What it’s really like to be an OBHG partner

By OBHG Marketing on May 24th, 2018

Do you want to know what it's really like to be an OBHG partner? Deena Kail shines some light on the seven-year partnership at Jackson-Madison County General Hospital in Jackson, TN. Deena is the executive director of West Tennessee Women's Center and the Ayers Children's Medical Center and was instrumental in building this flourishing partnership.

New OBHG program: North Central Baptist Hospital

By OBHG Marketing on May 22nd, 2018

OBHG is excited to launch its eighth partnership of 2018 at North Central Baptist Hospital in San Antonio, TX. The new program started on April 25 as a Type A obstetrics emergency department.

The hospitalist team at North Central Baptist Hospital includes (left to right): Dr. Misty Vandever, Dr. Martha Schmitz, Dr. Jill Terry, Dr. Christine Van Ramshorst, Dr. Rakhi Dimino; Medical Director of Operations and (front) Dr. Kimberly Chessir. Not pictured: Dr. Ezell Autrey. Dr. Van Ramshorst will serve as Team Lead for the program.

New OBHG program: Geisinger Wyoming Valley Medical Center

By OBHG Marketing on May 18th, 2018

OBHG launched its seventh new partnership of 2018 late last month! The program at Geisinger Wyoming Valley Medical Center in Wilkes Barre, PA, features full-time OB triage. We are excited for this new partnership and look forward to elevating the standard of women's healthcare in the Wilkes Barre community. 

Front Row from GWV (L to R) Rachel Cunniffe, RN Christina Coats RN and Riddhi Patel UDC and Ob Hospitalist Group’s Dr. Jennifer Reason. Back Row from Ob Hospitalist Group (L to R) Dr. Nicholas Kulbida, Medical Director of Operations, Dr. Renee Hoffman and Dr. Anita Sargent. Not pictured and will serve as backups at this program: Dr. Ethel Hooper and Dr. Fred Smith. Dr. Reason will serve as Team Lead for the program.

Reaping the benefits of community midwife outreach

By OBHG Marketing on May 16th, 2018

Teamwork is the watchword on the Labor and Delivery units in OBHG partner hospitals, and at UCHealth’s Memorial Hospital Central in Colorado Springs, the facility and hospitalist team have extended that teamwork mentality to their community’s midwives.

Amber Rossman, RN, nurse manager at Memorial Hospital Central’s Birth Center, has cultivated positive relationships with community midwives and other providers for nearly two years. Rossman and Dr. Renee Lockey‍, OBHG team lead at Memorial Hospital Central, spoke about the success of the outreach program.

Laying a foundation 

The hospital began the collaboration with the goal of creating a safe transfer environment for patients who had not originally planned for a hospital birth experience, says Rossman. “Varying types of birth services in a community intersect during crucial times for a mother and unborn child."

She notes that hospitalists are uniquely positioned to partner with the hospital and community maternity care providers to serve all patients. There is no perception of competition, since OBHG is dedicated to providing inpatient services only.

“This improves the ability of the hospital to build solid relationships with the community midwives," she says.

Inclusion and respect

The hospital team initially solicited midwives’ input through a questionnaire and later through dialogue and feedback, says Lockey.

UCHealth Memorial Hospital Central holds bi-annual informational meetings for community midwives and up to 18 community providers attend each session, says Rossman. There are now 35 community midwives on the contact list. Connecting with these midwives is important because the hospital’s location, El Paso County, has the highest rate of home births in Colorado.

Lockey says midwife involvement in planning the transfer standards and the treatment their patients receive has resulted in a favorable opinion of UCHealth Memorial Hospital Central’s Labor and Delivery program. The hospital used the Homebirth Summit’s best practice guidelines for transfer from a planned home birth to the hospital to develop the standards.

“We do not make any statements on whether we agree or disagree on any particular kind of care. We make sure that when a client is brought to our doorstep, we treat everyone respectfully, we are welcoming, and we provide the best care to that patient,” says Rossman.

Lockey adds that UCHealth and Ob Hospitalist Group share a mission to be compassionate and nonjudgmental recipients for all patients.

The hospital consistently receives positive feedback about birth experiences from the transferred patients, Rossman notes. In addition, the community clinicians are invited to share their recent transfer stories at the hospital-hosted meetings.

“We continue to hear positive feedback that they were well-received, they were heard, and their clients’ wishes were respected," she says. "They’re coming to us for interventions and those interventions are being discussed in a positive direction and consent is being obtained."

The outreach effort has created a favorable perception, allowing some longtime community midwives to overcome past hospital transfer experiences, says Lockey. The area has three hospitals offering Labor and Delivery services and the local midwives deliberately choose Memorial Hospital Central. Lockey credits this trend in part to hospital outreach efforts and “the reputation we are achieving in providing good, safe, and respectful care.”

"As this round table builds trust that client's requests and birth wishes will be respected and heard, it in turn supports good clinical judgment decisions on transfer," says Rossman. "Our community midwives are 100 percent accountable for their transfer decisions and the hospital is 100 percent accountable for providing safe and effective receiving environment." “They see the respect offered to the patients and are often quicker to transfer when help is needed."

“Patients appreciate that we function as a united team when a patient arrives and we assume their care,” says Lockey.

Extending the benefits

Treating these transfer patients is prompting the Labor and Delivery unit to look at how it can make changes in maternity services at the hospital, including postpartum care, says Rossman.

“This population of patients challenges us as providers to practice in an evidence-based way,” Lockey adds. "They are often well-educated and in favor of alternative or more natural practices. Patients who were anticipating a home birth experience challenge the hospital team to consider if our practices really are best practices, and to explain the rationale behind what, when, and why we do what we do. Overall, I believe this moves us in a good direction for the safety of both mom and baby."

Lockey hopes that other hospitals will consider similar initiatives. “It’s a win overall for women to collaborate with this group,” she says. “I give kudos to UCHealth for leading in this area. It’s satisfying to be a part of something collaborative and cooperative that is creating a positive change in our city.”

Photos: above right: Dr. Renee Lockey, middle: Amber Rossman, below: the Memorial Hospital Central campus

OBHG partners with CHRISTUS Spohn-South to deliver the highest standard of women’s care

By OBHG Marketing on May 14th, 2018

OBHG began our partnership with CHRISTUS Spohn Hospital Corpus Christi - South in 2014. Since then, we have developed a strong relationship with the staff and community physicians to raise the standard of care for pregnant women. Watch the video below to see what Mark Casanova, President of CHRISTUS Spohn - South, and Lenora Sevcik, Director of Women's Services, have to say about the benefits of the partnership. 



 

New OBHG program: Carolinas HealthCare System University

By OBHG Marketing on May 11th, 2018

In April, OBHG launched its sixth OB hospitalist program of 2018. Carolinas HealthCare System University in Charlotte, NC, features a full-time OB triage FT triage.

The hospitalist team includes (left to right): Addie Taylor; Director of Hospital Operations, Dr. Susan Wilson; Medical Director of Operations, Dr. Peter Boehling (backup), Dr.  Arlene Persaud-Kraut, Dr. Cynthia Wesley and Dr. Alan Segal (backup). Not pictured: Dr. Lawrence Bass and Dr. Marion Reynolds. Dr. Persaud-Kraut will serve as Team Lead for the program.

New CARE program receives national press

By OBHG Marketing on May 8th, 2018

Ob Hospitalist Group, the nation’s leading provider of OB/GYN hospitalist services, has announced the launch of its CARE program, a first-of-its-kind peer support initiative designed to support clinicians who are suffering from the psychological/emotional impact of an unexpected and adverse obstetrical event.

Obstetricians who are suffering vicarious trauma benefit from emotional first aid and peer-to-peer wraparound support.

Through the CARE (Clinician Assistance, Recovery & Encouragement) Program, trained peers support OBHG colleagues in an atmosphere of confidentiality, empathy, trust, and respect in the immediate aftermath of a negative patient care-related event.

It is believed to be the first large-scale obstetrics peer-support program in the country, available to more than 600 OBHG clinicians at over 120 hospitals in the U.S.

The CARE program is designed to address the well-documented concept of the “second victim.” A wide body of research has found that when healthcare providers are involved in an unanticipated patient event, a medical error and/or a patient-related injury, they often feel as though they have failed the patient, second guessing their clinical skills and knowledge base.

“Unanticipated medical outcomes can be devastating for both patients and physicians. Our research found nine in ten of our physicians did not feel adequately supported in coping with error-related stress, and eight in ten reported they would be interested in counseling after a serious error occurred,” said Leonard L. Castiglione, chief executive officer, Ob Hospitalist Group.

“We designed the CARE program based on a ‘first responder’ approach: to offer emotional first aid and peer-to-peer wraparound support to clinicians who are suffering vicarious trauma, to help them regain the emotional health and equilibrium necessary to provide skillful, empathetic care for patients.”

Read more

Dr. Rakhi Dimino addresses maternal mortality in Houston Chronicle op-ed

By OBHG Marketing on May 7th, 2018

Last year, a woman I was caring for in labor & delivery almost died.

She was suffering from an embolism characterized by sudden cardiorespiratory collapse and acute hemorrhage. In the simplest terms, she nearly died from an allergic reaction to amniotic micro-substances in her bloodstream that can cause severe bleeding and inability to provide oxygen to the organs in her body.

Luckily, a collaborative team of health care workers immediately jumped in to save her life. Our team worked for hours to deliver her baby, stop the bleeding and stabilize her. To our great joy, she and her newborn survived.

Read more

OBHG Medical Director of Operations Dr. Rakhi Dimino discussed the current maternal mortality rate in Texas, along with the three steps state lawmakers, hospitals and physicians must take to address the issue in this op-ed published by the Houston Chronicle May 4, 2018.

OBHG celebrates International Day of the Midwife 2018

By OBHG Marketing on May 4th, 2018

Midwifery is an ancient profession and midwives today still help women through their pregnancy, labor, and delivery every day. Ob Hospitalist Group has nearly 40 midwives working in our hospitalist programs across the United States and the number is growing. May 5 marks International Day of the Midwife, a celebration of the important and dedicated work of midwives across the globe.

The International Confederation of Midwives established the idea of the International Day of the Midwife in the late 1980s and formally launched the initiative in 1992.

“Midwives leading the way with quality care is significant in highlighting the vital role that midwives play not only in ensuring women and their newborns navigate pregnancy and childbirth safely, but also receive respectful and well-resourced maternity care that can create a lifetime of good health and wellbeing beyond the childbirth continuum,” writes the International Confederation of Midwives. 

Sallie Hill, CNM, works in the OBHG program at Alta Bates Summit Medical Center, a bustling location in northern California. She talked with us about her journey to becoming a midwife and why the profession is beneficial to mothers, physicians, and hospitals.

First, the training
Hill became interested in midwifery following the difficult birth of her son, and her physician said he wished the hospital had midwives because she would have been a perfect candidate. “I thought, ‘They still have midwives?’ and decided that’s what I wanted to do,” said Hill.

She attended nursing school and later worked in labor & delivery nursing for several years before entering the midwifery program at University of California at San Francisco.

Hill began her career with the Indian Health Service, working at the Pine Ridge Indian Reservation in South Dakota. "It was a really wonderful place to work. We rarely had an obstetrician, so the midwives ran Obstetrics and Gynecology along with Primary Care. We learned skills like ultrasound, colposcopy, and vacuum-assisted delivery because we were so remote,” said Hill.

Next came solo practice in South Dakota followed by a practice in Boulder, Colorado. When she returned to California, Hill worked at a free-standing birth center and later joined what became the Alta Bates Summit Perinatal Center. She’s worked there for 15 years. The pace was ultra-fast in the beginning, said Hill, “When I initially started, we did 7,000 to 8,000 births a year, sometimes 10 births in an hour, but now it is about 4,000 per year. It’s busy, but very rewarding.”

‘Birth is normal, but they’re all different’
Using midwives on labor & delivery reaps multiple benefits. When Hill is on shift at Alta Bates, a midwife and two physicians are on the L&D unit. She oversees the entire birth (and the rare repair) on her own and only calls for physician consultation or backup if something goes wrong or she is out of her comfort zone, said Hill.

A benefit for the mother is that midwives are trained to treat birth as normal while still keeping an eye out for something that deviates from normal so if there is an emergency, they can react and take care of it, said Hill. “We can be with the mother as much as possible and provide reassurance for them,” she added. 

Hill recounts a story of when she had a backup physician covering for her and the physician said when confronted with a situation with one of Hill’s patients, she thought about what Sallie would do. “And I just sat on my hands,” reported the physician. 

Working on an OB hospitalist team versus solo practice offers a different perspective, said Hill. “You’re more focused on working with a team and you’re more dependent on your colleagues for a team approach to everybody’s care. This is because you don’t know the background of the women you’re caring for as well as you would in full-scope clinical practice. It’s nice to have that camaraderie and team support,” she said.

Lessons learned
Sallie Hill shared some of the lessons learned in her decades of practice. Establishing a rapport or common ground when the patient first arrives is paramount, she said. “I’ve learned to listen and get patients to tell me their story. By doing that and listening to the women, it’s easier to establish a connection. I want to get that story first,” she said.

“I’ve also learned that it’s really important that you not insert your ego or your expectations into somebody else’s labor and birth experience. That can be a hard lesson to learn for some people. You have to learn as a midwife to be able to not have your expectations forefront,” she added.

And when the birth is not going the way the patient expected, a midwife must be a support and guide. “You may have to respectfully tell them that an intervention is needed. We have to really learn to listen and discuss rather than dictating how something will be done,” she said.

“Some women want complete control and you can control nothing about labor. You may have to work around that [expectation] and keep the safety of the mom and baby at the forefront,” said Hill. 

What’s on the horizon
Obstetrics trends evolve and Hill said one distressing trend is hospitals closing their labor & delivery units, so women in rural areas may have to travel hours to a hospital that offers Labor & Delivery.

This trend could drive up the number of midwives. “I think midwives are going to be even more prevalent, not only in hospital settings, but in rural clinics and even in city clinics as we run into a shortage of doctors. There is going to be more of the type of practice where consultations are done by phone or video because a physician is 100 miles away,” she said. 

The pendulum in Obstetrics swings back and forth, said Hill, but the process of pregnancy and labor hasn’t changed for thousands of years. “I hope to see more midwives in practice and an examination of what interventions are really needed,” she added.

An optimal model
Midwives and obstetricians working together is beneficial for all, said Hill. “I think the collegial and collaborative midwife/obstetrician approach is really best. I think that midwives and obstetricians can learn quite a bit from each other.”

“It’s very important that an open dialogue is maintained between those positions and that’s what’s going to benefit women and their families. There are so many strengths that both professions have. I need to be able to learn from the obstetricians, but they also need to be able to learn from me,” she added.

When residents are paired with midwives during rotations, this is an excellent model and helpful for both parties, she added. “It gives exposure to midwives and normal birth, which may not happen for an obstetrician in training,” said Hill.

Sallie Hill said working as a midwife in a hospitalist program truly suits her. “It’s always challenging, it’s always interesting, and then you get to go home. What’s nice about being a hospitalist is that you get a wide variety of clinical situations, but you don’t have to take those home with you.”

What your hospital is missing with a DIY OB hospitalist program

By OBHG Marketing on May 2nd, 2018

Earlier this year, we talked with Annette Stier, director of women's & children's services at Providence St. Peter Hospital in Olympia, WA, one of OBHG's longest-running partners. Providence St. Peter started their OBHG hospitalist program in 2010, and Annette has been there since the beginning. Hear what she has to say about the benefits a hospital gleans from an OBHG partnership versus developing their own OB hospitalist program. 

OBHG highlighted in interview with Norman Regional Health System CEO

By OBHG Marketing on May 1st, 2018

On April 29, 2018, The Norman Transcript published an interview with Norman Regional Health System CEO Richie Splitt. The Norman, OK-based hospital system has launched several new initiatives recently, one of which being its development of an Ob Hospitalist Group obstetrics emergency department at the Norman Regional HealthPlex

Read full interview.

OBHG’s Dr. Jaynes featured on ACOG TV

By OBHG Marketing on April 30th, 2018

This past week, healthcare professionals from around the country flocked to Austin, TX for The American College of Obstetricians and Gynecologists (ACOG) Annual Meeting. During the meeting, which ran from April 27-30, ACOG aired daily TV segments that played on a closed circuit network throughout the conference hall and surrounding locations. OBHG's Senior Director of Medical Operations Dr. Charlie Jaynes was featured on one of these segments, and he had the opportunity to speak about some issues and initiatives that are high priority for both him as a physician and OBHG as an organization.

Hear what Dr. Jaynes has to say about the "second victim" phenomenon and OBHG's new CARE program below.

New OBHG program: Baylor Scott & White-McKinney

By OBHG Marketing on April 27th, 2018

We've expanded our national network! On April 4, 2018, OBHG launched a Type A obstetrics emergency department within Baylor Scott & White McKinney in McKinney, TX. This is the fifth OBHG partnership to begin in 2018. 

The hospitalist team at Baylor Scott & White McKinney includes (left to right):  Dr. Timothy Sandmann, Dr. Edileola Makinde, Dr. Marc Zepeda, Dr. Jeffrey Hermann, Dr. Lenora Vaughn.  Backups: Dr. Bob Darrow, Dr. Ezell Autrey (not pictured) and Dr. Tova Burge-Martin (not pictured).  Dr. Sandmann will serve as Team Lead for the program.

Family-centered C-section can change birth experience

By OBHG Marketing on April 24th, 2018

About one in three babies is delivered via C-section in the U.S. It's the most common surgery in the nation.

While much has been written about the need to reduce or eliminate unnecessary cesarean sections, many are unavoidable - but can also leave a mother feeling that she missed a crucial part of the experience.

