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DENTON, Texas — Texas Health Presbyterian Hospital Denton has opened a special emergency room for pregnant women in the local community. The new obstetric emergency department, or OB ED, is located in The Center for Women at Texas Health Denton. It is staffed 24 hours a day by board-certified OB-GYN hospitalists, who are physicians that only see patients while they’re in the hospital.
Traditionally, women who are more than 20 weeks pregnant and present in the emergency room are sent to the labor and delivery unit for triage. From there, nurses evaluate the patient, but labor and delivery units are unlike emergency units; doctors are not always present, especially at night. This means that nurses have to coordinate emergency care with the on-call physicians, usually over the phone. When a patient is not in labor, it’s very common for them to be discharged without ever physically seeing a physician.
“The OB hospitalist model has really changed the way that we care for pregnant women,” said Dr. Vanessa Woolridge, an OB-GYN hospitalist on the medical staff at the hospital. “If they are having pregnancy complications, they want to be seen in a timely manner and by a physician knowledgeable about their condition."
Todd and Nancy Prevatt had planned on a natural childirth at home when her uterus ruptured, they rushed to Golisano Children's Hospital and baby Gunner was delivered by C-section with help from Hospitalist Kevin Burlison.
Taryn Nahm had ignored the sharp pain in her abdomen for more than 12 hours before she finally agreed to seek treatment at HealthPark Medical Center’s ER.
A shocking diagnosis came shortly thereafter: The 30-year-old was bleeding internally, the result of a complication from a pregnancy she had not known about. Nahm had lost the baby and, without immediate surgery to repair her ruptured Fallopian tubes, could lose her own life.
Doctors and nurses on a newly created obstetrics team at the hospital kicked into high gear.
“I was actually bleeding out internally. If I had just gone to bed that night I would not have woken up,” Nahm said about that Aug. 30 emergency room visit. “It’s still a range of emotions, processing all of it, even now.”
HealthPark, home to the Golisano Children’s Hospital of Southwest Florida in south Fort Myers, is used to dealing with such medical emergencies. But a program established last month will ensure that a board-certified obstetrician/gynecologist is at the hospital at all times, rather than the hospital relying on on-call physicians who may or may not be nearby.
The United States is one of the few developed countries in the world where the rate of maternal mortality is increasing. More women are dying during pregnancy and delivery in the United States than before. This should raise shock and concern among our pregnant patients and the medical community caring for them. Although the overall numbers are low, in a country where access to excellent health care is becoming more achievable, we should be working harder to address this.
The major causes of maternal death are blood clots, postpartum hemorrhage, and pre-eclampsia (high blood pressure in pregnancy) complications. Many of these complications occur in the immediate hours or days after delivery while the new mom may still be in the hospital. Some of these deaths are prior to delivery but after the mom is emergently brought to the hospital.
One of the most successful ways to reduce the number of deaths is to reduce the time it takes an experienced obstetrician-gynecologist (OB-Gyn) to evaluate and treat the mother. Traditionally, a private OB-Gyn who takes care of a patient prenatally and during the delivery does not stay in the hospital 24 hours a day. This creates a lag time between the onset of the emergency and the arrival of the OB-Gyn coming to the hospital from home or elsewhere.
Across Texas today, more and more hospitals and maternity units are using obstetrical hospitalists who are experienced in obstetrical emergencies and are in the hospital 24/7 to react immediately to any emergency and assist a private OB-Gyn once he or she arrives. When an emergency arises, this removal of the lag time has greatly increased safety for mothers and newborns and improved overall outcomes. Talk to your OB-Gyn or your hospital about the availability of OB hospitalists in your area.
Rakhi Dimino, MD
Medical Director of Operations, OB Hospitalist Group
Member, TMA Council on Science and Public Health
View the original blog post Here
Largest dedicated OB/GYN hospitalist provider has been entering charges using ICD-10 codes throughout 2015 to be well prepared for October 1 cut-over
WALTHAM, Mass., Sept. 30, 2015 (GLOBE NEWSWIRE) -- It's hard to imagine that any healthcare provider in the U.S. is more ready for ICD-10, which officially goes into effect tomorrow, than Ob Hospitalist Group (OBHG).
Throughout 2015, physicians at OBHG, the largest dedicated OB/GYN hospitalist provider in the nation, have been entering their charges in PatientKeeper® Charge Capture™ software using ICD-10 codes, which were then translated back into ICD-9 codes for billing. Now, on the eve of the mandated cut-over to the new, more complex medical diagnosis coding system, OBHG is confident that nine months of "practice" will help ensure a smooth transition.
"Our doctors have been pleasantly surprised at how easy it is to find and enter ICD-10 codes in PatientKeeper," Tama LeBlanc, Vice President of Information & Technology at OBHG, said. "We used a paper charge entry system previously, and our physicians, billers and coders say PatientKeeper is easier and more efficient."
Ob Hospitalist Group (OBHG) has been honored by the Best Places to Work in South Carolina Program for the third year in a row. This program is sponsored by The South Carolina Chamber of Commerce, Best Companies Group and the publishers of SCBIZ News.
Best Places to Work in South Carolina is dedicated to identifying and recognizing the state’s most innovative and top-notch employers in South Carolina. The honor is awarded based on employer benefits and policies plus results from an in-depth employee survey that measures engagement and satisfaction. All South Carolina businesses, nonprofits and government entities that have been in operation for at least one year and have at least 15 employees are eligible. Only 50 corporations statewide received this honor for 2015.
