not employed by the hospital and their billing is separate.

]]> By: Gasmanhttp://www.kevinmd.com/blog/2006/10/hospitalists-better-get-used-to-it.html#comment-67789 Gasman Wed, 11 Oct 2006 20:42:00 +0000 http://clients.emmense.com/kevinmd/2006/10/hospitalists-better-get-used-to-it.html#comment-67789 Just remember who the hospitalist works for and how their performance is evaluated. The hospital has always wanted to get the patient out quicker and keep things less expensive while there. The fee for service primary doc with no financial ties to the hosptial was the patient's buffer against the system. The hospital could bring only minimal pressure on the primary doc to rush things or cheapen things. The hospitalist's interest (financially) however is identically aligned with the hospital, being an employee. Their salary, job security, and performance bonus are all dictated by their results favorable to the hospital's bottom line. <br/><br/>Is anyone aware of any evidence that Hospitalists improve care for patients. I havn't been able to find any; one would think if such were available then hospitalists would be happy to trumpet such. Just remember who the hospitalist works for and how their performance is evaluated. The hospital has always wanted to get the patient out quicker and keep things less expensive while there. The fee for service primary doc with no financial ties to the hosptial was the patient’s buffer against the system. The hospital could bring only minimal pressure on the primary doc to rush things or cheapen things. The hospitalist’s interest (financially) however is identically aligned with the hospital, being an employee. Their salary, job security, and performance bonus are all dictated by their results favorable to the hospital’s bottom line.

Is anyone aware of any evidence that Hospitalists improve care for patients. I havn’t been able to find any; one would think if such were available then hospitalists would be happy to trumpet such.

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