How an OB/GYN Hospitalist Program Can Enhance Physician Recruitment

By Brian Monks, MD on February 11th, 2014

The past decade has seen significant growth within the OB/GYN hospitalist movement. Over this period, initial concerns about OB/GYN hospitalists competing with or being counter-productive to community providers and/or patient care were demonstrated to be unfounded. In fact, OB/GYN hospitalists were discovered to be very valuable assets. Hospitalists allow community providers to be much more productive and efficient and make their schedules less hectic and more manageable. They also provide a much needed safety-net by greatly minimizing delays in care and reducing liabilities (according to The Doctors Company, delays in care of fetal distress account for 38% of all malpractice claims) for both the community provider and hospitals while providing consistent patient care and elevating patient experience, satisfaction and safety. 

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OBHG Hospitalist Profile Series - Dr. Michael J. White

By OBHG Super Admin on January 23rd, 2014

Ob Hospitalist Group (OBHG) is guided by the mission of elevating the standard and availability of obstetric care to expectant mothers. A key component of achieving this mission is hiring dedicated, Board Certified OB/GYNs with a passion for serving people and for their field. Our service-oriented physicians must fit into their individual hospital culture while embracing OBHG’s core values which include delivering excellent care for all patients regardless of circumstance, and doing so with uncompromised integrity. To date, OBHG employs over 240 such hospitalists in over 45 partner hospitals nationwide. Our Hospitalist Profile Series will offer a brief portrait of many of our valued physicians and reveal why they chose to become a hospitalist, why they chose OBHG and what their experience has been thus far.
 

Dr. Michael J White

Dr. Michael J. White has been a practicing, Board Certified OB/GYN since 2005. Prior to joining Ob Hospitalist Group (OBHG) he worked with another leading OB/GYN hospitalist provider. This has afforded Dr. White a unique and valuable perspective.
 

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OBHG Hospitalist Profile Series - Dr. Charles Jaynes

By OBHG Super Admin on January 23rd, 2014

Ob Hospitalist Group (OBHG) is guided by the mission of elevating the standard and availability of obstetric care to expectant mothers. A key component of achieving this mission is hiring dedicated, Board Certified OB/GYNs with a passion for serving people and for their field. Our service-oriented physicians must fit into their individual hospital culture while embracing OBHG’s core values which include delivering excellent care for all patients regardless of circumstance, and doing so with uncompromised integrity. To date, OBHG employs over 240 such hospitalists in over 45 partner hospitals nationwide. Our Hospitalist Profile Series will offer a brief portrait of many of our valued physicians and reveal why they chose to become a hospitalist, why they chose OBHG and what their experience has been thus far.
 

Dr. Charles Jaynes
Dr. Charles Jaynes has been a practicing OB/GYN since 1977.  His professional experience reflects that of a practitioner who enjoys complex obstetrics. The fact that he was honored by his peers as one of Texas’ Super Doctors in Texas Monthly magazine  three years in a row confirms that he not only enjoys but excels in his chosen specialty. Ob Hospitalist Group was very fortunate when Dr. Jaynes chose to join our hospitalist program at St. David’s North Austin Medical Center in Austin, TX in 2008.

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OBHG Hospitalists Serve a Vital Role in Implementing a New, Life-Saving Device

By OBHG Super Admin on January 23rd, 2014

In 2011, the Women's Center of Texas within the North Austin Medical Center (NAMC) in Austin, TX, adopted a new postpartum hemorrhage (PPH) protocol to increase patient safety for OB patients with this life-threatening complication. The protocol required the clinical intervention of both Ob Hospitalist Group (OBHG) hospitalists and Maternal Fetal Medicine physicians in cases of severe PPH (>1500 cc for OBHG hospitalists and >2000 cc for MFMs). A component of the protocol also called for the consideration of non-medicinal/non-surgical methods to control the bleeding in properly selected patients. One such method was the Ebb intrauterine tamponade balloon. This device had been recently designed and manufactured by Glenveigh Medical® and it was being evaluated as an alternative to the Bakri and Utah balloons for non-surgical management of PPH not successfully resolved by medication alone.

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OBHG IMPACT SERIES: Risk Reduction

By OBHG Super Admin on January 17th, 2014

Ob Hospitalist Group’s (OBHG) mission is to elevate the standard and quality of women’s healthcare. Our programs do just that by making a positive impact across many significant areas of hospital medicine. This blog series: OBHG Impact Series will cover key areas where OBHG makes a difference.

This third post in the series, Risk Reduction will review the positive impact an OBHG program can deliver to partner hospitals by reducing risk and improving patient safety and lowering medmal costs.You can read the prior posts on Patient Safety and Patient Experience here. Future posts will address the positive impact an OBHG program can make in Physician Satisfaction, Nursing Staff Satisfaction and Retention and Organizational Readiness.

 

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OBHG IMPACT SERIES: Patient Experience

By OBHG Super Admin on December 30th, 2013

Ob Hospitalist Group’s (OBHG) mission is to elevate the standard and quality of women’s healthcare. Our programs do just that by making a positive impact across many significant areas of hospital medicine. This blog series: OBHG Impact Series will cover key areas where OBHG makes a difference. This second post in the series will review the positive impact an OBHG program can deliver to partner hospitals by improving the Patient Experience and raise HCAHP scores. You can read the prior post on Patient Safety here. Future posts will address the positive impact an OBHG program can make in Risk Reduction, Physician Satisfaction, Nursing Staff Satisfaction and Retention and Organizational Readiness

Within Ob Hospital Group’s (OBHG) stated mission of elevating the standard of women’s healthcare is improving the patient experience. While safety and clinical best-practices are vital to positive outcomes, a positive patient experience and satisfaction are also of utmost importance. Initially so the patient feels safe, secure and cared for during her visit but also to encourage that patient and her family to return to the same hospital not only for OB/GYN care but all of her families medical needs. 

