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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.
No resident wants to be thrown into the deep end of the pool. Teaching hospitals and their faculty don’t want that either. But in the fast-paced real world of a teaching hospital — when staffing levels can become strained and the care team is pressed for time — OB/GYN and family practice residents sometimes may feel like they struggle to stay above water. These are the times when service-oriented OB/GYN hospitalists provided through Ob Hospitalist Group (OBHG) can allay supervisory concerns at teaching hospitals, enrich residency education, and enhance safety and quality.
A critical component of our mission to elevate the standard of women’s healthcare is improving the skill set of any practitioners who may find themselves unexpectedly in an OB care situation. Nearly one-third of OBHG partner hospitals have OB/GYN or family practice residency programs. OBHG clinicians support these residency programs by fostering, facilitating, teaching, advising, and mentoring. They are committed to helping our partner hospitals sustain optimal residency programs by providing the time, expertise, and platform to share knowledge and technical skills.
Ob Hospitalist Group (OBHG) partner UNC REX Hospital in Raleigh, North Carolina, recently shared a website video conveying a happy story from its Obstetric Emergency Department (OBED). The video (at the bottom of the webpage) highlights the life-saving benefits of having an OB/GYN hospitalist onsite around the clock to handle all pregnancy-related situations, including this one involving a rare emergent complication called umbilical cord prolapse.
A month shy of her due date, Cameron Medlin woke up to use the bathroom. Almost immediately, she sensed that her umbilical cord had descended prematurely. Because the umbilical cord carries vital nutrients and oxygen to the baby, a prolapse can compress the cord, interrupting critical oxygen and blood flow and endangering the baby. Both Cameron and her husband, Daniel, knew it was an emergency and rushed to the OBED at UNC REX Hospital.
Regardless of specialty, physicians have many traits in common, such as compassion, knowledge, and exacting standards. They’ve survived many years of college, medical school, and residency. They’ve weathered the related hardships, the joys, the camaraderie, and (yes) the debts. That common experience binds them in communal respect.
Medical doctors of both genders comprise a coed brotherhood that is unique to their professional journey.
OB/GYNs represent a subset of physicians who routinely sacrifice personal interests, family time, and sleep to ensure that mothers and babies have a healthy delivery experience. They are gifted with intense passion and humanity in addition to their academic and medical gifts.
Greenville, SC (February 28, 2017) -- Ob Hospitalist Group (OBHG) is pleased to announce that Mark N. Simon, MD, MMM, CPE, former OBHG Vice President of Medical Affairs, has been promoted to Chief Medical Officer for OBHG nationwide. This position is the most senior of medical staff leadership roles across the OBHG organization.
A Board Certified OB/GYN, Dr. Simon first joined OBHG in 2009 as a full-time hospitalist. Over the years, as his gift for leadership became evident, Dr. Simon was transitioned through a number of regional leadership positions before being named OBHG’s Vice President of Medical Affairs in 2013.
“Dr. Simon is a proven leader with the expertise to continue the OBHG vision. This is a natural progression for him,” said Dr. Chris Swain, OBHG’s founder. “This is a physician-founded, physician-led organization, and we are honored to have Dr. Simon serve in our highest medical post.”