Moms who deliver through C-section can struggle with feelings of disappointment, or even guilt. But obstetricans have devised new ways to allow for maternal bonding during the procedure.

"Birth comes in two forms and both lead to motherhood," says Dr. Alissa Erogbogbo

Erogbogbo, OBHG medical director of operations for northern and central California, says advances in the understanding of the capabilities during a C-section have developed into what's now known as the 'family-centered cesarean', which allows for more active involvement of the mother in the birth of her baby.

"A family-centered C-section can entail any of the following: skin-to-skin contact, continual presence of a support person, breastfeeding in the OR, dimmed lights, calming music, unstrapped arms, and lowered sheets," she says.

A mother can opt to stay alert and watch the birth process happening, and have the infant placed on her chest to help stimulate breastfeeding. If her hands are not strapped down (and the IV inserted in her non-dominant hand), she will able to immediately hold her newborn and keep her baby close.

Initial research has shown that the new method is as safe as the traditional procedure, and also results in better breastfeeding and bonding outcomes and significantly increased satisfaction for the mother and family members.

While this gentler, more personalized cesarean method is less common in this country than the UK where it began, Erogbogbo is not surprised it is catching on in the U.S.

"It changes the birth experience," she says. "It allows the mother to embrace her delivery."

April is Cesarean Awareness Month, which helps remind caregivers and patients of the need to know and understand the facts about C-sections.

The Toliver’s story: Happy mom, happy baby.

By OBHG Marketing on April 20th, 2018

Aiysha and Charles Toliver welcomed their second child Zaccai in 2017. Thanks to the partnership between CHRISTUS Spohn-South and Ob Hospitalist Group, both mother and baby are happy and healthy!

View video below.





 

Be our guest in Austin April 28

By OBHG Marketing on April 17th, 2018

Ob Hospitalist Group invites all OB/GYNs, Certified Nurse Midwives and OB residents to be our guests at our special Meet & Greet Reception in dynamic Austin, Texas.

Come and enjoy libations, heavy hors d’oeuvres and an incredible open air view of the city on the 7th floor terrace of the elegant new Fairmont Austin hotel as you get to know some of our executives and mingle with our expert clinical recruiters. 

When you arrive, be sure to register for our drawing for a new Series 3 Apple watch!

OBHG Meet & Greet Reception

Saturday, April 28th
5:30 - 8:00 pm
Fairmont Austin Hotel
Rules and Regs terrace, 7th floor

RSVP on our Eventbrite page or send an email to Nadine Rhodes.
(RSVPs are not necessary but appreciated.) We are excited to see you there!

Recognizing the inaugural Black Maternal Health Week

By OBHG Marketing on April 13th, 2018

The inaugural Black Maternal Health Week, founded by the Black Mamas Matter Alliance (BMMA), is taking place from April 11-17 this year.

The BMMA launched the effort to increase public attention around the state of Black maternal health in the U.S., along with the root causes of poor maternal health outcomes, and community-based policies, programs, and solutions.

Partners and collaborators include Sister Song, Every Mother Counts, the Center for Reproductive Rights, the National Partnership for Women and Families, and the National Women's Law Center.

The week-long campaign seeks to amplify the voices of Black mothers, women, families, and stakeholders, serve as a national platform for Black women-led entities and efforts on maternal health, birth justice, and reproductive justice.

The Alliance offers a social media/online advocacy toolkit for download. A free webinar is scheduled for Monday, April 16 highlighting the challenges Black, African immigrant and undocumented women face in accessing equitable maternity care.

A tweet chat will take place Tuesday, April 17th at 3 pm Eastern time. Official Hashtags include #BlackMaternalHealthWeek, #BMHW18, and #BlackMamasMatter #IntlMHDay.

April is also recognized as National Minority Health Month – which seeks to advance health equity for all racial and ethnic minorities. 

New OBHG program featured in local news story

By OBHG Marketing on April 11th, 2018

New OBHG hospital partner St. Luke's First Baptist Hospital in San Antonio, TX, was featured on a recent local media story. OB/GYN hospitalist Dr. Randall Davis, and St. Luke's Director of Women's Services Terrie Price, explained how the new 24-7 obstetric emergency department works, and how it will benefit moms, babies, families and local obstetricians in the community. 

The hospital is the first in San Antonio to offer an OB hospitalist program.

Watch the video

Obstetrician hospitalist partnerships can reduce risk of medical malpractice claims, burnout

By OBHG Marketing on April 9th, 2018

Healthcare Finance recently interviewed OBHG's Chief Medical Officer Dr. Mark Simon about the benefits private-practice OB/GYNs glean from an OB hospitalist partnership. 

According to Dr. Simon, a lot of obstetricians get fed up with the bureaucracy inherent in the healthcare system, as well as the various pressures the job.

Read full article.

New OBHG program: Our Lady of Lourdes

By OBHG Marketing on April 6th, 2018

OBHG is excited to announce our third program go-live of 2018 at Our Lady of Lourdes in Binghamton, NY. Our Lady of Lourdes, part of the Ascension Health system, has a full-time OBHG triage. 

The hospitalist team at Our Lady of Lourdes includes: (from left to right) Dr. Tanya Mays, Dr. Scott Treutlein,  Dr. Mark Spence, Dr. Paul Burke, Dr. Raymond DeCesare and Dr. Florence Jean Louis.  In front: Dr. Angel Kearney and  Dr. Deborah Basso. Dr. Fred Nichols and Dr. Anita Sargent (not pictured) will serve as back-ups at this program. Dr. Mays will serve as Team Lead for the program.

OBHG expert weighs in: Best medical schools for OB/GYNs

By OBHG Marketing on April 4th, 2018

Ob Hospitalist Group Medical Director of Business Development Dr. Jane van Dis was one of the prominent national experts quoted in a recent U.S. News and World Report article.

The piece, geared toward aspiring medical students, discusses what up-and-coming OB/GYNs should look for when they choose a medical school.

Read the full article

Q4 2017 ‘You Delivered!’ award recipients announced

By OBHG Marketing on April 3rd, 2018

Each quarter, our OBHG colleagues commend their peers for going above and beyond with the 'You Delivered!' peer-to-peer recognition program. Winners are named each quarter, shared within the OBHG community, and receive a personalized, engraved trophy. All nominees receive a unique lapel pin.

Dr. Troy Eckman and Leslie Cianfarano were named winners of the 'You Delivered!' award for the fourth quarter of 2017.

By the Patient’s Side All the Way
Dr. Troy Eckman was nominated by Bellevue Woman’s Center Team Lead Dr. Dympna Weil for going the extra mile—literally. Because their facility is the OB center for Ellis Hospital System, sometimes her team must address clinical needs at the main hospital emergency room about one mile away, said Dr. Weil.

A patient came into the local emergency room and was determined to need treatment by an OB hospitalist, but could not be transferred. A community physician quickly assessed the patient in the ER, but had another patient under anesthesia for surgery and could not immediately treat her. Recognizing the dire situation, a nurse contacted Dr. Eckman at home.

“When he learned of the acuity and urgent nature of the patient's needs, Dr. Eckman hopped in his truck and drove directly over the main hospital's ER where he assessed the patient and arranged for her transfer to our local tertiary care center. As if that was not enough, he rode in the ambulance with this high-risk patient all the way to the medical center—and then arrived to begin his normally scheduled OBHG shift at noon,” wrote Dr. Weil.


Bridging Gaps
Leslie Cianfarano, Business Systems Analyst, was nominated by colleagues Erin Cook, Elaine Stephenson, and Jessie Simpson. Leslie was recognized for her willingness to assist during a transition from Human Resources to Business Systems, performing “multiple jobs within multiple departments, bridging gaps, and keeping things moving forward—all with a smile on her face,” read one nomination.

“She brought multiple teams together, working towards the one goal of system cleanup, streamlining processes, and identifying system errors. In addition, she is always willing to share her knowledge, train people on the system…” read another.

“She has been instrumental in assisting our team in transitioning the compensation analyst responsibilities and has made herself available to answer questions, solve complex compensation issues, provide job aides, document processes, assist with resources and recommendations, all while learning and working her new full-time position in IT…,” read a third.

Congratulations to our 'You Delivered!' winners!  

Honoring a sacred calling: National Doctors’ Day 2018

By OBHG Marketing on March 30th, 2018

On National Doctor’s Day 2018, Ob Hospitalist Group recognizes the crucial, life changing work our hospitalists do each and every day.

Founded by an obstetrician who envisioned a better, safer way to deliver emergency OB care and offer clinicians a more balanced personal lifestyle, Ob Hospitalist Group provides unparalleled support for our employed physicians, along with benefits for the private OB/GYNs who practice near or have admitting privileges at our 130 partner hospitals across the nation.

We are humbled and eternally grateful for your compassion, your unwavering dedication, and your incredible clinical skills.

OBHG honors you for every vulnerable mother cared for, every baby brought into the world, every new family created, and every life saved.

New OBHG program: MemorialCare Orange Coast Medical Center

By OBHG Marketing on March 28th, 2018

Ob Hospitalist Group is pleased to announce our second new partnership of 2018, MemorialCare Orange Coast Medical Center in Fountain Valley, CA. Orange Coast's OB hospitalist program launched on March 7, and it features full-time triage.

"We are affectionately calling this program the team of team leads," said Director of Hospital Operations Kristina Mangia. "We have an amazing team of OBHG leaders assembled to staff Orange Coast with three of the team members being former or current team leads. Two great providers new to OBHG are a part of the Orange Coast team as well. The hospital has been a dream to work with, and we are excited to see this program grow into an OBED."

The hospitalist team at MemorialCare Orange Coast Medical Center includes in the front row from left to right: Steve Schaerrer; RVPO, Dr. Stephen Walker, Dr. Carol Levi, Dr. Michelle Uaje, Dr. Shawanda Obey, Dr. Donald Toatley; MSO, Dr. Jesus Baldonado and Kristina Mangia; DHO. In the back row from left to right Dr. James Barber and Dr. Mark Harrison.  Dr. James Barber will serve as team lead for the program.

Opioids after delivery: Addressing postpartum pain relief without feeding addiction

By OBHG Marketing on March 26th, 2018

Admidst the national opioid epidemic, OBHG hospitalists are taking measures to ensure they are not feeding addiction among postpartum patients. Dr. Stephen T. Bashuk, OBHG Medical Director of Operations, suggests three approaches physicians, department heads, and hospital administrators can take when addressing this issue.

Bashuk says they should strive to:

  • Wear many hats, including as pediatrician and administrator stand-in.
  • Never assume physician instruction is taken as the final word.
  • Be wise to greater tolerance.

Read full article.

A wealth of expertise: Hospitalist Dr. Lydia Sims

By OBHG Marketing on March 23rd, 2018

When it comes to her specialty, Dr. Lydia Sims has pretty much done it all.

Fresh out of residency, she developed a much-needed prenatal program – which is still in operation today – at a public health clinic in San Antonio. She worked as a contract OB/GYN for the U.S. military, joined private group practices in Kentucky and Louisiana, and was employed by a large healthcare corporation. She also founded a successful solo practice which she operated for 13 years.

Dr. Sims notes that the industry has gone through a lot of changes in the past decade, and that many OBs are faced with numerous, draining tasks that can take precious time and energy away from patient care.

“In private practice you’re doing more than just providing medical care to your patient, because you’re so busy with who’s working today, who’s going to show up tomorrow, co-pays, insurance companies, filling out piles of forms, and government requirements,” she says. “It was taking the fun out of medicine.”

Photo: Dr. Lydia Sims (bottom right) with her husband, a hand surgeon, and their two children.

Read Dr. Sims' clinician testimonial

March is Trisomy Awareness Month

By OBHG Marketing on March 20th, 2018

What a difference a few decades makes. As recently as the 1940s, children born with Down syndrome were expected to live only to age 12. By the 1980s, life expectancy was about 25 years. Today, the average person with Down syndrome lives to be 60. Last year, Guinness World Records listed Kenny Cridge of England as the world’s oldest living person with Down syndrome

Society, too, is catching up. Where attitudes once were often hurtful and based on ignorance, they now are increasingly accepting and knowledgeable. Where once babies diagnosed with Down syndrome were sent off to institutions, today they are mainstreamed in public school classrooms. And today, large retailers are embracing Down children in their advertising.

Walgreens drug store, for example, launched an Easter promotion last year featuring the angelic face of seven-year-old Grace Driscoll, a kindergartner from Chicago with Down syndrome. Grace appeared on signage in more than 8,000 Walgreens stores nationwide. It is one of the first times Walgreens has featured a model with a cognitive disability in its advertising. “We wanted this marketing campaign to be inclusive,” a Walgreens spokesman said. Walgreens joins a growing number of national brands including individuals with disabilities in their catalogs and advertisements.

Trisomy occurs when a baby develops with an extra chromosome in some or all of his or her cells. It is the result of cells not dividing properly, and the chromosomes don’t separate in pairs as they normally do, giving the baby an extra or third copy of a particular chromosome. Many trisomies result in miscarriage rather than live birth, and any chromosome can be affected. The most common live-birth trisomies involve chromosomes 18 and 21.

Trisomy 18 — also known as Edwards syndrome — occurs in about one in 2,500 pregnancies. Only half of these babies are born alive, and few will survive more than a few days. About 10% survive to their first birthday. There is no cure other than medical care to provide the best quality of life possible. Having a child with Edwards syndrome is devastating for parents and can be overwhelming. It is critical that these parents obtain support from organizations such as the Chromosome 18 Registry & Research Society and the Trisomy 18 Foundation.

Trisomy 21 — also known as Down syndrome — is the most common and well-known form of trisomy. Occurring in about one out of 800 births, Down syndrome is characterized by intellectual delays and physical abnormalities that include a smaller head, a somewhat flattened nose, poor muscle tone, and slanted eyes. Down syndrome children have an average IQ of 50, compared with the average IQ of 100 in normal children.

March is Trisomy Awareness Month. Stories abound about Down children and adults who exceed expectations every day. Just like Kenny Cridge, who’s eating cake and living large.

OBHG hospitalist quoted in Reader’s Digest article

By OBHG Marketing on March 16th, 2018

Earlier this month, Dr. Jane van Dis, OBHG hospitalist and medical director of business development, was quoted in a Reader's Digest story, 15 Signs Your Weight Gain Means Your Health is in Trouble. Dr. van Dis shares her insight into three of the signs that weight gain could be a bigger issue: irregular periods, painful periods, and abdominal pain. 

Read full article.

Upcoming Events 2018

By OBHG Marketing on March 14th, 2018

Ob Hospitalist Group will be attending the following meetings or conferences in the near future:

SAAOG
January 13-16; Bonita Springs, FL

SMFM
January 31 - February 2; Dallas, Texas

Michigan Section of ACOG
February 2-4; Crystal Mountain Resort, Thompsonville, MI

CA AWHONN
February 23-24; Anaheim, CA

MI Michigan
March 5; Lansing Center, MI

AONE
April 12-15; Indianapolis, IN

 

 


 

Patient Safety Awareness Week 2018

By OBHG Marketing on March 12th, 2018

March 11-17 is National Patient Safety Awareness Week 2018. The Institute for Healthcare Improvement (IHI) is the primary sponsor of the annual observance through its United for Patient Safety Campaign.

IHI is asking both clinicians and consumers to focus on patient safety as a serious public health issue.

As an industry leader in patient safety and quality improvement, Ob Hospitalist Group requires all clinicians to regularly maintain their proficiency in the latest OB/GYN patient safety issues via continuing education, and all new clinical employees are required to complete several online courses (or bundles) in electronic fetal monitoring and perinatal safety before they begin their first shift in a partner hospital.

In addition, the OBHG SAFE program identifies areas for potential quality improvement and provides our clinicians and partners with access to a variety of best practices and educational offerings.

During Patient Safety Awareness Week this year, IHI encourages interested people to share their organization's plans or initiatives, honor those who have suffered due to medical errors, participate in an open Twitter chat scheduled for Friday from 12-1 pm EST (use #PSAW18 to join the conversation), and take the pledge to stand united in striving to reduce harm in patient care.

At OBHG, a passion for people and commitment to patient safety and quality improvement are part of our culture. For safety programs anywhere to succeed, it is imperative that healthcare organizations similarly establish their own safety cultures, regularly utilize bundles, toolkits, and best practices, and consistently demonstrate unwavering dedication to their patients every day.

Endometriosis increases risk for pregnancy complications

By OBHG Marketing on March 6th, 2018

Millions of women around the world suffer from endometriosis — a condition in which uterine tissue migrates and grows abnormally outside of the uterus. Some women have no symptoms, while others experience severe pain, especially during their menstrual period.

The American College of Obstetricians and Gynecologists (ACOG) estimates that about one in 10 reproductive-age women suffers from endometriosis.

Endometriosis occurs when displaced endometrial tissue, behaving just as the lining of the uterus ordinarily would every month, thickens and sloughs during menstruation. When the menstrual blood from endometrial tissue has no place else to go, it is released into the surrounding tissues, causing inflammation and in some cases forming cysts (called endometriomas), scar tissue, or adhesions.

Occasionally, endometriosis can be found on organs or even old surgical scar tissue outside the pelvic cavity; these growths are called endometrial implants. While the majority are benign, they have been associated with an increased risk for developing cancer.

Chronic pelvic pain is the most common symptom of endometriosis, but some women have no symptoms, and others may suffer excessive bleeding or pain during sex or when using the bathroom. Most women are first diagnosed with endometriosis while seeking care for infertility.

Almost 40% of women with infertility have endometriosis. That’s because the internal scarring or adhesions from endometriosis may interfere with the release of eggs from the ovaries or block progress of the sperm. The associated inflammation also creates an environment inconsistent with fertilization.