 

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A Toolkit for Healthier Babies

By Mark Simon, MD (VP of Medical Affairs) on December 18th, 2013

Written and contributed by Mark Simon, MD, MMM, Vice President of Medical Affairs Ob Hospitalist Group

This year the March of Dimes® released its update to the Preterm Labor Assessment Toolkit (PLAT). Ob Hospitalist Group is working diligently to implement this toolkit at our partner hospitals. This is a tremendous opportunity for Ob Hospitalist Group to lead within our hospitals and have a direct impact on the care of women and infants.

This evidence-based approach to the assessment and management of women presenting with preterm labor complaints has been shown to improve clinical outcomes and improve the efficiency of care delivery. Successful use of the toolkit will also improve the patient’s experience and meet all three goals of the Institute of Healthcare Improvement’s Triple Aim:

  • Improving the patient experience of care (including quality and satisfaction)
  • Improving the health of populations
  • Reducing the per capita cost of health care Utilizing a toolkit such as the PLAT allows us to demonstrate value in this era of healthcare reform.

Two of the most important tenets of this toolkit are to address the timeliness of evaluation and to standardize the care pathway. As the primary providers of care for patients presenting with preterm labor complaints, OBHG hospitalists are well positioned to meet these goals. We have the ability to quickly assess these women and to ensure that the precise steps of the process are followed. Instead of relying on a large number of providers and/or nurses to follow this pathway, we can more efficiently standardize the process with our comparatively smaller number of OB/GYN hospitalists at each site. Reducing the variation in care will lead to timely diagnosis, timely disposition and improved outcomes for our patients; all delivered in a more cost-effective and patient satisfying model of care.

Our teams at each hospital are committed to becoming champions of change for this project. Our leadership in the front-line of care will greatly increase the success of this initiative and will impact the women and families that you care for. We also hope to partner with several of our hospitals to further study the impact of this toolkit on outcomes.
Hopefully the data we contribute will be useful in expanding the use of the toolkit at hospitals across the nation and the world. Ob Hospitalist Group looks forward to working with our hospitalist team members to successfully implement this toolkit across the country in our united pursuit to better serve women, newborns and their families.

We invite you to discover more about OBHG and the advantages that our customized programs deliver to our partner hospitals, physicians and patients.  Contact an OBHG representative today at Programs@obhg.com or  800.967.2289

Written and published by OBHG Media. Copyright © 2013.

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The Evolution and Efficacy of Three Primary OB Hospitalist Models

By Brian Monks, MD on October 23rd, 2013

The laborist model, as introduced by Dr. L. Weinstein in an AJOG editorial in 2003, defined laborists as OB/GYNS who were primarily responsible for the management of laboring women and emergencies in Labor and Delivery (L&D). These physicians were hired by hospitals or community provider groups to provide inpatient-only care of OB patients while community providers were responsible for the prenatal/outpatient care. This approach was designed to decrease physician workloads and improve patient safety. These objectives were met but this model never really caught on due to expense and billing compliance and coding problems.

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Collaborative Care Saves Lives at St. David’s Women’s Center

By Brian Monks, MD on September 12th, 2013

In 2005, Dr. Chris Swain, not satisfied that OB patients were the only patients presenting to a hospital who were not routinely seen by a physician, decided to create a comprehensive OB/GYN hospitalist model. Dr. Swain believed that physician triage in Labor and Delivery (L&D) would be safer and more consistent with the level of care received by patients in the other hospital units. He was also astute enough to recognize that many L&D triage units could function as emergency rooms with only minor modifications if a physician was present on a 24/7 basis to evaluate these patients.

This novel idea proved to be a huge breakthrough for the OB/GYN hospitalist movement and the physicians proved to be capable of elevating the quality of care for OB patients. One area of OB hospitalist utilization that is showing great promise as a result of this more comprehensive hospitalist model is the formation or expansion of a high risk OB/Maternal-Fetal Transport (MFT) service. Many hospitals have under-utilized Neonatal Intensive Care Units (NICUs) and a limited ability to take care of high-risk OB patients because they are unable to provide adequate monitoring and rapid intervention without a qualified physician in-house at all times. These facilities often have limited access to or support of sub-specialists such as neonatologists (NEOs) and Maternal Fetal Medicine physicians (MFMs). Furthermore, community providers are commonly not interested in managing patients of this type because they are very time consuming and intrusive to the daily operation of a private practice. These patients are also at an increased risk for poor outcomes and can be associated with an increased risk of liability exposure for their providers. Hospitals are now exploring utilizing OB/GYN hospitalists, in partnership with MFMs and NEOs, to overcome these obstacles. OB/GYN hospitalists are proving themselves to be vital to the successful implementation and daily functioning of MFT services. 

Please click the video below for a brief overview of the factors that led up to St. David's implementing an Ob Hospitalist Group program.
 

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5,000 Lives Saved, 1,000,000 Hours Served, 50 Hospital Partners

By OBHG Marketing on September 12th, 2013

In 2006, Dr. Chris Swain, Founder and CMO of Ob Hospitalist Group (OBHG) had a vision, he wanted to ensure every expectant mother was afforded consistent, unconditional, quality medical care by a physician when presenting to the Labor and Delivery department. Dr. Swain’s vision didn’t end there though; he also knew in order to provide the highest achievable level of patient safety and satisfaction he needed to create a comprehensive OB/GYN hospitalist model beyond the typical laborist program that currently existed. Today, just seven years later, Ob Hospitalist Group is the single largest dedicated OB/GYN hospitalist provider in the United States.

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