Program Administration

Overview

Hospital medicine groups face challenges that are unique from other medical specialties. SHM is dedicated to helping group leaders navigate the most important topics their programs face today and meet the needs of tomorrow.

Elevating Your Group Impact

Across the country, hospital medicine groups are under increasing pressure to deliver effective and efficient patient care with continuously declining resources.  Group leaders can also face heightened expectations from the C-suite to achieve improved clinical and financial outcomes. The SHM Practice Management Committee created Advocating on Behalf of Your Hospital Medicine Group: Elevating Your Group Impact to serve as a guide for group leaders to successfully advocate for their teams on issues such as schedule, workload, support, and well-being.

Co-Management

Co-Management is the shared responsibility, authority and accountability for the care of hospitalized patients. 

Hospitalists today serve in a variety of Co-Management capacities with many other hospital-based specialties, including critical care, cardiology, GI and liver disease, oncology, palliative care and neurology. When it comes to successfully co-managing patients, it is crucial that groups develop a comprehensive plan that accounts for the needs and capacities of all parties.

Building and Sustaining Co-Management Programs I Hospital Medicine: A Technical Report and Operational Guide

This resource is designed for hospital medicine leaders who have co-management programs or are considering starting one. This program guide outlines key considerations for creating, leading, or participating in a hospitalist co-management model.

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Other Member Resources On Co-Management

  • Webinar: Co-Management on Trial: An Open Debate on Value in a post COVID World
  • Co-Management White Paper
  • The Role of the Medical Consultant Online Module

HM Leadership Structures

The leadership of a hospitalist group plays a critical role in the culture, engagement, and overall success of the group.  This resource provides guidance on leadership structures for hospital medicine groups, including a checklist to design a program, roles and responsibilities for leaders, and operations that leadership structures should support.

Mitigating Workplace Violence in Hospital Medicine

Since the COVID-19 incidents of violence against healthcare workers have increased, and yet many cases still go unreported.  Violence in healthcare may be the result of complex interactions between psychological, physiological and organizational determinants.  In this resource, SHM has compiled from hospital leaders across the country a range of interventions and steps to address violence prevention, response, support, and monitoring and continuous improvement.

Webinar: An Integrated Approach to Workplace Violence in Hospitals

Recorded in January 2024, this webinar shares one group’s emerging model for reducing, managing, and responding to violence against healthcare workers.

Webinar: Mitigating Workplace Violence by Implementing a Patient Behavior Agreements Program

Recorded in December 2023, this webinar reviews risk factors for workplace violence and shares how patient behavior agreements can be one strategy to mitigate them.

Webinar: Partnering with Patients, Families, and Your Hospital to Manage and Decrease Challenging Patient Encounters

Recorded in February 2023, this webinar discussion is led by a psychiatrist and a hospitalist who share a variety of individual provider and institutional strategies to decrease challenging patient encounters.

Telemedicine

Hospitalists use telemedicine to find innovative solutions to meet the complex staffing, coverage and patient care challenges in their communities. From coverage in low-volume facilities to expanding the reach of nocturnists, hospital medicine has been at the forefront of finding new ways to use technology to care for patients. In the current climate of rapidly changing reimbursement models, telemedicine can be an important tool for hospitalist groups to meet the needs of their providers and communities. SHM’s resources are designed to help leaders plan and deploy telemedicine in their facilities.

Member Resources On Telemedicine

  • Medicare Reimbursement for Telehealth Services
  • Telemedicine 101 for Hospital Medicine
  • Telemedicine White Paper

The Value of Hospital Medicine

Defining the value of hospital medicine is an ever-present challenge. As the specialty continues to evolve and change, hospital medicine leaders will be asked to continually demonstrate the value, financial and otherwise, of their groups. This is particularly salient as hospitalists increasingly do activities that may not be reimbursed at sufficient rates or at all by payers. Making the case for the value of hospital medicine practice is crucial when negotiating with hospitals for support for the group.

This original study conducted by SHM members provides insight into the current attitudes and beliefs of hospital executives regarding the value of contributions made by HMGs. Learn what metrics executives value most and the challenges hospitalists face in measuring value financially.

With this extensive look into hospital medicine group configuration and operation nationwide, the State of Hospital Medicine Report contains the data group leaders need to make the best case to hospital leaders about the value of hospital medicine practice.

SHM’s Healthcare Information Technology Special Interest Group identified five areas related to their EMR systems, in which suggested changes could positively impact the daily work of hospitalists. Learn more about their evidence-based recommendations to optimize the user experience.