Unlike many Emergency Medicine groups who took on Hospital Medicine service lines because they were forced to, Core Clinical Partners has sought out Hospital Medicine opportunities since our inception to showcase our ability to move the needle on length of stay while improving quality, experience, and overall value. We were built from the ground up to provide exceptional results in both emergency and Hospital Medicine and these results have allowed us to become one of the fastest growing, independently financed HM physician groups in the country.
Over the past 20 years, the Hospitalist model has evolved from a new idea to become an integral piece of the healthcare experience of most hospitalized patients. We are acutely aware that the Hospital Medicine team drives overall length of stay at most hospitals and that this metric is an important part of hospital financial success.
Our Hospital Medicine teams recognize that length of stay is a quality indicator and think about this metric as they balance discharge efficiency with quality metrics and patient experience. In most larger hospitals, we have found value in some level of geographic patient assignments so that our hospitalists are well connected with their patients, nurses, pharmacists, and care managers.
Through a combination of efficient care, telemedicine, and APP support for our physicians, we are able to provide an exceptionally high quality Hospital Medicine program that creates real value for our partner facilities.
LENGTH OF STAY
The ability to combine quality care with efficient patient throughput is a must-have for hospital-based healthcare as we move forward. Our clinical operations teams are constantly looking for ways to employ Lean principles on the Hospital Medicine side and have had some great success combining pieces of different models to create optimized practices for our clinicians, allowing them to take better care of their patients. At one of partner sites, our team was able to shave an entire day off length of stay and create space for 500 more transfers in just the first month after starting! Read full case study here.
GEOGRAPHIC PATIENT ASSIGNMENTS
Many hospitals have tried some form of geographic rounding with varying degrees of success. When done well, geographic patient assignments creates the ability to have effective inter-disciplinary rounds which have marked effect on length of stay. When done sub-optimally, geographic rounding trials fail due to clinician dissatisfaction or a breakdown in the admission process. We created a geographic rounding handbook to showcase our best practices when launching this model.
Leading a high quality Hospital Medicine team is much more than just staffing hospitalists and reviewing quality metrics. At Core, we have deep experience with process improvement projects and bring this design thinking mindset and Lean methodology to Hospital Medicine. These projects are more challenging without robust data and our Core Analytics platform provides exactly what we need to get our hospital medicine physicians actionable, accurate, individualized data. Click here to see an example of our standard hospital medicine data package.
Although the benefits of telemedicine have been seen for years in certain facets of medicine, the role of this technology in Hospital Medicine as only come into focus more recently. Our teams are utilizing telemedicine to support Hospital at Home programs, tele-nocturnist programs, and to provide physician support for rounding APPs. Every Core Hospital Medicine program uses telemedicine in some way as we see this as a fundamental way to provide value to our partner organizations. Read more here about how we were able to add value with a system-level tele-nocturnist program.
Unsure about whether to make a change? At Core, we welcome the opportunity to bring our decades of expertise to conduct an operational assessment of your emergency medicine services. Our confidential assessments can examine financial performance, staffing plans, revenue cycle management, process improvement, patient flow, or all of the above.