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Key Principles and Characteristics of an Effective Hospital Medicine Group

SHM’s Key Principles and Characteristics are a framework designed for hospital medicine groups (HMGs) seeking a pathway to improve their capabilities and performance. Their goals are to:

  • Be aspirational, helping to “raise the bar” for HMGs
  • Provide a framework for HMGs seeking to conduct self-assessments
  • Promote dialog between hospital executives and HMG leaders

Download the Key Principles and Characteristics of an Effective Hospital Medicine Group.

How to Use the Document  

HMGs are encouraged to use this framework to conduct a self-assessment and develop self-improvement plans. One approach is as follows: 

  • Have one or more of key following stakeholder groups (HMG leadership, HMG hospitalists, hospital leadership) review each of the 47 Key Characteristics using the following ratings: exceeds basic requirements, meets basic requirements, improvement needed, unsatisfactory 
  • For one or more of the Key Characteristics rated as needing improvement, the HMG could assemble the suggested documentation outlined in this document 
  • Upon analysis of the documentation, the HMG could develop a self-improvement plan for the Key Characteristic(s) in need of improvement 


SHM anticipates the development of resources and programs for its members, using the Key Principles and Characteristics of an Effective Hospital Medicine Group as a framework.