Regardless, many women with mild to moderate forms of endometriosis can conceive normally and have healthy, term pregnancies. Because the condition can worsen over time, however, women with endometriosis who are certain they want to have a baby might consider conceiving sooner rather than later.

Diagnosing endometriosis is a process that usually begins with a pelvic examination. If endometriosis is suspected, the only way to absolutely confirm it is through laparoscopy, usually an outpatient procedure in which the physician inserts a long, slender scope with a tiny camera through a small incision to view internal tissues up close.

Treatment for confirmed endometriosis can be prescription of medications such as anti-inflammatory pain relievers or hormones delivered via contraceptive pills, which can inhibit endometrial tissue growth. In more serious cases, surgery is considered, but usually as a last resort. Surgery can physically remove endometrial tissue and improve fertility. Unfortunately, endometriosis often returns within two years of surgery. In the most severe cases, some women and their physicians choose total hysterectomy as well as the removal of both ovaries because estrogen from the ovaries can stimulate any remaining endometriosis.

Recent studies have identified a number of adverse pregnancy complications that are associated with endometriosis, and researchers encourage healthcare providers to be alert for potential risks among expectant women with a history of endometriosis. Their investigations found serious complications such as spontaneous rupture of the uterus, postpartum hemorrhage, and obstructed labor (dystocia) among these patients. Some patients had ruptured endometriotic cysts and ruptured ectopic pregnancies, though these occurrences were rare.

A related study identified poorer pregnancy outcomes among women diagnosed with endometriosis. These patients had a higher risk for miscarriage, ectopic pregnancy, placenta displacement, peripartum hemorrhage, and preterm birth.

Another study published in February 2017 showed that women with endometriosis: “had a statistically significant increased risk for having preeclampsia (1.4 fold), severe preeclampsia (1.7 fold), hemorrhage in pregnancy (2.3-fold), placental abruption (2.0-fold), placenta previa (3.9-fold), premature rupture of membranes (1.7-fold), retained placenta (3.1-fold), and hemorrhage after 22 gestational weeks (2.3-fold). Analyses of neonatal complications showed significantly increased risks of preterm birth before 28 weeks (3.1-fold) and before 34 weeks (2.7-fold), being small for gestational age (1.5-fold), a low Apgar score (1.4-fold), a diagnosis of a malformation within the first year (1.3-fold), and neonatal death (1.8-fold) for infants born to women with endometriosis.”

The exact cause of endometriosis is not known. However, women carry a greater risk if they:

• have never given birth;
• started their period at an early age;
• went through menopause later than average;
• have short menstrual cycles (less than 27 days);
• have high estrogen levels;
• drink alcohol;
• have a low body mass index; or
• have close family members with endometriosis.

March is National Endometriosis Awareness Month (with March 3-9 designated Endometriosis Awareness Week). While there is no cure for endometriosis, with appropriate care, its sufferers are able to mitigate symptoms and live quality lives. Many can have healthy pregnancies.

Redefining ‘special delivery’: Benefits of obstetrical emergency care units

By OBHG Marketing on March 2nd, 2018

From ReachMD with host Renée Simone Yolanda Allen, MD, MHSc., FACOG

Obstetrical emergency care units offer pregnant women highly-specialized emergency care as a better alternative to the traditional emergency room visit.  These units have been proven to increase patient satisfaction and improve emergency room wait time lengths. Where are they being utilized, and what are the barriers to implementing them nationwide?

Host Renée Allen talks with guests Dr. Brian Gilpin, national clinical director of operations for OB hospitalists at Mednax National Medical Group, and OBHG Founder Dr. Christopher Swain. They discuss the benefits and challenges of obstetrical emergency care units.

Listen to the podcast.

Leadership in Action: Dr. Deborah Bowers

By OBHG Marketing on February 27th, 2018

Many OBHG clinicians volunteer in leadership roles within their program hospitals, communities, or professional organizations. In the Leadership in Action series, our hospitalists share how they choose to serve others.

Dr. Deborah Bowers, team lead for one of our programs in Reston, Va., says that serving on hospital committees not only helps her connect with fellow physicians and hospital staff, but also allows her to help affect change in the facility.

Currently she is part of a group working to improve policy adherence within her hospital's health system. One location was scoring lower than others regarding compliance with system-wide Pitocin policies. (Pitocin is a prescription drug that can help induce labor.) Bowers volunteered with a collaborative group of 10 nurses, administrators, and physicians to address the issue through a performance improvement initiative. After six months serving with the group, she says the effort is making steady progress.

Bowers also recently joined a perinatal interdisciplinary committee that is examining the chorioamnionitis infection rate at the hospital. "We are pulling the NICU admissions to determine our chorioamnionitis rate and conduct an actual study," she says. The group hopes the study data will identify a trend and help them develop a plan to reduce the infection rate.

In addition, she is part of a committee developing a process to move the hospital's NICU from a 28-week Level III to a 26-week Level III.

'I think it's the right thing to do'

When asked why she participates, Bowers says, "I think it's the right thing to do. It's also a way to have a solid collegial relationship with the staff and private physicians in the community."

Serving is just part of her nature, says Bowers. "Before I wanted to be a hospitalist, I was always on one committee or another. For me it was not a big change to go back to that," she says. "It's nice to do some of the things that you would traditionally do as a department member that you don't always do as a hospitalist. It makes you feel like you are integral to the department."

Multiple benefits for clinician and community

Participating in a leadership role can increase the visibility of hospitalists and provide additional opportunities to work with the community doctors, says Bowers. "Part [of serving] is being well-known in the department and the community here. You are showing that you are committed...that you are there to see that things get better and to make a change."

Bowers says hospital leadership fully supports OBHG clinicians who want to join committees and get involved in quality improvement initiatives. "They're really happy to have you participate and show a vested interest in how the program is going to work out. It's a satisfier for the hospital and for me in that I have a stronger relationship with the nursing staff, administration, and private doctors," she says. "It's a collegial way to make a difference."

Dynamic Director of Hospital Operations: Kristen Fuentealba

By OBHG Marketing on February 23rd, 2018

Every day, OBHG's clinical and operational leadership teams support our hospitalists in their programs. The Medical Director of Operations, Regional Vice President of Operations, and Director of Hospital Operations work to help ensure that programs run smoothly and facilitate hospitalists' success. One leader of these leaders is Kristen Fuentealba, Director of Hospital Operations over Alabama, Indiana, Kentucky, Michigan, Mississippi, and Tennessee.

The Director of Hospital Operations (DHO) works collaboratively with OBHG Medical Directors of Operations to oversee the operational management and oversight of OBHG's hospitalist programs. Our DHOs visit program locations and focus on establishing professional relationships with the hospitalist team, hospital C-suite executives, and other hospital department personnel. A DHO also develops relationships with community providers and specialty physicians. The Director of Hospital Operations reports to the Regional Vice President of Operations.
 

How long have you worked with OBHG and how have you seen the organization evolve?

I've been with OBHG a little over three years. I came from EmCare, an emergency medicine company, in a similar role in program implementation and management in the rural health division. When I came to OBHG three years ago, it was a small business that was growing in leaps and bounds. Since then it has grown tremendously: with the addition of a new CEO, CFO, and COO - the company has almost doubled since I came on board.

What lessons has working in your current field taught you?

Working in operations and with many facets of the industry, I've learned to be patient and flexible. Also, to be very goal-oriented and have structure in my day, week, and year-keeping certain goals in mind.

What is the most important way that you think you can support our clinicians on the ground?

They're the heart of the company and on the front lines. We're nothing if we don't have good physicians out there doing the actual work. I really value them and try to build a personal relationship with our clinicians, our MDOs, and Team Leads. Then to be accessible to them at all times; whether it's help with the schedule or another issue. I want our Team Leads, MDOs, and clinician teams to feel like they can pick up the phone and call me anytime. And if I can't help them, I can connect them with someone who can help.

As operators, we've been encouraged to have more involvement with the teams and Team Leads. I feel like we're becoming more of the main point of contact for them and that's a good thing because we not only represent OBHG, but we also work closely on the hospital side with administration, management, nurses-from program implementation all the way through managing. I can assist with day-to-day issues and management strategies or help work out a problem involving recruiting or contract negotiations.

What do you see on the horizon for our hospital partners as goals for the hospitalist program?

I think that hospitalists in general are becoming an important part of primary care. We're the leading company in the OB Hospitalist industry and in the forefront of OB care. Our hospitals are coming to us to help them solve the problems that are national: shortage of OBs in the area, immediate care for mothers and babies, and saving the lives of moms and babies.

It's amazing to hear the stories about how our clinicians make an impact on patients who show up because patients are immediately seen by a Board-Certified OB/GYN. I feel like we're just scratching the surface in specializing in OB Hospitalist care; branching out into different programs like federally qualified health clinics and supporting Maternal-Fetal Medicine specialists.

How have you seen our clinicians address evolving needs?

Our physicians are really good at assessing the hospital's needs and customizing our programs accordingly. Our Medical Directors are excellent at this and leading our Team Leads in doing this. They are leaders with a can-do attitude. I think we're really good at meeting hospital needs.

What do you love the most about what you do?
I love the big picture. I love that we are elevating the standard of women's [and babies'] healthcare. As the mom of two girls, it makes me feel secure that we have a program in my hometown. I'm thankful to be a part of an organization that has such a wonderful mission statement.

In day-to-day activity, I love to problem-solve with other people to help reach our company goals, have good outcomes for our programs, and help the hospitals reach their goals for their OB department.

What is a challenge for you in your work?

What is a challenge is also what I love about the job: working with many different people and a variety of departments. Because I work with so many different people and different departments, it's sometimes like spinning plates. That's the challenge: keeping the plates spinning.

Tell us about your background and family.

I was born in Pensacola, Florida, and live in a bedroom community where I went to school from kindergarten to high school. We have two daughters, Adriana and Antonia, and have been married to Marco for 24 years. One daughter is a sophomore in college and the other a senior in high school. I'm the oldest of eight kids. I love raising my kids in the community that I grew up in and we're close to the beach, so that doesn't hurt, either.

What are your hobbies outside of work?

I enjoy fitness and am a former spin and aerobics instructor. I love to run, too, and have run several half-marathons.

What would be your second career?

I love the outdoors and I like planting and gardening, so I'd probably be a landscaper.

What is something that people might not know about you?

I lived in Hawaii for a short time.

MDO on the move: Dr. Charles Rollison

By OBHG Marketing on February 20th, 2018

Every day, Ob Hospitalist Group's clinical and operational leadership teams support our clinicians in their programs. The medical director of operations, regional vice president of operations, and director of hospital operations work to help ensure that programs run smoothly and facilitate hospitalists' success. Dr. Charles Rollison is an MDO for the OBHG region that includes Alabama, Indiana, Kentucky, Michigan, Mississippi, and Tennessee.

He focuses on clinical operations, including clinical leadership, hospital relationships, new program starts, clinical strategic leadership, and business development support. Our MDOs help ensure the clinical teams are delivering quality programs that achieve both OBHG's and the hospital's clinical and operational objectives.

How long have you worked with OBHG and how have you seen the organization evolve?

I joined OBHG in September 2013 as a hospitalist after 15 years in a general OB/GYN practice, and was selected for the MDO position after being with the company for six months. I've witnessed expansive growth in the number of physicians, programs and support staff in the time I've been with OBHG.

What lessons has working in your current field taught you?

I'm always reminded that the most important things in this, and any role, are transparency, honesty, and clear communication.

What do you see on the horizon in the field of OB/GYN or hospitalist medicine?

I believe there will continue to be a rapid expansion of OB hospitalist programs across the nation, much as there was for internal medicine hospitalists not all that long ago.

What are the important ways that you think you can support our clinicians on the ground?

We select quality physicians for our teams, and give them a fair amount of autonomy to run the programs. They're the best individuals to tell us what will and won't work at their hospitals.

I think it's important to be accessible, a good listener, and to respond promptly when help is needed. Specifically, I can help clinicians address relationships, either with their team or community physicians. I can also help with professional development and offer guidance when hospitalists want to advance within the company.

How we manage the team, address issues, and demonstrate that we want to provide people feedback speaks a lot to the longevity of the programs and the longevity of the clinicians themselves.

What do you love the most about what you do?

I really enjoy building new relationships with our physicians and team leads. It's very rewarding to watch them become better leaders and better hospitalists. I also really enjoy new programs and start-ups where we build and implement a program from start to finish. It's very rewarding to watch it all come together as we pick the team, build the program, suit it to the hospital, and launch on the first day.

Tell us about your background and your family.

I grew up in Pontiac, Michigan. I went to medical school and completed my residency at Michigan State University. After graduation I spent three years active duty as a staff OB/GYN at Naval Hospital Cherry Point, North Carolina. After leaving the Navy, I practiced general OB/GYN in Indiana and Michigan for 15 years. I also completed a master's degree in Health Administration in 2014. My wife, June, is a maternal-fetal medicine physician. I have a son, Noah, who is 16 and daughter, Lauren, who is 13.  

What are your hobbies outside of work?

We have a cabin in northern Michigan, and spend as much free time as we can there year round. We enjoy being on the water, whether boating, skiing, or fishing. In the winter months we do a lot of snowmobiling as Michigan has almost 6,0000 miles of groomed trails and we can ride right from our door. Travel is also a family favorite; our next destination is Paris.

What did you want to be when you grew up?

I've always wanted to be a physician. That's all I ever wanted to do.

What is something that people might not know about you?

I was a state champion baseball player my senior year in high school. No one would look at me now and think that!

Decreasing cesareans: VBAC and patient empowerment

By OBHG Marketing on February 16th, 2018

According to OBHG's Dr. Jane van Dis, vaginal birth after cesarean (VBAC) attempts can reduce medically unnecessary C-sections. This week, Contemporary OB/GYN published an article by Dr. van Dis, who serves as OBHG's Medical Director for Business Development and an OB hopsitalist in Bakersfield, CA. 

"The VBAC attempt rate is only about 9%, even though the overall success rate for women who attempt a trial of labor after cesarean delivery is estimated at 60% to 80%. We can do better," she writes.

Read full article.

40,000 infants born with congenital heart defects every year

By OBHG Marketing on February 13th, 2018

For most people, the very notion of having heart surgery performed on their newborn is terrifying. In fact, a study published recently in the Journal of the American Heart Association (JAHA) found that parents whose children have undergone cardiac surgery had an elevated risk for trauma, depression, and psychological distress. Even though outcomes from infant heart surgery have improved over the past decades, the prospect nonetheless induces anxiety.

According to the JAHA review, approximately 30% of parents exhibited symptoms consistent with post-traumatic stress disorder (PTSD). More than 80% had clinical symptoms of trauma and emotional distress, and up to 50% experienced depression or anxiety. The study’s authors suggested that parents of infants with congenital heart defects requiring surgery could benefit from referral to mental health resources and emotional support systems.

An estimated 40,000 babies are diagnosed with congenital heart defects (CHDs) every year, with about 1 in 4 (25%) being serious. These defects involve structural problems in the heart that are present at birth. CHDs are the most common form of birth defect. They can range from simple defects that require only monitoring to life-threatening conditions necessitating open-heart surgery. The good news is that, with advances in medicine, the vast majority of children born with complex heart defects survive to adulthood and enjoy normal, active lives.

Every newborn in the United States is tested for heart defects within the first 24 hours of life. The screening — called pulse oximetry — is painless and involves placing a sensor on the baby’s skin, usually the foot. The sensor measures oxygen levels in the baby’s blood and can detect problems early. There are at least 18 specifically identified types of CHDs. Most have no known cause and are presumed to be genetic. Those infants diagnosed with serious CHDs are referred to a pediatric cardiologist for further treatment and/or surgery.

February is Congenital Heart Defects Awareness (CHDA) Month, with February 7-14 observed as CHDA Week. In 2014, the American Heart Association and The Children’s Heart Foundation teamed up to launch the Little Hats, Big Hearts™ program in which volunteers around the country knit tiny red hats for babies born in February and distribute them to participating hospitals in more than 40 states. The program continues to grow today, encouraging mothers and children across the nation to live heart-healthy lives.

OBHG announces first program in Connecticut

By OBHG Marketing on February 9th, 2018

Ob Hospitalist Group is pleased to announce that we are entering into the Connecticut market! We are excited to be partnering with a facility in Waterbury to develop a brand new hospitalist program.

The hospital is an acute care and surgical facility that handles more than 1,000 deliveries each year. It is home to a level III neonatal intensive care unit, 25 labor and delivery beds, and maternal-fetal medicine for high-risk pregnancies.

As for the local area, Waterbury is the ninth-largest city in New England and part of the Central Naugatuck Valley Region. It's an easily commutable distance from several cities in New York such as Poughkeepsie and Yonkers.

The town boasts the Waterbury Symphony Orchestra, several museums and theaters, two amusement parks, an artisan marketplace and a charming downtown. Residents also enjoy a variety of outdoor activities, such as golf, hiking, biking and running at Mattatuck State Forest or one of Waterbury's many parks.

OBHG hospitalists enjoy full-time positions with competive compensation, benefits, paid medical malpractice insurance with tail, unparalleled physician support, and true work/life balance.

Leadership and advancement opportunities are available - along with predictable schedules, fewer shifts, and minimal administrative burdens.

If you are interested in exploring our new Connecticut openings or would like to apply, please contact our Senior Clinical Recruiter Liz Selfridge for more information.

Why choose OBHG over an in-house option?

By OBHG Marketing on February 6th, 2018

Today, hospitals face more issues and challenges than ever before. Certification and scope of practice are key issues. But even greater is the skyrocketing costs of healthcare. The more the industry tries to rein in costs and streamline care, the bigger role hospitalists play. Hospitalists address a wide range of issues from efficiency of care, pay-for-performance measures and increasing patient capacity, to quality incentives and quality improvement in patient safety and care.

