Improve Your Practice

A guide to share responsibility and accountability for the care of a hospitalized patient.

Audiences for Practice Management

The Society of Hospital Medicine offers practice management resources targeting four main audiences. These include Hospital Executives, Physician Leaders, Nurse Practitioners and Physician Assistants, and Hospital Medicine Practice Administrators.


Hospitalists need to be familiar with coding and documentation to assure that they receive appropriate reimbursement from payers.

Clinician Engagement and Satisfaction

Research indicates that organizations perform at a high level when their employees are engaged and satisfied with their work.


A guide to share responsibility and accountability for the care of a hospitalized patient.

Communications and Collaboration

High reliability organizations depend on collaboration and teamwork to achieve exceptional results.

Salary and Compensation

The amount of hospitalist compensation and the method by which hospitalists are paid are key decision points in developing a hospital medicine group.

Dashboards/Performance Reporting

Hospital executives should work with their hospitalists to develop a performance reporting system or dashboard that includes utilization, productivity, clinical, and satisfaction metrics.

.        Legal/Contracts/Negotiation

Legal arrangements between a hospital and a hospital medicine group must address relevant laws and regulations.

Patient Satisfaction

With the advent of Value Based Purchasing and the HCAHPS survey, hospitalists have a major responsibility for Patient Satisfaction/Experience at their hospitals.

PCP Satisfaction

Care coordination between hospitalists and primary care physicians is a critical factor in patient outcomes.


Effective HMG scheduling requires balancing the needs of the clinician, the patient, and the institution.


As HMGs have grown and the responsibilities of hospitalists have expanded, new staffing models are evolving.


A hospital medicine group should conduct a formal financial analysis examining revenues, expenses, and return on investment (ROI).


The Society of Hospital Medicine IT Committee has made it one of its priorities to encourage more SHM members to become board certified in Clinical Informatics.