Successful Implementation of a Referral-based Academic Pediatric Hospitalist Service

Hrach, Christine; Smith, Carolyn A.; Shah, Purvi K.; Guth, Rebecca M.; Lashly, Dana; Carlson, Douglas W.

doi:10.1542/hpeds.2012-0046

Cited by 3 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Currently, the impact of pediatric hospitalists within institutions is limited in the medical literature. Existing literature suggests that pediatric hospitalist systems decrease hospital costs, decrease length of stay, and improve quality and efficiency of inpatient care [2,[5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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

Robles¹,

Pinal²,

Seifert³

2015

Pediat Therapeut

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

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

Robles¹,

Pinal²,

Seifert³

2015

Pediat Therapeut

View full text Add to dashboard Cite

show abstract

“…13,14 In the pediatric setting, a hospitalist-based system of care has shown similar outcomes with decreased LOS, decreased hospitalization costs, and high satisfaction among referring physicians. [15][16][17][18] In light of these studies and the increasing strain on the resident service related to medically complex patients, hospital administration hypothesized that a HMS could be beneficial for physicians and patients at the study institution.…”

mentioning

confidence: 99%

No Variation in Patient Care Outcomes After Implementation of Resident Shift Work Duty Hour Limitations and a Hospitalist Model System

Hollier

Wilson

2016

Am J Med Qual

View full text Add to dashboard Cite

This study examines whether implementing a resident shift work schedule (RSWS) alone or combined with a hospitalist-led model system (HMS/RSWS) affects patient care outcomes or costs at a pediatric tertiary care teaching hospital. A retrospective sample compared pre- and postintervention groups for the most common primary discharge diagnoses, including asthma and cellulitis (RSWS intervention) and inflammatory bowel disease and diabetic ketoacidosis (HMS/RSWS intervention). Outcome variables included length of stay, number of subspecialty consultations, and hospitalization charges. For the RSWS intervention, the preintervention (n = 107) and postintervention (n = 92) groups showed no difference in any of the outcome variables. For the HMS/RSWS intervention, the preintervention (n = 98) and postintervention (n = 69) groups did not differ in demographics or length of stay. However, subspecialty consultations increased significantly during postintervention from 0.83 to 1.52 consults/hospitalization ( P < .01) without significantly increasing hospitalization charges. Neither the RSWS nor HMS/RSWS intervention affected patient care outcomes at a pediatric tertiary care teaching hospital.

show abstract

Pediatric Hospital Medicine: A Proposed New Subspecialty

Barrett

McGuinness

Cunha³

et al. 2017

Pediatrics

View full text Add to dashboard Cite

Over the past 20 years, hospitalists have emerged as a distinct group of pediatric practitioners. In August of 2014, the American Board of Pediatrics (ABP) received a petition to consider recommending that pediatric hospital medicine (PHM) be recognized as a distinct new subspecialty. PHM as a formal subspecialty raises important considerations related to: (1) quality, cost, and access to pediatric health care; (2) current pediatric residency training; (3) the evolving body of knowledge in pediatrics; and (4) the impact on both primary care generalists and existing subspecialists. After a comprehensive and iterative review process, the ABP recommended that the American Board of Medical Specialties approve PHM as a new subspecialty. This article describes the broad array of challenges and certain unique opportunities that were considered by the ABP in supporting PHM as a new pediatric subspecialty.

show abstract

Successful Implementation of a Referral-based Academic Pediatric Hospitalist Service

Cited by 3 publications

References 17 publications

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

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

No Variation in Patient Care Outcomes After Implementation of Resident Shift Work Duty Hour Limitations and a Hospitalist Model System

Pediatric Hospital Medicine: A Proposed New Subspecialty

Contact Info

Product

Resources

About