There’s a general consensus that hospital medicine is in an excellent position to make a difference. As the industry’s leading provider of 24/7 in-house OB/GYN hospitalist programs, Ob Hospitalist Group partners with over 130 hospitals across the nation. They see the program as an investment in their women’s healthcare line and the cornerstone of their patient safety and business development efforts.

Our vast experience has taught us that while each hospital is unique, many hospitals share the following objectives:

  • Improve patient safety and satisfaction through the immediate availability of specialists in the management of high-risk obstetric encounters and emergencies.
  • Prevent the loss of physicians and delivery volume (knowing that a loss of obstetric volume will most likely be associated with a loss in elective surgery volume).
  • Retain transports (which increase patient satisfaction and revenue).
  • Increase market share by reaching out to physicians who are splitting deliveries with their competition or who are exclusive with their competition.
  • Increase market share by reaching out to family practitioners, mid-level providers and clinics.
  • Grow their high-risk service and become known as the leader in obstetrics for their market.
  • Foster the relationship with obstetric patients so that they choose the hospital for their other healthcare needs (and those of their families).

Many of these hospitals considered an in-house solution or attempted to implement their own program before asking us to develop a program for them. Some of the challenges they faced are as follows:

  • Availability of physicians/timeliness of implementation: Recruiting and vetting physicians can be challenging, and many hospitals or local companies simply do not have the ability to recruit, train and retain top-quality physicians throughout the life of the program. Hospital-developed programs falter when they are unable to backfill positions when physicians move on. OBHG can guarantee physician availability throughout the life of the program due to our large network from which we use to place physicians.
  • Private physician partnerships: A hospitalist program will not be successful if local physicians do not support it. Hospital-developed programs faltered because the local physicians did not trust the physicians that were brought on board (either due to competitive considerations or concerns about their clinical expertise). OBHG enjoys a reputation for providing highly-skilled, board- certified physicians to whom private physicians are willing to entrust their patients. 
  • Blurred line of roles/responsibilities: Some hospitals that have attempted to develop their own programs employ hospitalists that are also serving as private physicians and as obstetric hospitalists. There are multiple billing/revenue implications of this blurred role, and it has a negative impact on patient safety. 
  • Inadequate management/oversight: Several of our current hospital partners initially tried to develop hospitalist programs in-house but eventually asked us to develop a customized program for them in order to leverage our expertise concerning the clinical and financial management of an obstetric hospitalist program. We have a support staff of over 200 people who focus on billing and coding compliance, data analytics, business development, patient safety/risk management and hospital/physician relations. Furthermore, we take the best practices we see throughout our network and constantly strive to make our programs better. Lastly, we constantly report metrics that track the clinical and financial health of each program so that the hospital is aware of its impact. 
  • Obstetric emergency department coding, billing and compliance: We have encountered several hospitals that attempted to develop their own program or utilize a local company that has not been compliant and has paid the price. OBED billing and compliance, as well as Obstetrical Service Agreements, can be nuanced, and our team makes sure that hospitals are compliant and billing correctly.

Many of our current hospital partners approached us when they realized that they did not have the time or resources to develop an effective program. In some cases, the decision has been driven by physicians, and in others the decision to reach out to us has been precipitated by an adverse event. Wherever you are in this process, OBHG is eager to help you implement a hospitalist program customized to meet your specific needs and goals.

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

Leadership in Action: Dr. Becky Graham

By OBHG Marketing on February 2nd, 2018

OB hospitalist Dr. Graham andMany OBHG clinicians volunteer in leadership roles within their program hospitals, communities or professional organizations. In the Leadership in Action series, OBHG hospitalists share how they choose to serve others.

Dr. Becky Graham cares about education. The Tyler, TX hospitalist has served on multiple professional committees over the years, and was recently named co-chair of the 2018 American College of Osteopathic Obstetricians and Gynecologists (ACOOG) Fall Conference.

Former teacher Graham says she contributes her time to the ACOOG CME committees because she is a dedicated educator. In addition to her medical degree, she holds a master’s degree in Special Education and a B.A. in Music.

Lifelong learning

“Education is important to me and important in our specialties,” says Graham. “We have to be up to date on the latest research so we don’t have clinicians who become out of date with their practice habits and unknowingly harm people."

When she first started, Graham worked with physicians who hadn’t read a journal in 20 years. "It was very apparent in the things that they did,” she says.

"When I became a fellow in our college, one of the first things I did was volunteer because I didn’t want to be one of those doctors." 

Making connections

In 2018, Graham will co-chair the ACOOG fall conference alongside fellow Texas OB/GYN Dr. Joseph Bottalico. She will schedule speakers and select session topics, including gynecology, obstetrics, maternal-fetal medicine, and ethics.
She had previously served on the ACOOG bylaws committee and is serving on the CME committee this year.

In addition, nearly a decade ago she co-founded a successful networking/social event for her alma mater’s OB residents who were attending ACOOG.

The event has grown in scope each year and medical students are now able to take part as well.

Elevating care for all

Graham followed her passion for education in serving on the CME committee and encourages other hospitalists to participate in committees or other leadership roles.

“The more input we [hospitalists] have on the local level, the more people understand,” says Graham.

“It increases your ‘street cred.' When you participate, your hospital colleagues know you really want to be a team player. And you want to help make their hospital the best it can be, not just your program. It’s about trying to elevate care all the way around."

Photo: Dr. Graham with colleagues--Back row: Dr. Nanci Bucy, Dr. Edie Rogers, and Dr. Becky Graham; front row: Dr. Rob Pearl and Dr. Gina Dietrich 

Ovarian cysts: Causes, symptoms, and treatments

By OBHG Marketing on January 30th, 2018

Earlier this month, University of North Carolina Health Care interviewed OBHG hospitalist Dr. James Hardy on the topic of ovarian cysts. "Most ovarian cysts are harmless and cause no pain. They go away on their own, and you never even knew they existed. But sometimes ovarian cysts can be more serious and require medical attention." Dr. Hardy is the team lead at UNC Rex Hospital in Raleigh, NC. 

Read full interview.

California OBHG hospital partners make 2017 C-section honor roll

By OBHG Marketing on January 26th, 2018

Earlier this month, the California Health and Human Service Agency (CHHS) and Smart Care California released their 2017 C-section honor roll, recognizing hospitals that met or surpassed a 23.9 percent C-section birth rate for first-time mothers with low-risk pregnancies. OBHG is proud that 11 of our 18 California hospital partners made the honor roll, and all but one made the list for two consecutive years. The full honor roll lists 111 hospitals, accounting for 45 percent of California's 242 hospitals that offer maternity services.

Here are our partner hospitals that made the C-section honor roll:

  • Alta Bates Summit Medical Center
  • Bakersfield Memorial Hospital
  • Community Hospital of the Monterey Peninsula
  • Dominican Hospital
  • El Camino Hospital Los Gatos
  • Rancho Springs Medical Center
  • Redlands Community Hospital
  • Salinas Valley Memorial Healthcare System
  • Sharp Grossmont Hospital
  • St. Bernardine Medical Center
  • St. Mary Medical Center

OBHG understands the risks associated with C-section deliveries, and having our hospitalists in-house 24/7 can help increase the level of care while driving down the C-section rate in several ways, including:

  • Our hospitalists support local physicians with laboring patients, no matter how long it may take.
  • OBHG hospitalists work solely in hospitals; therefore, they have specialized expertise in labor and delivery and high-risk situations.
  • Our experienced OB/GYN hospitalists developed a new C-section reduction toolkit to standardize our approach to C-section deliveries across our 130+ hospital programs.

Read press release

See full honor roll

OBHG’s Dr. Mark Simon quoted in Parents Magazine article on flu vaccines

By OBHG Marketing on January 24th, 2018

Should you still get a flu shot? Experts say it's not too late

Parents are understandably freaking out about the severity of this year's flu, which has so far killed 30 children, according to the CDC. For the first time, the entire country except Hawaii and DC is reporting widespread flu, with many cases from a particularly nasty strain called H3N2. The first question on every parent's mind is, "What can I do to keep my child from catching it?"

Read full article.

OBHG employee delivers first child at OBHG partner hospital St. Francis Eastside

By OBHG Marketing on January 23rd, 2018

It's not every day that an Ob Hospitalist Group employee can give a firsthand testimonial about the care she received from one of our OB hospitalists. Well, November 14, 2017 was the day when Katie Geiss, OBHG Human Resources Business Partner, and her husband Tom welcomed their first child. Unlike other moms-to-be, Katie was fortunate enough to have the inside connection, and she visited St. Francis Eastside in Greenville, SC, to meet OBHG hospitalists Dr. Maridee Spearman and Dr. John Nordeen a couple weeks before her delivery.

At nearly 39 weeks pregnant, on the night of November 13, Katie started feeling contractions but wasn't sure if she was in labor. After waiting about three hours, Katie and Tom finally decided to head to St. Francis Eastside around 1:30 a.m. OBHG hospitalist Dr. Ann Gorman came in and examined Katie, discovering that she was already dilated six centimeters.

"Since I was already six centimeters, they admitted me right away because they thought the baby was going to be coming really quickly," said Katie.

Dr. Spearman, who also acts as team lead for the St. Francis Eastside program, was on shift November 14. She monitored Katie throughout her labor and collaborated closely with Katie's OB/GYN to ensure a successful delivery. 

"As soon as Dr. Spearman arrived for her shift, she must have seen my name on the list, because she came in right away to see how I was doing," said Katie. "Not only that, she was with me for the entire process."

Although Katie was pretty far along when she arrived at the hospital, her labor didn't progress.

"Dr. Spearman and a nurse kept coming in to check if I was progressing while they consulted with my doctor," said Katie. "It comforted me to know that there wasn't just a nurse there."

After Katie pushed for a long time, her OB/GYN arrived at the hospital and both doctors agreed that it was best to perform a C-section. 

"Before my private physician arrived, Dr. Spearman was with me the entire time," said Katie. "She was so sweet and even brought my husband coffee. She was trying to make us feel as relaxed as possible, and her confidence really assured me that I was going to be okay."

Katie feels that her delivery was successful due to the smooth collaboration and communication between her private physician and Dr. Spearman.

"I knew I was in really good hands with two very experienced doctors."

Thomas James Geiss was born at about 1:30 p.m. on Tuesday, November 14 and weighed 7 pounds, 14 ounces. Katie stayed at St. Francis Eastside until Friday to recover from her C-section. When Dr. Spearman came back on shift that day, she checked on Katie and Thomas before they were discharged from the hospital.

Thanks to OBHG's staff of caring and experienced clinicians, Katie's story is just one of many happy endings that occur at OBHG programs across the country. Congratulations to Katie and Tom!

Dr. Mark Simon publishes flu shot article on STAT News

By OBHG Marketing on January 18th, 2018

Rates of flu are skyrocketing in the U.S., with the Centers for Disease Control and Prevention tracking high rates especially in the South, Midwest, Southwest, and West.

Lost in the flurry of news stories is the startling and alarming report from the CDC in December that only about one-third of pregnant women are getting flu shots. A startling 64 percent of pregnant women had not been vaccinated against the flu, despite recommendations from the CDC, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists.

OBHG Chief Medical Officer Dr. Mark Simon wrote an article for national industry site STAT News addressing the alarming number of pregnant women choosing to forgo the influenza shot.

Read the full article

New year, new career: Top 5 reasons to become an OB hospitalist

By OBHG Marketing on January 16th, 2018

A brand new year is the perfect time to evaluate your life and contemplate changes you'd like to make. If you've been curious about the benefits of hospitalist medicine, read on!

1) You can leave burnout behind

Is it time to get a life? If you’re currently in private practice, a switch to hospitalist medicine means leaving weighty administrative burdens behind, along with worries about liability and the financial stress that comes with running a business.

OB/GYNs who maintain crazy work hours and feel that they are being pulled in a million directions at once often suffer from burnout. If your batteries are running low, OBHG hospitalist Dr. Nahille Natour feels your pain. She’s written about her own experience with burnout for industry site Fierce Healthcare, and now she helps other physicians restore balance in their lives.

Aside from exhaustion or burnout, one of the most common reasons doctors consider a move to hospitalist work is the chance for more quality time with family. If your spouse, children or friends have practically forgotten what you look like, it may be time to consider a change!

2) There are lots of opportunities to develop your leadership chops

Becoming a hospitalist does not mean giving up autonomy or influence. Many OBHG positions offer opportunities for advancement within the company, and our physicians often serve on committees at their hospitals, join community non-profit boards, or take on new roles for professional associations like SOGH or ACOOG.

Or maybe your idea of leadership involves sharing your knowledge and molding young minds?

Some of our physicians are able to introduce rotating medical students to the OB/GYN field, work closely with residents learning the ropes, or apply for faculty appointments at affiliate medical schools. If you’re interested in participating in education, let your recruiter know so the two of you can determine which program would be the best fit.

3) Your role helps improve patient safety for pregnant women

Our founder, Dr. Chris Swain, created the original comprehensive OB/GYN hospitalist model to ensure that every pregnant woman who presented to the hospital would be seen by an experienced obstetrician.

Our hospitalists are on hand 24-7 to triage patients, support nurses and residents, and handle any obstetrical emergency that comes through the door.

While our clinicians are often able to rediscover joy in their personal lives, they are also able to lighten the load for private practice physicians, who can decide on a case-by-case basis how they wish to utilize hospitalist services. OBHG senior director of medical operations Dr. Charles Jaynes recently published an article on KevinMD explaining how effective collaboration among hospitalists and attending OBs can significantly improve patient safety.

And Dr. Todd Bashuk, team lead at one of our hospital programs in Arkansas, talked with us about how he's seen his obstetric emergency department reduce liability concerns for the hospital and enhance the standard of care for patients - especially those who are most at risk.

4) You’ll enjoy a large and diverse network of support

OBHG offers an array of physician resources – for continuing education, clinical and social discussions, and peer-to-peer networking.

Our custom community site, OB Exchange, is accessible only to our clinicians. Blog posts about what fellow hospitalists are up to, new perks, an active forum, handy administrative information and more - all included in one convenient online space.

More than 600 highly skilled OB/GYNs have already chosen OBHG as their employer, and we are adding new programs and positions all the time! You can get to know some our hospitalists by perusing the personal stories they've shared.

5) You’ll have time to explore your non-work passions

It’s been said that medicine is an art and a science, which explains why many physicians have a wonderfully creative side. Whether you’re thinking of finally starting the blog you’ve been contemplating for years, taking up the guitar again, learning Irish folk dancing, or creating your own artisan jewelry – as a hospitalist your schedule will allow you to revisit those interests that have been lying dormant since college.

OBHG tends to attract service-minded OBs, so it’s no surprise that a number of our doctors choose to join mission trips or help out in local clinics during their off hours.

Hospitalist Dr. Lisbeth Jordan, for example, recently traveled to Brazil to help educate and empower teenage girls.

If you’re driven to improve health and health care for underserved patients and vulnerable populations close to home or across the globe, hospitalist medicine can give you the best of both worlds – a rewarding full or part-time career and the freedom to explore altruistic endeavors.


Our friendly clinical recruiters are always interested in talking with experienced OB/GYNs and certified nurse-midwives about what the OBHG team has to offer. We encourage you to contact your recruiter today!

American Health Council welcomes OBHG certified nurse midwife to nursing board

By OBHG Marketing on January 12th, 2018

We are proud to announce that OBHG Certified Nurse Midwife Christina Kopingon, MSN, ARNP, FNP-BC, has been appointed to the American Health Council's Board of Nurses. Kopingon serves as Midwife Team Lead at our OB hospitalist program at Bethesda Hospital East, in Boynton Beach, FL. Congratulations, Christina!

Read full article.

Folic acid should be priority for all women of childbearing age

By OBHG Marketing on January 9th, 2018

Over the past couple years, the Zika virus has stolen the spotlight from other concerns that newly pregnant women may have. As they worry that Zika infection can increase their risk for bearing a child with birth defects such as microcephaly, they may be interested to know that a certain dietary deficiency also can elevate the risk for birth defects of the brain and spine called neural tube defects (NTDs).

That critical preventive nutrient is vitamin B-9 or folic acid.

The body needs folic acid every day to support new cell development. However, it becomes even more critical for pregnant women, because they are experiencing accelerated cell growth. Folic acid is found naturally in foods such as dark, leafy green vegetables, beans, peas, citrus fruits, and even broccoli or asparagus. However many Americans do not consume enough of these foods, and more than half of natural folic acid is destroyed by cooking. Because folic acid is water soluble, the body uses it quickly and it needs to be replenished every day. That’s why folic acid is widely available as a dietary supplement. In fact, as a public health precaution, our government requires that cereal and other grain products be fortified with folic acid.

About 3,000 babies are born with NTDs every year in the United States. NTDs generally develop in the earliest weeks of pregnancy, before a woman may even realize she is pregnant. That’s why all healthy women aged 15-45 years old already should be taking folic acid daily to prevent NTDs in the event of an unplanned pregnancy. Physicians recommend that women take a daily multivitamin that contains at least 400 mcg of folic acid. Pregnant women should increase their daily folic acid to at least 800 mcg. Most prenatal vitamins should contain between 800 and 1,000 mcg of folic acid. Don’t exceed 1,000 mcg unless your OB/GYN orders it.

January 7-13 is Folic Acid Awareness Week. The best (and most simple) treatment of NTDs is prevention. Women should read the label on their multivitamins. If they don’t have 400 mcg of folic acid, they should ask their healthcare provider to recommend a supplement.