Ob Hospitalist Group (OBHG), the nation’s largest dedicated OB/GYN hospitalist provider, is pleased to welcome new Chief Executive Officer (CEO), Leonard (Lenny) L. Castiglione. Mr. Castiglione joins OBHG with 23 years of healthcare service experience. Mr. Castiglione most recently served as CEO of Florida Gulf to Bay Anesthesia Holdings, LLC in Tampa, Florida, and previously held a variety of senior executive positions with US Oncology for over a decade. He earned a Bachelor’s degree from Louisiana State University and a Master’s in Health Systems Management from Tulane University.
Mr. Castiglione has spent his entire career advancing healthcare and possesses a uniquely well-rounded perspective, having represented all three layers of healthcare: the provider side, hospital side and payor side. One of his primary objectives at OBHG will be to leverage their current position as the leader in women’s healthcare, to build a more robust national platform that engages hospitals on a system-wide basis to offer this unique model.
“Our search for a Chief Executive Officer focused fundamentally on an individual who repeatedly demonstrated an ability to scale high growth healthcare businesses” stated OBHG Founder and Chief Medical Officer, Dr. Chris Swain. “We were extremely fortunate to find in Lenny someone with extensive healthcare experience along with demonstrated business development success. We plan to take full advantage of these attributes as we seek to continue our fast-paced growth. We are honored that he has agreed to join us on this journey and expect that he will play a vital role in helping us achieve our mission of elevating the standard of women’s healthcare. ”
Recalling why he joined OBHG, Lenny states, “what was most compelling to me about OBHG is the vision for the company to care for pregnant women in emergency situations. The company has a proven track record of success across the country in partnering with hospitals and OB/GYN groups to deliver this innovative model in over 80 facilities. I joined so I could help lead their rapid growth in order to serve even more women with this level of access to care.”
“Today’s announcement concludes an exhaustive search for the absolute right person at the right time,” said David Swain, OBHG Co-founder and Executive Chairman. “We found a leader who can build on our success and embrace the extraordinary opportunities that lie ahead for OBHG. I believe we are now better positioned for long-term growth. Lenny will help us achieve growth and operational and clinical excellence to better serve our current and future hospital partners, local providers and most of all, mothers and their newborns.”
Ob Hospitalist Group Executive Chairman and Co-founder, David Swain was recently interviewed for the South Carolina Business Review radio program, hosted by Mike Switzer.
During the brief, five minute interview, David spoke about the genesis of the OBHG model; correcting the disparity of care women with OB complaints face when presenting to the hospital. He acknowledged the incredible growth and acceptance in the industry OBHG has been fortunate to receive, the responsibility of being the nation's largest OB/GYN hospitalist provider and OBHG's goals for the future. We are grateful for the opportunity to share or message and our mission with SC listeners and encourage you to take a few moments to listen as well.
Since implementing our flagship OB/GYN hospitalist program in 2006, Ob Hospitalist Group (OBHG) has helped our partner hospitals realize many successes, not only in elevating the standard of women’s healthcare but also by improving patient satisfaction, reducing physician and nursing staff turnover and reducing hospital liability.
While we have as many success stories as we do hospital partners, it’s nice to know healthcare industry research confirms the positive impact hospitalists have on hospital medicine.
Recent research has been able to quantify the positive impact of hospitalist medicine in the following five main areas:
- Patient Safety and Quality of Care
- Economic Efficiency
- Access and Availability
- Leadership and Education
The patient safety and quality of care advantages OBHG hospitalists deliver are not only vast but vital.
May is National Preeclampsia Awareness Month. Unfortunately, many women don’t know this condition exists; even more aren’t aware of the warning signs.
Preeclampsia is a pregnancy complication characterized by high blood pressure (generally 140/100 in two consecutive readings). It develops in 5 percent to 8 percent of all pregnancies. This increase in blood pressure has the potential to impair the liver, kidneys, affect blood clotting, cause pulmonary edema (fluid in the lungs), brain damage, and when left untreated, maternal and fetal death.
Preeclampsia usually occurs at around 32 weeks, but early-onset preeclampsia can occur at 20 weeks. In most cases, the baby must be delivered immediately. These premature deliveries can lead to further medical complications for the newborn.
Signs and symptoms of Preeclampsia include:
- Swelling of face and hands
- A headache that will not go away
- Seeing spots, changes in eyesight
- Pain in the upper abdomen and shoulder
- Nausea and vomiting in the third trimester
- Sudden weight gain
- Difficulty breathing
Risk factors for Preeclampsia include but are not limited to:
- Pregnant for the first time
- History of preeclampsia
- Women over 40 or under 18 years of age
- Obese (with a BMI of over 30)
- Carrying more than one fetus
- Polycystic ovarian syndrome
- History of diabetes, kidney disease, lupus or rheumatoid arthritis
If you have any of these risk factors, it is advised that you speak with your doctor about your concerns and get professional advice. If you have this, or any other risk factors for pregnancy complications, it is vital that your hospital has on-site OB/GYNs 24 hours a day, 365 days a year to deliver immediate care in emergent situations. For a checklist of other considerations when choosing a hospital in which to deliver, click here.
We invite you to discover more about OBHG and the advantages that our customized programs deliver to our partner hospitals, physicians and patients by visiting www.OBHG.com or calling 800.967.2289.
Every day over 300 Ob Hospitalist Group (OBHG) hospitalists embrace our core values and humbly serve their communities. Their skill, experience, compassion and dedication to elevating the standard of women’s healthcare save and change the lives of the patients we serve. These physicians are the true face of Ob Hospitalist Group.
Recently from this field of more than 300 Board Certified OB/GYNs the following outstanding physicians were honored: