Pediatric Hospital Medicine Role in the Comanagement of the Hospitalized Surgical Patient

Schaffzin, Joshua K.; Simon, Tamara D.

doi:10.1016/j.pcl.2014.04.002

Cited by 8 publications

(4 citation statements)

References 30 publications

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“…When comanagement is in effect, physicians need to respect protocols regarding the scope of their involvement and communicate regularly with the comanagers. 13,14 These protocols are institution specific and may even vary between services, but define the expected role of each service in patient care. When necessary, this communication should be verbal and not solely through the chart.…”

Section: Physician's Role In Coordinating Care Of Hospitalized Childrenmentioning

confidence: 99%

Physician’s Role in Coordinating Care of Hospitalized Children

Rauch¹

2018

Pediatrics

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The hospitalization of a child is a stressful event for the child and family. The physician responsible for the admission has an important role in directing the care of the child, communicating with the child's providers (medical and primary caregivers), and advocating for the safety of the child during the hospitalization and transition out of the hospital. These challenges remain constant across the varied facilities in which children are hospitalized. The purpose of this revised clinical report is to update pediatricians about principles to improve the coordination of care and review expectations and practice.

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Section: Physician's Role In Coordinating Care Of Hospitalized Childrenmentioning

confidence: 99%

Physician’s Role in Coordinating Care of Hospitalized Children

Rauch¹

2018

Pediatrics

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“…Despite improvement in quality and outcome metrics, the available literature is lacking on the impact of hospitalists on quality and outcomes with relation to common pediatric disease states. Pediatric hospitalists' literature describes pediatric conditions of anemia and the comanagement of pediatric surgical patients, but other illnesses are also detailed [10][11][12]. Srivastava et al described three common pediatric diagnoses of asthma, dehydration, and viral illness where the introduction of a pediatric hospitalist service was associated with an improvement in cost and efficiency.…”

Section: Introductionmentioning

confidence: 99%

Hospitalist Impact in Antibiotic Selection in Pediatric Community Acquired Staphylococcus aureus Skin Infection

Robles¹,

Pinal²,

Seifert³

2015

Pediat Therapeut

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Background: Pediatric hospitalist systems continue to increase due to the adoption of these programs within pediatric centers. Pediatric hospitalists provide patient care to hospitalized children for a wide range of conditions with an associated decrease in hospitalization cost and in length of stay. In this study, we aimed to assess empiric antibiotic selection of community acquired Staphylococcus aureus (S. aureus) skin and soft tissue infections in pediatric patients and the impact on prescribing patterns following the introduction of the pediatric hospitalist service to our institution. Methods: We conducted a five-year retrospective chart review study from January 2001 to December 2006. One hundred children with positive S. aureus cultures, aged 1-18 years were enrolled in the study. Patients who were discharged with the International Classification of Disease, Ninth Revision, Clinical Modification codes for S. aureus skin and soft tissue infections were included. Trends in antibiotic selection, infection outcomes, and percent oxacillin resistance S. aureus (ORSA)/oxacillin sensitive S. aureus (OSSA) were recorded. Results: One hundred children (5%) of the 1860 patients evaluated, predominately-Hispanic patients, met inclusion criteria. Seventy-seven ORSA and 23 OSSA cultures were identified. Study participants included 55 males and 45 females. Sixty-eight percent of ORSA patients with S. aureus strains were susceptible to initial empiric therapy (p=0.0018) vs. 100% of patients with S. aureus strains in the OSSA group. No differences were identified in length of stay in the patients that received appropriate treatment vs those that did not (p=0.5511). Among patients with ORSA infections, incidence increased significantly from 2001 to 2006 while susceptible empiric antibiotic regimens reached a low in 2003 and were over 90% in 2006 following the initiation of the hospitalist service. Conclusion: Pediatric hospitalists improve quality of patient care. In this study, participants had an increase in susceptible empiric antibiotic regimens following the implementation of the pediatric hospitalist service to our facility.

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“…Comanagement, defined as a system of care featuring "shared responsibility, authority and accountability," 1 has become increasingly common over the last 15 years in both adult and pediatric patients. [2][3][4] In the most recent Society of Hospital Medicine Survey in 2014, 80% of responding pediatric hospitalist groups (n 5 40) reported caring for primary surgical patients, mirroring the existing practice in internal medicine. 1 Comanagement services vary by hospital setting and availability of pediatric specialists and range from managing nonsurgical comorbidities to providing nearly all on-site preoperative and postoperative management.…”

mentioning

confidence: 99%

Pediatric Hospitalist Comanagement Survey of Clinical and Billing Practices

O’Connor¹,

Zipes²,

Schaffzin³

et al. 2017

Hospital Pediatrics

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Surgical comanagement is an increasingly common practice in pediatric hospital medicine. Information about the structure and financing of such care is limited. The aim of the researchers for this study was to investigate pediatric hospitalist surgical comanagement models and to assess pediatric hospitalist familiarity with and patterns of billing for surgical patients. We conducted a cross-sectional cohort web-based survey of pediatric hospitalists using the American Academy of Pediatrics' Section on Hospital Medicine listserv. In our study ( = 133), we found wide variation in our cohort in surgical patient practice management, including program structure, individual billing practices, and knowledge regarding billing practices. Even for pediatric hospitalists with comanagement service agreements between surgeons and pediatric hospitalists, there was no increased awareness or knowledge about reimbursement or billing for surgical patients. This global lack of knowledge in our small but diverse sample suggests that billing resources and training for pediatric hospitalists practicing comanagement of surgical patients are needed.

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Pediatric Hospital Medicine Role in the Comanagement of the Hospitalized Surgical Patient

Cited by 8 publications

References 30 publications

Physician’s Role in Coordinating Care of Hospitalized Children

Physician’s Role in Coordinating Care of Hospitalized Children

Hospitalist Impact in Antibiotic Selection in Pediatric Community Acquired Staphylococcus aureus Skin Infection

Pediatric Hospitalist Comanagement Survey of Clinical and Billing Practices

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