Collaboration with hospitalists, rather than competition, improves patient care

By OBHG Marketing on January 5th, 2018

On December 31, 2017, KevinMD.com featured an editorial from OBHG hospitalist and Senior Director of Medical Operations Dr. Charles Jaynes. In the article, Jaynes, a 34-year private OB/GYN veteran, writes why he supports hospitalist medicine while presenting perspectives from hospital leadership, patients, and private physicians alike. 

"Far from being competitors, we are first responders who optimize the safety net by providing emergent care until the primary provider is in place and knows the story," he writes. 

Read full article.

Download PDF.

OBHG hospitalist quoted in NBC News article on delivery room disparities

By OBHG Marketing on January 3rd, 2018

Recently, Dr. Karen Scott, OB hospitalist at Alta Bates Summit Medical Center in Berkeley, CA, was quoted in an NBC News feature article titled "The elephant in the delivery room: How doctor bias hurts brown and black mothers." The story focuses on the poor treatment minority women report experiencing in the delivery room due to ethnicity, cultural background, or language.

In one of her quotes, Dr. Scott says: "African Americans in the highest socioeconomic group experience the same or higher rates of infant mortality, low birthweight, and high blood pressure and excess weight during pregnancy in comparison with white women in the lowest socioeconomic statuses."

Read full article.

OBHG Medical Director of Operations sharpens leadership skills for enhanced partnership

By OBHG Marketing on January 2nd, 2018

Ob Hospitalist Group (OBHG) physicians and leaders are always striving to become better at what they do, hungry for professional development opportunities. OBHG Medical Director of Operations (MDO) and OB/GYN Dr. Donald Toatley is no exception. Toatley lives outside of Phoenix, AZ and has served as MDO since October 2016. He also acts as team lead for our OB hospitalist programs at Mercy Gilbert Medical Center and Chandler Regional Medical Center

In October 2017, Toatley completed the first four-day session for his leadership certification with the Society of Hospital Medicine (SHM) Leadership Academy. Toatley estimated that about 300 hospital medicine professionals, including physicians, advanced care providers, hospital medicine leaders, and practice administrators, were in attendance at the 2017 session in Scottsdale, AZ. Leadership Academy students must complete three sessions over the course of three years to obtain the certification that focuses on “overcoming leadership challenges, effectively advocating for a hospitalist program, conflict management, improving patient outcomes, and more.” Toatley is just beginning his certification program whereas two OBHG MDOs, Dr. Susie Wilson and Dr. Sue Smith, recently completed their certifications. SHM brings in industry experts, such as chief quality officers, academics, population health specialists, and patient experience experts, to teach the sessions.

“The Leadership Academy gives you perspective and helps you to understand your hospital partner and their challenges,” said Toatley. “Often, we don’t think like that. We want to truly meet the end need and optimize the throughput so our hospital partners have an effective and efficient work process and we want to ensure that we are delivering our overarching objective – to provide quality, safe care.”

As medical director of operations, Toatley must be knowledgeable in both clinical and administrative sides of the organization.

“You must take off your provider hat and start speaking the language of a hospital administrator or those focused on operations and quality improvement, which is very different from our clinical language,” he said.

He also believes that the Leadership Academy has helped him to think more critically about how OBHG aligns our mission, vision, and values to deliver our promise to our business partners – to elevate the standard of women’s healthcare.

“I’ve learned to really appreciate our stakeholders and understand their drivers while considering how OBHG, as part of this team, can work together to put the patient at the center.”

Seminar attendees took the DiSC® profile assessment to gain insight into their own personalities as well as gain a better appreciation and understanding of how different personalities interact and negotiate. Toatley says he will be able to better communicate with hospital leaders during business development discussions to understand their drivers – reduce cost, improve quality, and mange patient experience.

Toatley plans to take what he has learned thus far at the Leadership Academy and disseminate it to his hospitalist teams. He hopes to reinforce a culture of safety where there is no “shame and blame” but rather a “mend and blend” mindset when it comes to learning from and minimizing errors.

OBHG leaders are not simply leaders in title. Like Toatley, OBHG leaders take it upon themselves to exemplify principled leadership among business partners and OBHG employees every day. It is this level of dedication and passion that sets OBHG apart.

OBHG clinicians named to SOGH board

By OBHG Marketing on December 29th, 2017

The Society of OB/GYN Hospitalists (SOGH) elected new officers and board members at its Annual Clinical Meeting in New Orleans this September. Among the new members are two OBHG clinicians, Dr. Jane van Dis and Dr. Stacy Norton. SOGH highlighted the board in its recent year-end message.

“The Society is energized by this tremendous group of volunteers and for their commitment to serve,” said SOGH officials.

"This is such an exciting time to serve on the SOGH Board of Directors," said van Dis. "We have the opportunity to define what our core competencies will look like, and what the growth of our profession will look like over the next few years. It is truly an honor and a privilege."

van Dis served as the 2017 SOGH Annual Clinical Meeting co-chair, and is also a member of the SOGH Development Committee and Finance and Administration Committee.

“I am honored and very excited to serve on the SOGH board. In addition, as co-chair of the 2017-18 Simulation Committee, I’m also excited to help implement simulations in more hospitals with hospitalist programs,” said Dr. Stacy Norton. As Simulation Committee co-chair she will help coordinate course offerings for the Annual Clinical Meeting and write about clinical simulations for the SOGH newsletter.

van Dis and Norton aren't the only OBHG hospitalists who will be guiding the organization next year - future team lead Dr. Robert Fagnant will provide historical knowledge and advice as a member of the Advisory Council.

SOGH Officers & Board

Tanner Colegrove, President
Northwestern Medical Group - Lake Forest, IL

Catherine S. Stika, President-Elect
Northwestern Medical Group - Chicago, IL

Arthur Townsend, Treasurer
Methodist Le Bonheur Healthcare - Memphis, TN

Shefali Ghandi-List, Secretary
West Valley Women’s Care - Phoenix, AZ

Meredith Morgan, Past President
Women's Hospital - Houston, TX

Jennifer R. Butler
UC Irvine Medical Center - Irvine, CA

Brendan Carroll
Providence Portland - Portland, OR

Stacy Norton
OBHG Hospitalist, Memorial Hermann The Woodlands Hospital – The Woodlands, TX

Kim Puterbaugh
Fairview Hospital - Cleveland, OH

Dayna Smith
Piedmont Fayette Hospital - Fayetteville, GA

Brook Allen Thomson
Children’s Hospital of San Antonio - San Antonio, TX

Vanessa Torbenson
Mayo Clinic - Rochester, MN

Jane Van Dis
OBHG Hospitalist, Bakersfield Memorial Hospital - Bakersfield, CA

Ngozi Wexler
Medstar Montgomery Medical Center - Olney, MD

OBHG partner, Covenant Children’s Hospital, featured in news

By OBHG Marketing on December 27th, 2017

Covenant Children's Hospital, an OBHG partner in Lubbock, TX, was recently featured in the news for the development of their new obstetric emergency department. 

"Sometimes you'll go to a regular emergency department, and the nurses and physicians are not always accustomed to caring for a pregnant mother, so we really feel like they get expert care if they come to an OBED," said Marybeth Murphey, director of business development at Covenant.

We are pleased to have such a strong partnership with Covenant Children's and hope that an OBHG presence will have a significant impact on the area's pregnant women and their babies!

Full story.

New OBHG program: Ocean Medical Center

By OBHG Marketing on December 26th, 2017

Ob Hospitalist Group is proud to announce the launch of our latest hospitalist program at Ocean Medical Center in Brick, N.J. earlier this month. Ocean Medical Center is part of the Hackensack Meridian Health system and is a 281-bed community hospital. Our partnership is beginning as a part-time triage and will transition to a Type A obstetric emergency department in early 2018.

Team members (pictured left to right) include Team Lead Dr. Fred Nichols, Dr. Susan Passarella, and Dr. Robert O'Donnell (not pictured: Dr. Andrew Farkas). We are looking forward to collaborating with Ocean Medical Center to serve the area’s pregnant women!

OBHG hospitalist accepted into AOA Health Policy Fellowship program

By OBHG Marketing on December 22nd, 2017

Dr. Deanah Jibril, Ob Hospitalist Group Team Lead at CHRISTUS Mother Frances Hospital-Tyler in Texas, is now lending her voice to help guide U.S. health policy. She was recently accepted into the prestigious American Osteopathic Association (AOA) Health Policy Fellowship program.

Jibril is one of 11 participants selected from about 100 applicants nationwide for the year-long leadership training program that is also directed by the American Association of Colleges of Osteopathic Medicine and the Ohio University Heritage College of Osteopathic Medicine.

The course is designed for practicing or teaching osteopathic physicians and other osteopathic medical educators who are preparing for professional leadership roles and positions of influence in health and higher education policy, according to AOA.

The Health Policy Fellows attend an intensive, five-day academic orientation before entering a regimen of nine, three-day seminars on crucial policy issues at the local, state, and federal level. The program has trained more than 240 fellows since its founding in 1994.

Beyond a practicing OB/GYN

Fellows are chosen based on their scope of practice and experience so they are able to effectively represent the profession, said Jibril. “Having worked with OBHG was part of why I was chosen, I think, along with teaching at the medical school and working in private practice for a long time,” she added.

Jibril is President of Texas Osteopathic Medical Association (TOMA) District 5, an alternate delegate for TOMA House of Delegates, and a member of the American Osteopathic Association. She is an Associate Professor of Family Medicine at the University of Texas at Tyler and Adjunct Faculty in OB/GYN at University of North Texas Health Science Center, University of Texas at Galveston and Touro University, and OMM at the University of Incarnate Word in San Antonio

Jibril recently returned from a week in Washington, D.C., where she met with various groups touching healthcare. She also began to learn about position presentation methods and objectivity, she said.

“We learn to create policy briefs that are timely and to be a resource for legislators on the local, state, and national level,” said Jibril. Fellows also learn how the executive and legislative branches of state government interact to effect health policy and how medical professionals can influence and share health policy at the local, state, and federal levels, according to AOA.

At the conclusion of the fellowship, participants become members of a resource team that can be called upon to present or help form an opinion to present to a legislative body.

An added focus in health policy

Jibril said her areas of expertise will likely influence future presentations, “Moving forward I will probably be selected to present on healthcare and economics. I have an MBA, so I will be able to present real numbers to go along with the position statements.”

“The need in healthcare will be great over the next five years, it is predicted to be a tumultuous time,” she added.

Before the fellowship group meets again, Jibril will read nearly 10 articles and continue writing a position statement, not to mention delving into a new textbook on the American healthcare system. “We must write position statements, which is not always a doctor thing. I write quite a bit anyway, so it was a logical next step,” said Jibril. “I always like to stay busy and I needed another challenge.”

Making a difference as an OBHG hospitalist and beyond

In both practice and policy, Jibril said she feels like she is continuing to make a difference. “I am pleased to have a seat at the table in representing healthcare,” said Jibril. “OBHG’s mission of elevating the standard of women’s healthcare is working to do good in every single community,” she added.

Her experience has allowed her to take advantage of the fellowship opportunity, said Jibril. “And I’m thankful to OBHG for providing a diverse experience--I really enjoy taking care of people,” she said. 


Check out the rest of the fellows for 2017-18.

OBHG partner OB emergency department featured in news

By OBHG Marketing on December 20th, 2017

Ob Hospitalist Group partner, Bon Secours St. Francis Health System in Greenville, SC, was recently featured in an article on UpstateParent.com about their OB emergency department. 

“A patient having a problem with her pregnancy, instead of going to an emergency room where she would have to wait a long time, they can be in and out much quicker and be seen,” Bon Secours St. Francis Health System Maternal-Fetal Specialist Phil Grieg said. “They don’t have to wait. Not having to go through a general emergency room, they go straight up the elevator and can be seen immediately.”

We appreciate our partnership with Bon Secours St. Francis as we collaboratively elevate the standard of women's healthcare! 

Read full article.

Syphilis on the Rise in California

By OBHG Marketing on December 18th, 2017

By: Jane Van Dis, MD, FACOG, OBHG Medical Director for Business Development
This article was originally published in the December 2017 issue of the ACOG District IX newsletter.

“Health care providers should have syphilis on their radar and ensure that all pregnant women are tested at the first prenatal visit. Pregnant women with risk factors for syphilis, sporadic prenatal care, drug use, and those living in areas with high syphilis morbidity (particularly in central California) should be tested again for syphilis early in the third trimester and at delivery.”  —Heidi Bauer, MD, CDPH, STD Control Branch Chief

The syphilis crisis in California continues to grow. Ob-gyns are often the first line for women seeking health care and therefore play a key role in education and treatment. The California Department of Public Health (CDPH) recently announced that syphilis, chlamydia, and gonorrhea rates are at a 25-year high in California. The state now has the third highest rate of primary and secondary syphilis and the second highest rate of congenital syphilis nationwide. The following eight counties in California have the highest risk of syphilis infection:

  • Fresno
  • Kern
  • Kings
  • Sacramento
  • San Bernardino
  • San Joaquin
  • Stanislaus
  • Tulare

In these high-prevalence areas, it is recommended that ob-gyns screen, not only in the first trimester or at the initiation of prenatal care, but additionally, early in the third trimester (28-32 weeks) and again at delivery. Also, any woman who presents with a fetal death after 20 weeks’ gestation should be tested for syphilis. Public health officials in California recommend that no mother or neonate should leave the hospital without documented maternal syphilis status.

Visit the CDPH website to find more information for providers and patients.

Taking a risk to better manage OB risk

By OBHG Marketing on December 15th, 2017

Medical malpractice liability is a persistent concern in healthcare. Nationally, costs related to malpractice liability top roughly $150 billion annually,  and one of the most significant risk areas is in obstetrics. 

Ob Hospitalist Group's Heather Moore, Director of Risk Management, Quality, and Compliance, recently wrote a piece for Becker's Hospital Review detailing how hospitals can reduce OB liability. 

Read full article.

New OBHG program: United Regional Health Care System

By OBHG Marketing on December 13th, 2017

In late November, we launched our latest OB hospitalist program at United Regional Health Care System in Wichita Falls, Texas.

We have hired a team of highly skilled, board-certified OB clinicians to run this new obstetric emergency department (from left to right): Dr. Audrey Puentes; Dr. Edward Clark; Dr. Julie Thomas; Dr. Miguel Cintron; Dr. Gaynelle Rolling; and Dr. Cheng Song. Dr. Song and Dr. Clark will provide backup coverage, and Dr. Cintron will serve as the program's team lead.

"OBHG and United Regional Health Care System have kicked off a solid partnership to continue to provide ongoing high-quality care for pregnant women in Wichita Falls and the surrounding area," said Dr. Rakhi Dimino, Ob Hospitalist Group Medical Director of Operations. "This program is highlighted by allowing the return of the University of North Texas Family Medicine Residency Program to the inpatient obstetrical unit at United Regional Medical Center. The OBHG team looks forward to not only elevating the standard of care for pregnant women in Wichita Falls, but also mentoring and teaching family medicine residents in OB care."

From burnout to balance: Q&A with an OB hospitalist

By OBHG Marketing on December 8th, 2017

After missing too many events in his children’s lives and suffering from career burnout like so many obstetricians do, Dr. Stephen “Todd” Bashuk was ready for a change.

Last year he decided to leave his private practice in Georgia and pursue a new career path. He accepted a position as an Ob Hospitalist Group team lead at one of our hospital programs near beautiful Fayetteville, Arkansas.

He moved into the OBHG medical director of operations role at his hospital earlier this year.

Bashuk says the transition has made a tremendous positive difference in his life.

We asked him to discuss his journey to hospitalist medicine, how his work has impacted patients, and how his own family life has changed.

What was your work life like before you joined OBHG? 

“I was in private practice and being pushed and pulled in a million different directions. I had read that OB/GYNs had a 51 percent burnout rate; I think it is higher.

What made you decide to transition to hospitalist medicine?

I was working and one of my kids needed something to be done and I realized I couldn’t do it. I knew at that moment that I was missing too many things in life and something had to change.

I think many physicians become hospitalists to regain that work-life balance – regain control over their lives – and move forward.

How has your experience been so far?

It’s been a year since I took the position and I absolutely love it. I love the lifestyle and spending a lot more time with my family. During the last year I also realized that I was making a huge difference.”

How are you improving care for patients?

"We see every patient who comes to the obstetrical emergency department. We’re there in the hospital 24/7 for emergencies which helps improve patient safety. The unassigned patients who don’t have a doctor benefit the most. These are often high acuity patients and caring for them can be very complicated.

We also help make the community doctors’ and nurses’ lives better so they can deliver better care.

How does the hospital benefit?

Liability is reduced because there is an experienced, board-certified OB on hand at all times. When I see the number of saves in my hospital each month, multiplied by the number of OBHG programs, I realize that there are 300-400 saves every month—and that’s huge.

How did your family feel about your career change?

"I was pretty burned out when I met my wife Diane. She encouraged me to pursue what would make me happy. I went from a private practice in Atlanta to a lead hospitalist in Arkansas – that’s a huge change and a huge adventure. She was right there with me.

Between us we have six children ranging in age from 14 to 20. So there are always family fires to fight! (Laughs)
 
What do you do with your newfound leisure time?

We like to travel and have visited the Grand Canyon, Panama, and Cuba just since I’ve joined OBHG. And we are scheduled to visit Guatemala and Peru to climb Machu Picchu!

What would you say to physicians considering hospitalist work?

We all went into this field to take care of people. Being a hospitalist taught me that you can take care of people and go to your daughter’s championship game too."

