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A shift on labor and delivery units for Ob Hospitalist Group clinicians can be punctuated by quiet moments—and then sometimes there’s a hurricane.
The entire country watched as Hurricane Harvey barreled toward the Texas coast, bringing with it high winds of 130 miles an hour and horrendous flooding. On Aug. 25, the Category 4 hurricane crashed into the coast just northeast of Corpus Christi and dumped an estimated more than 50 inches of rain in some areas, according to the National Weather Service. "This is a landmark event for Texas," Federal Emergency Management Agency Administrator Brock Long said. "Texas has never seen an event like this."
Ob Hopitalist Group Medical Director of Operations Dr. Rakhi Dimino was interviewed for a recent U.S. News and World Report article featuring how hospitals are now handling emergencies involving pregnancy and birth.
Dr. Dimino told the news outlet that an obstetrical emergency department (OBED) provides a greater level of safety, especially for women who are at risk for pregnancy complications.
"All the patients have an opportunity to be screened by a physician-nurse team," she said. "It's the difference between predicting an emergency and simply reacting to an emergency."
In a recent article published by Becker's Hospital Review, Ob Hospitalist Group Chief Executive Officer Leonard Castiglione and Medical Director of Operations Nicholas Kulbida, MD provide their observations on where the OB hospitalist industry stands today and how they believe it will evolve. In addition, they share tips for hospital leaders on how to help their physicians avoid burnout.
This week, OBHG's very own Dr. Brenda Watson was featured on Halifax Health's Medical Minute. She talks about how having an OB physician in the hospital 24/7 can save the lives of mothers and babies during medical emergencies.
"Having a physician present on labor and delivery where an emergency can be dealt with in a matter of minutes makes a difference for both the health of the baby and the mother."
Hospitals, just like other businesses, must operate efficiently and generate revenue to remain solvent and competitive. While their primary concern is providing quality care to their patients, it’s also unavoidable that administrators must monitor the bottom line. One would not be possible without the other.
As many hospitals create 24/7 Obstetric Emergency Departments (OBEDs) licensed under their existing Emergency Departments (EDs), a changing dynamic has emerged that directly impacts their revenue. The severity of a patient’s condition in the ED is calculated using what is called an “acuity scoring tool.” Accordingly, new OBEDS are using the ED’s tool to calculate acuity among obstetric patients, but the two are completely different.
An ED’s scoring tool is calibrated on the high end of the trauma scale. Obstetric patients rarely rise to the acuity level of, say, a gunshot wound. So using the same measurement tool for both the ED and the OBED is neither accurate nor recommended. Recent findings by Ob Hospitalist Group actually quantify the difference in terms of facility fee revenue.
It’s summertime. Lots of folks — OB/GYN physicians included — are sinking their toes into the sand and reading dog-eared paperbacks. Without question, they work hard and are enjoying well-deserved time off. But we all know that the proverbial stork doesn’t take vacations. So who’s delivering the babies?
Because there’s no “off-season” on the Labor and Delivery (L&D) unit, many hospitals experience challenges finding qualified healthcare professionals to provide coverage for their busy L&D departments during the summer, on holiday weekends, or during school breaks.
Ob Hospitalist Group (OBHG) programs are designed specifically to provide around-the-clock, 24/7 safety net coverage every day of the year so that every pregnant woman coming to the hospital at any time of the night or day can receive immediate care from a highly qualified OB/GYN clinician.
Most of us recognize quality when we see it. But having good data increases our confidence in the quality of care we provide.
That’s why Ob Hospitalist Group (OBHG) is committed to providing robust and comprehensive data reporting on all elements of performance by our partner programs, including quality. OBHG collects, audits, and analyzes our partner hospital data on a quarterly basis to monitor performance and identify areas of opportunity.
She much prefers the fresh air and sunlight to the indoors or the media spotlight. She doesn’t care who gets the credit, and she really doesn’t think her actions are that extraordinary. The humble Dr. Renee Lockey is refreshingly gracious, and her selfless deeds are, nonetheless, quite extraordinary.
The high-energy Team Lead at Memorial Hospital Central in Colorado Springs, CO, seems constantly in motion. When she’s off shift, she’s in the great outdoors mountain biking, snowboarding, camping, or road-tripping. Sun or snow, she commutes to and from work each day. It’s a lifestyle she truly loves.
Dr. James Murray readily admits that he was once “a typical overfed American physician.”
An OBHG hospitalist at Winchester Medical Center in Virginia, Dr. Murray said that he and his OB/GYN practice partner used to sit in their office and “talk about our poor cardiac family history and delude ourselves with thoughts about how it wouldn’t happen to us.”
After his partner passed away from a heart attack, Dr. Murray knew he needed to make some significant lifestyle changes, particularly with diet and exercise. So about five years ago, he began eating healthier and returned to the form of exercise he enjoyed most in his youth — running.
Central Coast Physicians magazine, a publication of the Central Coast Medical Association (San Luis Obispo and Santa Barbara, CA, counties), highlighted the Ob Hospitalist Group (OBHG) program at Sierra Vista Regional Medical Center in its Spring 2017 edition (p. 29).
Describing the Sierra Vista hospitalist program as “a new layer of safety for women who give birth at the hospital,” the article also noted that the facility now can accommodate vaginal birth after cesarean (VBAC), a procedure that is not available at most medical centers, especially those that lack fully staffed hospitalist programs.