OB hospitalists give the gift of time this holiday season

By OBHG Marketing on December 6th, 2017

By: S. Todd Bashuk, MD, Ob Hospitalist Group Medical Director of Operations based out of Fayetteville, AR

Ah, the holidays. I remember being in med school and my family celebrating Thanksgiving in Atlanta while I was in St. Louis studying for finals. I thought it was no big deal – I’d have privacy to study, and frankly, going to my brother’s house and eating turducken wasn’t exactly Disney World. I could not have been more wrong. Domino’s does not make a turkey and dressing pizza nor does Hunan Wok make General Tso’s turkey. But as much as my brother annoys me, I missed his Bill O’Reilly rant and his turducken. When it was time to celebrate the new year, I sat alone in a call room, eating cafeteria-pressed turkey while the world celebrated. I missed my dad’s collard greens and black-eyed peas.

What’s a holiday? Thanksgiving, Christmas, and New Year’s come to mind first, then Fourth of July, Labor Day, Easter, and Memorial Day. But everyone is different. Some folks consider their birthday, Cinco de Mayo, or their son’s baseball game as times of celebration. During the holiday season, there is no greater gift to give a colleague than a day with their family instead of Christmas in a call room.

I became an OB hospitalist a year and a half ago. I had been in private practice for 15 years, and during that time, I missed everything important to me. After years of suffering from burnout and depression, I decided to make a change. With my wife’s support and blessing, we decided to blindly jump into the volcano, and I became a hospitalist for Ob Hospitalist Group (OBHG).

I have met so many great people during my time at OBHG, including some wonderful OB/GYNs still in private practice. My closest friend has been in practice for 60 years – let’s call him Dr. Mike. This man takes care of everyone else in the world and has the biggest heart of anyone I know. When I started working at Willow Creek Women’s Hospital (Johnson, AR), he was tired, burnt out, and honestly irritable. Dr. Mike was so far from the man he really is. Since OBHG has implemented a program at Willow Creek, he has slept in his own bed every night and he celebrates Christmas with his family. He was even able to attend his granddaughter’s kindergarten graduation. Because of the partnership between OBHG and Dr. Mike’s practice, he doesn’t have to miss important life events anymore. The few times I’ve had to call him back, he comes quickly and willingly without complaint. He is my super-secret back up and comes even if he is not on call.

Amidst this holiday season, I’d like to highlight the service OBHG can provide to the community. Providing coverage for our community physician partners gives them the freedom to do what they love. Whether it’s a major holiday like Christmas or a special event like a child’s dance recital, our hospitalists can make the biggest difference. At OBHG, we are giving some of the best gifts that can be given: time with family and safe deliveries.

Three OBHG partner hospitals named favorite place to have a baby

By OBHG Marketing on December 1st, 2017

We are proud to announce that three Ob Hospitalist Group partner hospitals in the Richmond, Va. area were named Richmond’s Favorite Place to Have a Baby in Style Weekly’s annual Family Favorites poll. Bon Secours St. Mary’s Hospital in Richmond, Va.; Bon Secours St. Francis Medical Center in Midlothian, Va.; and Bon Secours Memorial Regional Medical Center in Mechanicsville, Va. were named first, second, and third, respectively. We are fortunate to have such wonderful partnerships with the clinical teams at these hospitals so we are able to collaboratively raise the bar when it comes to women's healthcare! 

Read full article here.

On a medical mission

By OBHG Marketing on November 28th, 2017

Dr. Lisbeth Jordan has always been driven to improve health and health care. Not just at home in Bellevue, Washington, but around the globe.

She has been able to follow her passion and do meaningful work in several developing countries. But when she was working as a private practice physician, the intangible rewards she gained through service to others came at a cost to her clinic.

Now an Ob Hospitalist Group clinician, Jordan can not only set her own schedule and spend more time with her family - but she can volunteer without the stress and anxiety that comes with leaving a business unattended.

In recent years she has traveled to Serra Grande, Brazil to help build sustainable health and education initiatives in partnership with the local community. This year she served as team lead for a project aimed at educating and empowering the area's teenage girls.

Read full testimonial.

Q3 2017 “You Delivered!” award recipients announced

By OBHG Marketing on November 24th, 2017

Each quarter, Ob Hospitalist Group employees nominate teammates who have gone above and beyond to demonstrate the company's core values.

The OBHG leadership team selects one clinician and one support staff member to receive the You Delivered! award for their outstanding performance. For the third quarter of 2017, OBHG recognized OB hospitalist Dr. Peter Genaris, and Senior Hospital Operations Analyst Jorge Lopez.

An excerpt from Dr. Genaris’ nomination:

“Dr. Genaris is a hero...he has saved so many lives this summer it is incredible. He successfully emergently delivered a patient who presented to the OBED with a complete placental abruption which allowed both mom and baby to be resuscitated from this life-threatening condition. He emergently delivered a patient who had a uterine rupture while attempting to VBAC, thus saving both mom and baby.

He performed these life-saving feats with grace and humility, and with compassion and respect for his patients and their families.

The physicians and nursing staff recognize his accomplishments and outstanding bedside manner with the simple statement of: "We love him!" As his teammate and team lead, I could not wish for a better team member to work with. His work ethic and ability is unparalleled. He deserves recognition for his grace under fire and for his heroic life saves.”

An excerpt from Mr. Lopez’s nomination:

“Jorge and I have collaborated on many projects and I have found him to be extremely knowledgeable in Excel. Conservatively, his efforts [creating and testing a new time saving process for the team] have saved about 48 hours of productivity each quarter going forward. This service-minded approach to his role is evident from his work with our team, and he has now had a positive impact on my entire department as well.

I believe Jorge embodies the core value of "genuine service" by intentionally and joyfully utilizing his abilities to the best of his ability.”

Congratulations to both third quarter You Delivered! awardees! 

 This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

 

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Ten reasons why it’s time to implement an obstetrics hospitalist program

By OBHG Marketing on November 21st, 2017

By: Amy VanBlaricom, MD, Ob Hospitalist Group Medical Director of Operations based out of Seattle, WA

Did you know that as the U.S. population grows, the number of physicians going into the OB/GYN specialty remains the same? The OB/GYN shortage will increasingly become an issue, but OB hospitalist programs can help relieve community physicians who are stretched too thin and quickly burning out

As Medical Director of Operations at Ob Hospitalist Group (OBHG), I see firsthand the impact our hospitalist programs bring to our partners, the community, mothers, and babies. Here are 10 reasons why it’s time for your hospital to elevate the standard of women’s healthcare and seriously consider implementing a 24/7 OB hospitalist program. And I’m not talking just any program - OBHG’s program.

1. OBHG hospitalists support your nurses

With an OB/GYN in the hospital 24/7, nurses have around-the-clock support. They can ask questions, voice concerns, and get second opinions on interventions in real time versus having to hunt down a private physician and pulling them out of their office. OBHG hospitalists attend multidisciplinary board rounds and address concerns about patients. They are able to make recommendations on whether to engage a private physician.

2. OBHG provides increased safety through OB triage and emergency response

OBHG hospitalists are always onsite to care for any obstetrical emergency that may walk through the door. This can improve outcomes in high-volume programs with high acuity rates or lower-volume programs where physicians may have minimal experience with emergencies. Our program can also positively impact your hospital’s medical malpractice insurance premiums and save money.

3. Our hospitalists engage and build relationships with your private physicians

Our clinicians collaborate and build relationships with private physicians. As private physicians feel more comfortable with OBHG doing their deliveries, they are able to be more productive in their offices. They are also more likely to continue doing OB and retire later due to having hospital coverage and an increased quality of life. Private physicians are more likely to offer VBACs to their patients if there is a physician in-house. Additionally, our hospitalists can see, manage, and coordinate care for unassigned and uninsured patients to tuck them in with an outpatient provider where necessary. This can improve outcomes to these patients who would most likely otherwise fall through the healthcare system cracks.

4. OBHG programs entice new business from community physicians

The presence of an OBHG hospitalist program in your hospital may bring in new business from primary physicians, midwives, or family practice physicians in the community who may not have brought their patients in before. Once our program is implemented, our clinicians collaborate with you to conduct community outreach to those untapped patients who may not have otherwise come to your hospital. You can promote the 24/7 presence of an OB physician in case of emergency.

5. Our OB hospitalists improve safety through enhanced communication

OBHG hospitalists consistently communicate with private physicians about their patients to provide the most seamless care possible. They are also involved in multidisciplinary drills and simulations to help remove systematic inefficiencies and bottlenecks. This helps to find holes in the system and work to repair them. Our hospitalists also have access to a national network of over 600 OB clinicians in our 130 programs and can share best practices and challenges.

6. Our hospital partners optimize care using our national dataset

OBHG’s hospital teams contribute to safety protocols and build quality metrics for all of our partner hospitals We not only help you report those metrics, but we help you improve data such as reducing cesarean section rates, lowering early labor induction, improving the time it takes to administer medication in hypertensive emergencies, offering VBACs, and more. All of these things improve safety and cut down on healthcare dollars spent, which results in improved outcomes and metrics. These are things that payors look for when they consider contracting with a hospital.

7. OBHG clinicians champion new initiatives within their hospital and outside

Our clinicians are not just OBHG employees, they are part of their hospital’s staff and community. They are healthcare leaders who take part in community and even statewide initiatives. Many of our programs are in critical-access hospitals or referral centers where improved systematic care for patients can be driven by standardized protocols for infection prevention, minimizing complication rates, and managing the complicated medical care of those who have not driven that management themselves. For example, one of our programs is involved in a statewide initiative to decrease perinatal and postoperative infection rates.

8. Our 24/7 presence can improve patient satisfaction scores

Your patients will see an engaged, caring physician every time. OBHG hospitalists are equipped to answer questions and provide instructions in-person versus having to communicate with the primary OB if he/she cannot be present in the hospital. This improves patients’ experience and overall impression of the hospital.

9. OBHG’s program can bring revenue to your hospital

In addition to the possibility of increasing volume of patients overall - what patient wouldn’t want to be seen by a qualified physician every time, if that were an option? We can also enhance your billing and coding process and capture revenue that you may be leaving on the table now by billing triage visits as OB emergency department (OBED) visits.

10. Our OB emergency departments increase throughput

By having a physician in the labor and delivery unit 24/7, patients can move through to delivery faster and experience shorter lengths of stay as they we can actively manage them. Primary physicians can request that our physicians start rounding earlier if they aren’t able to, which can result in more timely discharges. This can affect length of stay in the hospital in general, which improves hospital efficiency, and as a bonus, payors like it too.

OBHG team featured in RevCycle Intelligence article

By OBHG Marketing on November 16th, 2017

Every individual who works for Ob Hospitalist Group (OBHG) impacts our vision to elevate the standard of women's healthcare.  This month, RevCycle Intelligence featured OBHG's Revenue Cycle Management Team, which runs like a well-oiled machine to streamline business operations for our 130 hospitalist programs across 30 states. 

Read full article here.

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Are you ready for a disaster?

By OBHG Marketing on November 9th, 2017

When the hurricane season hit this year, Ob Hospitalist Group (OBHG) teams were prepared.  But thanks to carefully designed disaster plans, strong communication, and volunteers willing to step up, OBHG's patients were well taken care of amidst the natural disasters. 

Read what OBHG's Dr. Jaynes and other hospitalists learned after this latest round of hurricanes that may help prepare your hospital for future emergencies.

Read full article on at TodaysHospitalist.com.

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Overcoming exhaustion: How one OB reclaimed her energy

By OBHG Marketing on November 7th, 2017

By Nahille Natour, MD

It was my third trip to the hospital that day. 

I had a few patients in labor to check on and while I was there, I was called to the ER due to the premature delivery of non-viable twins. 

Luckily the deliveries were uncomplicated, but any time there’s a pregnancy loss, attention to the emotional must accompany the physical care of a patient.

And so you answer questions asked between tears. You express your mutual grief. You provide resources and you encourage use of available support. While you can’t take away her pain, you give all that you have.  

Once I get home, I crumple onto the couch to catch the 10 p.m. newscast and I remember that I have to catch up on the day's charts.

It was a tough day - preceded by tough days and followed by tough days.

And while not every day involves a loss, caring for patients requires a tremendous amount of energy. Helping patients make difficult decisions, advocating for their interests with insurance companies, finding ways for them to afford medication - and all the while lending an empathetic ear and clicking away on your keyboard in an electronic record. 

If doctors don’t have a way to replenish and invigorate their souls on a regular basis, they can quickly find that they don't have any more left to give.

It happened to me.

This recurrent depletion of energy quickly leads to emotional exhaustion, which is one of the components of burnout. The Medscape Lifestyle Report 2017 surveyed physicians of all specialties, and of the responders who were obstetrician/gynecologists, 56% reported that they were burned out. Further, a recent study showed that 36% of OB/GYNs suffer high levels of emotional exhaustion.

Why is this important? Multiple studies have shown that when physicians are burned out, productivity and quality of care declines, medical errors increase, patient satisfaction decreases and doctors leave the work force.

How do we make improvements? Many organizations have started physician wellness programs to address this issue. And while the picture of wellness differs from person to person, there are a few things all of us can do.

Set priorities and boundaries. Participate in activities that you enjoy and stay connected with your community, friends, and family.

I had a tough time doing this on my own; luckily I was able to transition to a position as an OB hospitalist with Ob Hospitalist Group. My schedule is flexible and when I’m off, I am free to take care of me.

It is a liberating feeling knowing that when my shift is over, I will be going home and I won’t be taking work with me. I still enjoy plenty of continuity with patients, but I don’t have to worry about declining reimbursements and office staff.

Joining Ob Hospitalist Group was a solution that kept me in clinical medicine and helped me rediscover my passions - both within and outside the hospital. 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

What’s it like to be an OBHG hospitalist?

By OBHG Marketing on November 3rd, 2017

Dr. Rakhi Dimino, OBHG medical director of operations and OB hospitalist at Houston Methodist Willowbrook Hospital, describes what it's like being an OBHG hospitalist. From workload to types of procedures performed to what she does during her downtime on shift, Dr. Dimino provides a complete overview of what an OBHG hospitalist may do during a typical day.

 

 

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Family sends heartfelt thanks to OBHG team

By OBHG Marketing on November 2nd, 2017

A patient and hospital employee of Ascension Health sent his heartfelt thanks to our hospitalist team at St. Vincent’s Medical Center Southside in Jacksonville, Fla.

James and Jackie Sommer are the parents of Heidi, who is expecting a little brother in mid-November. They plan to deliver at one of our partner hospitals, St. Vincent's Medical Center Southside, outside Jacksonville, FL.

James shared his recent experiences with our OB hospitalists:

“We are expecting our second child and my wife has been categorized as high risk," says Sommer. "We have been to the Family Birth Place at St. Vincent’s Southside on two separate occasions with scares. In those two visits, we were treated by Dr. Jocelyn Rogers and Dr. Nancy Miller, respectively. Both of them did a fantastic job with treatment, but it was their bedside manner that was exceptional (Dr. Miller is hilarious)."

"Not only was the treatment timely, but the emotional relief they provided to my wife made the visits very low stress," Sommer continued. "I just wanted to express my gratitude for their level of service and hope you continue the great work."

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

 

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

One in 10 U.S. babies is born prematurely

By OBHG Marketing on October 31st, 2017

The entire month of November is dedicated to premature birth awareness, and with good reason. Every year, about 15 million babies are born prematurely, or before 37 weeks, across the world.

The United States has one of the highest rates of preterm births among industrialized counties. In 2016, about one in every 10 babies born in the U.S. was premature. The March of Dimes is taking action by raising awareness among expectant mothers and educating the public about how to prevent premature birth. Currently, the preterm birth rate in the U.S. is 9.6 percent, and the March of Dimes aims to reduce this to 8.1 percent by 2020. 

Who is most at risk for a preterm labor?

There are many factors that could contribute to premature labor, but the CDC and the American Pregnancy Association list some of the more common causes.

Social, personal, and economic characteristics:

  • Low or high maternal age
  • Black race
  • Low maternal income
  • Socioeconomic status

Medical and pregnancy conditions: 

  • Infection
  • Prior preterm birth
  • Carrying more than one baby (twins, triplets, or more)
  • High blood pressure during pregnancy
  • Presence of uterine or cervical abnormalities
  • Recurring bladder and/or kidney infections
  • Underweight or overweight before pregnancy
  • High blood pressure, kidney disease, or diabetes

Behavioral:

  • Tobacco and alcohol use
  • Substance abuse
  • Late prenatal care
  • Stress
  • Working long hours with lots of standing
  • Domestic violence, including physical, sexual or emotional abuse
     

What are the signs and symptoms of preterm labor?

Premature birth may be avoided if a pregnant woman recognizes the signs of preterm labor and quickly contacts her physician. Some warning signs include:

  • Five or more contractions within an hour
  • Watery discharge
  • Low, dull backache
  • Abdominal cramps 


So what can pregnant women do to reduce the risk of early birth?

Although preterm birth is complicated and has many causes, there are several steps women can take to help reduce the chances of their baby being born prematurely. According to the CDC, pregnant women can:

  • Quit smoking
  • Avoid drugs and alcohol
  • Get early prenatal care and continue to see a physician throughout the pregnancy
  • See your physician if you experience any signs or symptoms of a preterm birth
  • If a woman has previously experienced a pre-term birth, she can talk to her physician about receiving a progesterone treatment
  • Wait at least 18 months between pregnancies 

 

Help spread awareness

In 2015, preterm birth and low birth weight accounted for about 17% of infant deaths, according to the CDC.  Babies who do survive could have the following health issues:

  • Breathing problems
  • Feeding difficulties
  • Cerebral palsy
  • Developmental delay
  • Vision problems
  • Hearing problems

Although premature birth can occur for many reasons, there are things pregnant women can and should do to lower the risk and help promote a healthy pregnancy and newborn. 

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

 

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Seeking experienced OB/GYNs for open positions

By OBHG Marketing on October 26th, 2017

Ob Hospitalist Group, the nation's largest dedicated employer of OB hospitalists and the most innovative company in the industry, is seeking board-certified OB/GYNs for several open positions in desirable locations across the U.S.

If you're a highly skilled, passionate, and service-minded obstetrician ready to practice the medicine you love while enjoying an average of 21 days off per month, we would like to talk with you!

A few of our current open positions:

ARKANSAS

Looking for a more 'natural state' of being? Pristine hiker's paradise Arkansas may be the perfect fit. The state offers scenic beauty, clear lakes and streams, and exciting wildlife-watching opportunities within its 52 state parks and three national forests.

OBHG manages obstetrical emergency department programs at two facilities in Arkansas, one near the buzzing activity of the state's largest university. Full and part-time roles are available.

If you're ready to explore the possibilities, please contact our Senior Clinical Recruiter Natalie Petrizzo for more information. 

Read more about the program, local area, and lifestyle or view all current opportunities in Arkansas


OKLAHOMA

OBHG is seeking candidates for one of our newest additions to the Oklahoma market - our program at a state-of-the-art hospital located in Norman.

The facility's leadership is very excited for the obstetrical emergency department to open and the hospitalists will play a significant role in building the program.

With one of the country's fastest growing economies, Oklahoma has a lot to offer. Norman is just a 30 minute drive from Oklahoma City, and it is a good sized city (the state's third largest) in its own right. 

If you're ready to explore the possibilities, please contact our Senior Clinical Recruiter Natalie Petrizzo for more information.

Read more about the program, local area, and lifestyle


NEW YORK

Binghamton, New York is home to one of our newest programs. The city's focus on healthcare and higher learning is partly due to SUNY Binghamton University, a public research university that has been compared to Ivy League schools for the quality of education it provides.

The OBHG team will have opportunities to perform gynecological surgeries and participate in resident education. The labor and delivery floor is also supported by midwives. 

An additional perk for this location is a $20,000 sign-on bonus!

If you're ready to explore the possibilities, please contact our Senior Clinical Recruiter Liz Selfridge for more information.

Read more about the program, local area, and lifestyle or view all current opportunities in New York.


TEXAS

Texans will want to take note of our openings in two different areas of the Lone Star State.

Lubbock, home of Texas Tech University, offers wineries, 265 days of sunshine a year, and loads of family-friendly activities. It also boasts the ever-popular Alamo Drafthouse! Working as part of our obstetrical emergency department team in Lubbock comes with a great standard of living, as the housing and other costs are very affordable.

Austin is one of the coolest and fastest growing cities in the country, and OBHG now has positions available at three hospitals in the area. These roles will likely fill quickly, so apply soon! 

And we just added a new program in historic, culturally rich San Antonio, home of The Alamo.

If you're ready to explore the possibilities, please contact our Senior Clinical Recruiter Jason Fyler for more information, or view all current opportunities in Texas.


In an era of widespread physician burnout, OBHG understands the importance of work/life balance for our valued clinicians. Our full-time roles come with responsibility, influence, excitement, and autonomy, but also allow enough time off for a fulfilling personal and family life. Read some of our physicians' personal stories.

Intrigued? For more information about the positions highlighted here along with all our current job opportunities, contact the clinical recruiter seeking candidates in your region. Our expert recruiters, all skilled in health care and physician placement, will answer your questions about the hospitalist lifestyle, discuss how our programs work, and explain what you can expect from the hiring process.

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Pain, pills and postpartum drug use

By OBHG Marketing on October 23rd, 2017

OBHG Senior Director of Medical Operations and OBGYN Dr. Charles Jaynes wrote a piece about the current state of opioid use as it relates to obstetrics. His article was published in Becker's Hospital Review this month.

"A recent study in the journal Obstetrics and Gynecology which examined opioid use among women who had a C-section concluded that most women—especially those with normal in-hospital opioid use—are prescribed opioids in excess of the amount needed," wrote Dr. Jaynes. 

Read full article here.

What quality care means to OBHG

By OBHG Marketing on October 18th, 2017

From our frontline clinicians to our Risk Management & Patient Safety team, quality is a top priority across the board at Ob Hospitalist Group (OBHG). In observance of Healthcare Quality Week, we wanted to share what we are doing to ensure quality care for all patients across our national network of OB hospitalist programs. 

OBHG developed the SAFE program to elevate the quality of care for our hospital partners while simultaneously decreasing medical malpractice liability and risk. We offer our partner hospitals several services through SAFE, including a hotline and quality assurance reports to identify areas of potential risk and opportunities to improve patient safety best practices. We are also committed to capturing data to identify areas of potential risk mitigation, finding opportunities for quality improvement, and ensuring transparent and engaged interactions with our provider teams and hospital partners. All OBHG clinicians and hospital partners have access to a variety of best practice and educational offerings aimed at increasing the quality of care. 

When it comes to quality, our team is all in. OBHG obstetrician Dr. Lydia Sims of Houston Methodist Willowbrook Hospital said:

"By definition, quality represents a high level of excellence. At OBHG, our clinicians obtain a high level of excellence by providing patient safety, meeting standards of care, demonstrating patient advocacy, while simultaneously using evidenced-based medicine and experience in caring for our patients."

OBHG Chief Medical Officer Dr. Mark Simon said this about healthcare quality:

"Quality is ensuring that we deliver the best possible care to each and every patient in a timely, reproducible fashion. That is why we work so hard to disseminate best practices to our team of clinicians across the country and measure the impact of our care on the communities that we serve."

OBHG CEO Lenny Castiglione had this to say: 

"Quality begins with the people that we hire and the teams we build. As an organization that is focused on bringing life into the world where complex clinical situations exists, we have to exceed the standard and leave no room for error. Therefore, we are very intentional about measuring our outcomes and constantly raising the bar. Our commitment to quality and safety is the core of our mission and operating model."

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

 

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Speak up, physicians: How to use your voice on social media

By OBHG Marketing on October 12th, 2017

Time is a precious commodity for most physicians, but many are now opting to set aside a few hours a week to establish and maintain a social media presence.

Physicians use public social media platforms to engage and educate

So how can online networking sites benefit doctors?

Social platforms like Facebook offer physicians an accessible way to communicate directly with the people in their communities. Posting a few family photos and a favorite quote can effectively ‘humanize’ a doctor by providing a glimpse into his or her personal life and values.

A business Facebook page can also serve as an extension of a professional practice website – offering a convenient space (that often appears prominently in Google search results) to post office hours, services offered, and contact information at a glance.

Equally important is the need for clinical expertise and knowledge sharing to help improve patients' health literacy.

In an era when many people attempt to diagnose themselves online before consulting an expert, it’s crucial that trained physicians participate in the public conversation to help counteract the vast amount of specious health information and advice found on social posts, blogs, and message boards. 

Creating a personal brand can help medical professionals manage their online reputation

Online consumer reviews are not just for restaurants anymore. Patients can post reviews and ratings for their doctors on Facebook, Google, Yelp, and any number of other sites.

Healthcare systems have also started to develop and implement their own ratings systems, hosted on their external websites, to increase transparency and help build trust among patients. This approach also allows hospital administrators to choose the methodology used to generate ratings and determine which data is most relevant.

Because web ratings have become so ubiquitous, many physicians have proactively created an online brand to help alleviate any critical or inaccurate reviews.

Those who do not have the time or inclination to friend request, tweet, and post on a daily basis can outsource the effort – several enterprising companies now offer services designed to monitor and manage busy medical professionals’ online reputations. Firms like Empathiq and RepCheckup can generate positive content for their clients’ social pages, solicit patient reviews, and help follow up with those who post negative comments.

Influencer physicians gain followers by sharing helpful content

A number of doctors who have built large followings on social media are able to leverage their networks to promote their own safety initiatives, books, and research findings, but they also use the platforms to keep followers in the know about trending topics.

Influencers can fill a content curator role for their followers – highlighting the ‘news you can use’ from a content landscape that can be overwhelming. A personal Facebook page or Twitter feed is a handy place to keep track of particularly interesting articles.

Physicians can also share their insights and expertise by hosting or joining live Twitter chats, where they can answer questions (marked with a custom hashtag) about a specific topic during a set period of time.

Boston-based surgeon and bestselling author Dr. Atul Gawande currently has 221,000 followers on Twitter, where he posts about everything from government health policy to new and interesting medical inventions - like ‘smart tattoos’ that change color to indicate a rise in blood sugar.

About 157,000 Twitter users follow internal medicine physician Dr. Kevin Pho. His website KevinMD.com has become a hub for the clinician voice - publishing thousands of candid blog posts and articles penned by medical professionals and students and earning accolades from the New York Times, Forbes, and CNN.

Obstetrician and OBHG Medical Director of Operations Dr. Rakhi Dimino recently contributed a blog post to Pho's site focusing on the importance of bedside manner and end-of-life discussions. 

Read more about becoming a KevinMD.com contributor here.

Networking sites created for doctors offer private collaboration and custom tools

While traditional social media sites can help physicians engage patients and the public, and LinkedIn has emerged as the top professional networking site, platforms designed specifically for doctors are growing exponentially.

Doximity is barely six years old, but it is already the largest online physician network. It counts more than 70 percent of U.S. physicians as verified users - and now boasts more members than the American Medical Association. The site offers simple, iPhone-friendly tools that enable HIPAA-secure communication between doctors and patients, a mobile fax service, and continuing medical education credits.

Users can also peruse articles and studies relevant to their field in their newsfeed, re-connect with medical school or residency classmates, or search for new job opportunities.

Other physician-focused sites include the global 'virtual doctor's lounge' Sermo and clinical learning community QuantiaMD.

OBHG even offers a private discussion site just for our hospitalists. OB Exchange is a custom online forum where our 600+ highly-skilled OB/GYNs can collaborate, share resources, and network with colleagues.

Be sure to follow us on Facebook, Twitter, LinkedIn, and YouTube.
 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.


©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Don’t fear the flu shot: Here’s why pregnant women should get vaccinated

By OBHG Marketing on October 10th, 2017

Before flu season strikes again, it is particularly important for pregnant women to get the influenza vaccine. This protects not only the mother from potentially serious illness, but the baby as well – even for a number of months after birth.

Due to changes in the immune system and the heart and the lungs during pregnancy, expectant mothers have an increased risk of suffering serious complications if they get the flu. According to Ob Hospitalist Group (OBHG) obstetrician Dr. Lydia Sims, possible complications include pneumonia, sinusitis, ear infections, dehydration, and inflammation of the heart, muscles, and nerves. Sometimes these complications require hospitalization or can lead to preterm labor/premature birth, or even death.

When can pregnant women get the flu shot?
Pregnant women can receive the inactivated flu vaccine during any trimester. They should never receive the nasal spray, which contains live, weakened flu viruses. Pregnant women move to the front of the line when it comes to prioritizing vaccine recipients: 

“The flu vaccine is so important for pregnant women that even in times when the vaccine is scarce, pregnant women are considered high priority to get the shot,” said OBHG’s Dr. Michael Green.

What else can pregnant women do to prevent against the flu?
The best defense against influenza is the flu vaccine, but there are other preventative actions pregnant women can take to protect themselves. These actions include ensuring family members receive the vaccine; avoiding close contact; disinfecting surfaces at work, home, and school; and washing hands thoroughly and often.

What are the flu symptoms?
Flu symptoms differ from cold symptoms in that they develop suddenly and can include fever, chills, headache, severe cough, fatigue, and/or body aches.  

What can a pregnant woman do if she’s contracted the flu?
If a pregnant woman has contracted the flu, she can start taking Tamiflu®, Relenza®, or Repivab® within two days of incubation to help reduce the severity of the symptoms and lessen the chance of complications. Patients should talk to their doctors about which treatment is appropriate, and take steps to prevent spreading the virus to others.

Getting a flu shot should be a no-brainer
For pregnant women, getting the flu vaccine should be a no-brainer because it serves as the best protection against the virus for both moms and her babies.

“A pregnant woman getting the flu vaccine during the flu season is playing an active role in having a healthy pregnancy,” said Dr. Sims. “Unfortunately, once the baby is born, although he or she can get the flu, the baby cannot receive the flu vaccine until he or she is six months old. If the mother receives the flu vaccine during pregnancy, it provides immunity to the baby through the placenta reducing the newborn’s chance of getting the flu and its complications. Healthy baby...happy family.”


There are many online resources that offer information about pregnancy and influenza, including:
The CDC
The March of Dimes
The American College of Obstetrics and Gynecology

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.


©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Providence Alaska Medical Center: Making birth safer and friendlier

By OBHG Marketing on October 7th, 2017

Last week, the American Association of Birth Centers (AABC) honored the Ob Hospitalist Group team at Providence Alaska Medical Center with the Collaborating Physician Award for the empathetic and quality patient care they give to patients coming to the hospital from community birthing centers.

AABC presented the award during the opening ceremonies at its Birth Institute conference on October 5 in Anchorage, Alaska, according to Kate Slider, AABC Associate Director. The Collaborating Physician Award is presented annually and nominations are received from throughout the United States, said Slider.

OB Hospitalist Team Lead Dr. Lisa Johnson and her team, along with Dr. Kathryn Ostrom of Alaska Women's Health, were “instrumental in pushing for continuity of care by CNMs and convincing the medical staff of this,” according to the nomination. The Providence Alaska Medical Center team was honored for supporting the birth center CNMs with consultation, collaboration on high-risk clients, and assist with deliveries when needed.

The nominee added that the Providence Alaska Medical Center hospitalist team had helped maintain the birth center’s low C-section rate and “continue high-quality care even when transferred from the birth center.”

“This award is a result of an effort by each team member to engage the midwives who deliver in community birth centers, provide easy accessibility to them, build a collegial, team based approach which encourages appropriate transfers of care and improves communication. It represents exactly the kind of relationship and community service building we want to see by our teams,” said Medical Director of Operations for the Pacific Northwest region Dr. Amy VanBlaricom.

“Dr. Lisa Johnson and the hospitalist program has made birth in Anchorage safer, friendlier, and more supportive of families than it has ever been,” wrote the nominee.

Pictured above: Sean Johnson, who accepted the award on behalf of his wife, Dr. Johnson, with AABC President Lesley Rathbun (left) and Barbara Norton (middle) of Geneva Woods Birth Center, who nominated Dr. Johnson and OBHG.

Photo credit: Marketing TEA


This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.



©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

A wonderful fit

By OBHG Marketing on October 3rd, 2017

Some people collect stamps. Others may collect salt-and-pepper shakers or even polka records. And then there are those who collect old pagers.

“My wife has a box full of old pagers and  iPhones that she has collected over the years,” said Dr. Peter Earl, an OB/GYN hospitalist at Memorial Regional Medical Center and at St. Francis Medical Center, in Mechanicsville and Midlothian, VA, respectively. “When I retire, there’s going to be a bonfire.”

Dr. Earl is happy to leave those annoying devices behind as he enjoys life now as an Ob Hospitalist Group physician.

“I like the time off very much. And I like the providers I work with,” he said. “They treat us well, as colleagues. I very much like that. Even in a ‘demanding’ month, I might work 10 days instead of seven. But that’s still only 10 days of work out of the month! It’s something I wish I had done quite a few years before I did it.”  

Read more

OBHG highlighted in ‘Modern Healthcare’ article on outsourcing specialists

By OBHG Marketing on October 2nd, 2017

Modern Healthcare recently published an article about why hospitals are increasingly looking to outsource to reduce costs and improve operations. Many hospitals are now using outside companies for patient interaction tools, such as registration kiosks; equipment budget management; and medical specialists. Modern Healthcare interviewed Jami Walker, Ob Hospitalist Group director of hospital operations, for the story. 

"Forming partnerships with each hospital allows us to understand the needs from a patient standpoint and a community standpoint," Jami said. "The traditional model is not sustainable, especially with an aging medical staff."

Read full story here.

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.


©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Two outstanding OBHG employees win internal “You Delivered!” award for Q2 2017

By OBHG Marketing on September 29th, 2017

Each quarter, Ob Hospitalist Group (OBHG) employees nominate teammates who have gone above and beyond to represent OBHG's core values. OBHG's leadership team chooses one clinician and one support staff member to receive the You Delivered! award for their outstanding performance. For quarter two of 2017, OBHG recognized Dr. Denise Sutler, OB hospitalist in our Cypress Fairbanks Hospital program in Houston, Texas, and Angie Holcombe-Tyrrell from our Development & Support team in Greenville, SC.

In Dr. Sutler's nomination, Dr. Theresa Castillo wrote: 

"Dr. Sutler had an incredible save a few months ago. She responded to a patient who was having a uterine rupture. This patient had recently arrived to Labor and Delivery. She had been counseled by her primary OB about risks of a vaginal birth after cesarean (VBAC) and wanted to try because her sister had recently had a successful VBAC. She was moved to a labor room and shortly after that the nurse reported the patient was having an increase in vaginal bleeding and pain.

Dr. Sutler arrived quickly to evaluate the patient and noticed that there was a significant amount of bleeding. When she went to check the patient she could not feel a presenting part. She quickly called for an emergency cesarean section. The patient was placed under general anesthesia and the baby was delivered within a few minutes. When Dr. Sutler got into the abdomen the baby was floating outside of the uterus and the placenta was still attached. The primary OB arrived and the team was able to save the patient and her uterus. Immediately after delivery the baby had Apgar scores of eight and nine. If Dr. Sutler had not been there, this positive outcome might have not been possible.

Dr. Sutler is a great team player. She always goes the extra mile to help out the staff, and in the short time that she has been at Cypress Fairbanks she has earned the respect and appreciation of all the staff and administration. I truly believe she deserves to be recognized for her commitment to patient care and for truly delivering excellence."

OBHG's HR team nominated Angie Holcombe-Tyrrell, and Human Resources Business Partner Jessie Simpson wrote:

"During the second quarter, Human Resources went through transition with some of our systems and team members. Angie has been leading our ADP Optimization project and essentially stepped in to fill a leadership role for our department to help us solve critical outstanding issues and implement processes to assist with day-to-day tasks. This is completely above and beyond her duties as the Manager of Application Development in IT. When ADP issues arose that created roadblocks, Angie was in our office problem solving within minutes." 

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.


©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Dr. Wilson, OB/GYN, explains the immeasurable benefits of working with OBHG

By OBHG Marketing on September 26th, 2017

Dr. Susan Wilson, board-certified OB/GYN, joined Ob Hospitalist Group (OBHG) in 2011. She is a Medical Director of Operations and acts as Team Lead at Summerville Medical Center in Summerville, SC. Dr. Wilson explains how she values her work-life balance and has found her calling within OBHG. 

"I believe that I'm a much happier person and, consequently, a much better physician," she said.

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Prestigious OB/GYN leadership role now open

By OBHG Marketing on September 22nd, 2017

Ob Hospitalist Group, the nation's largest dedicated employer of OB hospitalists and the most innovative company in the industry, is seeking an extraordinary physician for one of our company's key professional/clinical leadership roles.

If you are a highly skilled, passionate, and service-minded obstetrician open to a new opportunity, we would like to talk with you.

The Site Medical Director position is based at our hospital program in the San Francisco Bay Area - a highly desirable area and one of the most diverse, influential, and dynamic cities in the world.

Read more about the position responsibilities and requirements

Read more about the program, local area, and lifestyle

This is a challenging role, and the ideal candidate will be a natural and experienced leader able to effectively guide a large medical team.

The position offers very competitive compensation, full benefits, paid medical malpractice insurance with tail, unparalleled physician support and resources, and a robust network of more than 600 OB hospitalist colleagues who speak your language - in addition to a sign-on bonus and relocation assistance.

At OBHG, we understand the importance of work/life balance for all our clinicians. While this full-time role brings with it a high level of responsibility - it also allows enough time off for a fulfilling personal and family life. Read some of our physicians' personal stories.

Intrigued? For more information please contact Senior Clinical Recruiter Jason Tafoya via email, or call him directly at 864.908.3723.

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

The opioid crisis: From one OB/GYN to another

By OBHG Marketing on September 19th, 2017

Written by Dr. Becky Graham, board-certified OB/GYN and OBHG hospitalist

Unless you live under a rock, have been doing medical volunteering in a foreign country, or are just too busy to notice, we have an opioid crisis in the United States.

Throughout my career as an OB/GYN physician, my colleagues and I have used several strategies to notify one another that a patient is drug-seeking - such as adding flags to charts in the electronic medical record (EMR), drawing an eye on the patient’s paper chart by their name, etc. The bottom line is that none of these have worked. But why? As an educator who became a physician, I believe it is education from top to bottom - from physicians to nurses, and from pharmacists right down to the patients. Let me demonstrate what I mean.

As the physician, you are aware we have a national crisis on our hands. You are diligent about following the ACOG guidelines for opioid use in pregnancy as listed in the ACOG Committee Opinion Number 711 from August 2017:

  1. Early screening, intervention and referral for treatment for pregnant women with opioid abuse
  2. Screening for all substance abuse in the first prenatal visiting any of the validated screening tools given
  3. For chronic pain, practice goals include strategies to avoid or minimize opioid use, highlighting alternative pain therapies
  4. Using pain management physicians to safely help an opioid user withdraw from opioids
  5. - 9. You get the idea - there are lots of great suggestions in this committee opinion

Here’s our reality: you are in a very busy office, at a family activity, or sound asleep at night and you get the call. “Dr. X, your patient, Y, says her pain is not well controlled with either Motrin or Tylenol. Can I give her Norco or Tylenol #3?” You remember the patient well: Routine vaginal delivery, no laceration, so why does she need a narcotic/opioid?

Before you can answer the nurse, she reminds you of the low pain management scores on the Press Ganey surveys. She also reminds you that the nursing manager has asked the nurses to be more proactive with the doctors to help with pain management. Do you cave in just to please the nurse and get back to what you were doing? Do you just say NO? Or do you take the time to reinforce to the nurse why your patient doesn’t need a narcotic or opioid? Or have you received too many of those calls and you are tired of being interrupted so you just check the box of the routine orders so you don’t get the call?

You see our dilemma. So, what is the answer? Again, I believe it is education. Take an active role at your hospital to reduce opioid use. Here are some ways to do this:

  1. Set expectations for your nursing and pharmacy staff.
  2. Do a presentation about the opioid crisis during the OB/GYN section meeting.
  3. Ask the nursing coordinator/director of your OB/GYN unit to allow you time to give the same presentation to the nursing staff.
  4. Invite the community pharmacists to a sit-down meeting to do a presentation and get their feedback.

Your office or the OBED is the starting place.  Make it clear at your first prenatal visit/OBED visit that opioids are harmful to the fetus. Leave copies of ACOG publications in your waiting room as conversation starters or references for your patients:

To summarize:

  1. Set patients' expectations at the first prenatal visit or in the OBED, and communicate with your partners at checkout if you had a drug-seeking patient.
  2. Make sure your office/hospital nursing staff is on the same page with you.
  3. Give your nursing staff a list of conditions for which opioid prescriptions are appropriate.
  4. Make sure all order sets give you the ability to prescribe only NSAIDs and Tylenol when appropriate.
  5. Only prescribe opioids following ACOG recommendations.
  6. Have a unified approach that includes all OB/GYN physicians, nursing, pharmacy, and patients.
  7. I believe education is the key to reducing the opioid crisis in the U.S.
     

View or download full blog post here. 




This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

 

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Ready for Irma

By OBHG Marketing on September 15th, 2017

Just as Houston was beginning to pick up the pieces in the wake of Hurricane Harvey, another storm was right on its heels, headed straight for Florida. Again, Ob Hospitalist Group (OBHG) team members executed OBHG’s emergency protocols before Hurricane Irma hit land to ensure the safety of mothers and their babies during this time. 

“It’s truly an example of how our operations team, with the support of the broader company, really rises to the occasion to fulfill our mission of being there in the worst times, not just in medical emergencies but also during natural disasters,” said OBHG CEO Lenny Castiglione. 

OBHG’s clinical and operations teams continued to provide seamless coverage in their OB emergency departments and worked extra hours and even days to provide a safety net for clinicians who may not have been able to make it to the hospital due to the storm.

“Dr. Mark Kufel and Dr. Brayan Stuart went above and beyond. They were committed and worked tirelessly and compassionately to ensure the patients got seen and cared for,” said Nancy Heurtas Savina of Baptist Hospital of Miami. “They worked seamlessly with each other, had a very positive attitude, and the teamwork between the OBs in house and OBHG team was like none I have ever seen. We are all very relieved and happy they were here.”

Our team of OBHG clinicians at St. Joseph’s Women’s Hospital also provided coverage for community OB/GYNs who could not travel to the hospital to care for their patients.

“We appreciate OBHG’s foresight in providing the extra resources to ensure our patients were cared for safely,” said Pamela Malone-Quarles, Director of Patient Care Services in Delivery and Surgical Services at St. Joseph’s Women’s Hospital in Tampa. “In addition, we appreciate your in-house availability for any providers who could not make it to the facility due to the inclement weather conditions. OB Hospitalist Group continues to be an excellent partner, ensuring safety as our top priority. We are so thankful to have a partner whose priorities aligned with our organization. It is a pleasure to work with you and your physicians.”

OBHG is proud to be the employer for so many compassionate and caring individuals who are willing to go above and beyond for our hospital partners and patients every day, no matter the circumstances.

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Building a robust clinical network

By OBHG Marketing on September 15th, 2017

OBHG’s online community creates connection and collaboration for clinicians nationwide

Ob Hospitalist Group (OBHG) offers a host of benefits for clinicians who are seeking a fulfilling practice combined with rewarding work-life balance. OBHG also offers our clinicians the chance to connect with fellow hospitalists nationwide via a robust online community: Ob Exchange.

A custom solution and one-stop resource
Created exclusively for our OBHG teams with input from our clinicians, Ob Exchange is a user-friendly online community that connects more than 600 clinicians in more than 120 programs across the United States.

This powerful resource offers:

  • Centralized access for clinical online tools used daily
  • Educational resources, including OBHG University and GNOSIS continuing education
  • Clinical peer-to-peer discussions
  • A nationwide clinical collaboration network
  • Instant, anytime access to essential documents
  • Dedicated communication space for each hospitalist team
  • News
  • Clinical content and best practices
  • Feature stories about fellow hospitalists

The customized online community is a one-stop portal for tools used daily by OBHG clinicians, including coding, charge capture tools, scheduling, continuing education resources, and team communications. 

The power of clinical collaboration
Ob Exchange is a supportive environment where OBHG hospitalists can trade clinical knowledge with fellow physicians across the nation. This connection allows our teams to rely on the strength of their peers in a collective network of more than 600 skilled hospitalists working together to elevate the standard of women’s healthcare. When faced with a challenging clinical situation or question, OBHG hospitalists can crowd-source advice and input from a knowledgeable team of accomplished clinicians.

Online discussion spaces are safe and interactive peer-to-peer forums for hospitalists to exchange clinical information, share best practices, and gather feedback. Whether it is the latest Zika protocols, tips for collaborating effectively with community physicians, or emergency preparedness best practices, all Ob Exchange members are encouraged to start discussions and post comments.

A wealth of knowledge
Ob Exchange provides anytime access to OBHG’s custom-designed educational hub: OBHG University. OBHG University includes clinical webinars, best practice guidelines, clinical articles, and policies and procedures that help clinicians maximize patient safety and quality of care. This resource is continually updated with the latest innovations and best practices to aid hospitalists in providing excellent patient care.

Team communication
In addition to a community-wide connection, each OBHG program location has a dedicated space where the hospitalist team can share documents, participate in discussions, schedule events, and more. Team spaces offer an intimate forum for our dedicated hospitalist teams to collaborate, coordinate events, and trade knowledge that affects their specific hospital program. These spaces within the community allow team members to access their team-specific information anytime, anyplace.

A deeper connection 
Ob Exchange’s personal profiles offer an opportunity for OBHG clinicians to connect with fellow medical school and residency alumni, members of professional organizations, and share their off-shift activities and hobbies. The community’s direct messaging capability also allows hospitalists to connect with colleagues who share common interests.

Hospitalist profile articles published on Ob Exchange offer an in-depth look into the lives of OBHG team members in and out of the clinical setting. News articles keep providers informed about the evolving field of hospitalist medicine and the expanding network of OBHG programs nationwide. In addition, team members pen clinical articles focusing on topics that are critical to OB/GYN hospitalist medicine, from emerging trends to tried-and-true skills.

Support and knowledge
Ob Exchange is simply one of the many resources Ob Hospitalist Group provides to its hospitalists to help them deliver exceptional care to women, efficiently serve partner hospitals, and elevate the standard of women’s healthcare.

OBHG hospitalists are highly skilled, passionate clinicians who love practicing medicine without the hassles of running a private practice. As the nation’s largest dedicated employer of OB/GYN hospitalists, we are always interested in talking with talented physicians and certified nurse midwives about joining our team. If you would like to learn more about the advantages of becoming an OBHG hospitalist, we encourage you to view our current job opportunities, and contact our friendly recruiters via email at Recruiting@OBHG.com or by phone at 800.967.2289.

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

OBHG hospitalist team reaches 600 clinicians

By OBHG Marketing on September 11th, 2017

A Monumental Milestone: OBHG’s Hospitalist Team Reaches 600 Clinicians Nationwide

Ob Hospitalist Group, the premier provider of OB Hospitalist programs in the nation, is commemorating a historic milestone: 600 clinicians serving moms and babies across the United States.

As of September 2017, OBHG’s team of hospitalists includes 600 skilled clinicians who improve patient care and elevate the standard of women’s healthcare for hospital partners nationwide.

OBHG has reached this remarkable level of growth through a focus on delivering excellent value for its partner hospitals, ensuring a positive experience for its valued clinicians, and supporting its stellar team.

Since launching in 2006 at one hospital with a handful of physicians, OBHG has expanded its network to include more than 120 hospitalist programs in 28 states. 

Congratulations to all OBHG hospitalist teams and the staff who support them!

Learn more about becoming a hospitalist

Learn more about OBHG's hospital programs


This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.


 ©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Labor and delivery in the eye of the storm

By OBHG Marketing on September 8th, 2017

Ob Hospitalist Group's Dr. Charles Jaynes is based out of Austin, TX and was luckily far enough from Hurricane Harvey's path that he did not experience the wreckage firsthand. But as Senior Medical Director of Operations, Dr. Jaynes had an important job to do: help coordinate OBHG's hospitalist teams across five hospitals in Houston to ensure that they were prepared for the disaster and could continue to help patients. 

"As doctors, we’re used to putting our patients first. Last week’s storm reminded me how so many others at the hospitals do the same, from the cleaning crew to the nurses to the physicians. I’m grateful that so many of us served as “First Responders” during Hurricane Harvey, and by following aligned preparation and contingency plans, I’m confident we’ll perform similarly during the next storm -- and the ones that follow."

Dr. Jaynes wrote an op-ed piece published in Becker's Hospital Review in which he shares key learnings for labor and delivery departments admist disasters and emergencies.

Read full op-ed on Becker's Hospital Review here.

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.


©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

OBHG welcomes new Chief Human Resources Officer

By OBHG Marketing on September 8th, 2017

(GREENVILLE, SC) — Ob Hospitalist Group, the largest OB/GYN hospitalist employer in the nation, is pleased to welcome Traci Bowen as new Chief Human Resources Officer. Bowen will be an integral member of the leadership team, guiding the company’s continued growth and building on its reputation as a healthcare industry leader.  

“I was drawn to Ob Hospitalist Group’s innovative model and dedication to improving women’s healthcare,“ says Bowen. “The positive culture, strong mission and commitment to both hospitalist and support employees makes the company a very desirable place to work. I’m thrilled to be a part of this team.”

Bowen comes to OBHG with more than 20 years of human resources experience and a successful track record of developing strategy, leading change initiatives, building cohesive teams and managing complex programs. She was most recently employed as Senior Vice President of Human Resources for Adeptus Health, the nation's largest operator of free standing ambulatory emergency room services.

She holds a Bachelor of Science in business administration with an emphasis in finance and economics from Texas A&M University, and a Senior Certified Professional credential from the Society for Human Resource Management. 

“People are the primary focus in our business,” says OBHG Chief Executive Officer Lenny Castiglione. “Ms. Bowen brings exceptional skills and expertise to this important role, along with years of experience working with national physician and clinical teams. We are excited to bring her on board.”


This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

OBHG included on Inc. 5000 five-year Honor Roll for fastest-growing private companies

By OBHG Marketing on September 6th, 2017

(GREENVILLE, SC) – Ob Hospitalist Group (OBHG) is proud to be on Inc. 5000’s Honor Roll for being named one of the fastest-growing private companies in America for five consecutive years. OBHG is ranked 2,761 in 2017 in part due to a 124% growth in revenue over the last three years. Of the tens of thousands of companies that have applied to the Inc. 5000 over the years, only a fraction has made the list more than once. A mere seven percent have made the list five times.

Founded in 2006, OBHG’s national network has grown to include more than 560 dedicated OB hospitalists in 124 active and onboarding partner hospitals across 28 states. This growth means more expectant mothers have access to immediate care when presenting to the hospital with obstetrical complaints regardless of time, location, complication, or circumstance.

“OBHG’s growth is a clear indication that we are filling a need in obstetrics and that our services are valued by patients, hospitals, and community physicians alike,” said OBHG CEO Lenny Castiglione. “We continue to increase the safety and quality of obstetrical units all over the country with our comprehensive approach that involves much more than simply providing a team of physicians. Our clinicians are not only experienced, they are passionate in how they engage with the L&D nursing teams and community physicians to reduce the number of serious safety events.”

In addition to being named to this year's Inc. 5000, OBHG has received other national and statewide honors. These awards include being named to South Carolina’s 25 Fastest-Growing Companies for five consecutive years and included in the Best Places to Work in South Carolina.

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.



©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

OBHG’s Dr. Mulder delivers babies during Harvey and reunites with granddaughter

By OBHG Marketing on September 5th, 2017

OBHG hospitalist Dr. Michelle Mulder delivered healthy babies at Christus Spohn Hospital South right as Hurricane Harvey hit Corpus Christi on Friday, August 25. She said the delivery via C-section took merely 20 minutes, right before the power went out. After she knew the mother and babies were safe, she turned her attention to her own granddaughter who was right down the hall in the NICU, born about four weeks earlier, at two and a half months premature. 

Watch video and read full story from KIII-TV here.

 

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.


©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Texas and Louisiana hospitalist programs weathered Hurricane Harvey

By OBHG Marketing on August 31st, 2017

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."

Teams at the ready
In preparation, our OBHG programs in Texas activated their emergency plans, which ask two physicians to volunteer to staff each program. This plan ensures that one physician is not stranded at the hospital providing coverage during an emergency. Contingency plans were in place for hospitalist coverage over the coming days, said Senior Medical Director of Operations Dr. Charlie Jaynes.

Several days after Harvey’s landfall, Jaynes reported that all Houston-area programs were functioning with emergency coverage. In addition, programs in Corpus Christi, San Antonio, and Austin were all functioning normally, said Jaynes, who is based near Austin. 

Five hospitals with OBHG programs in Houston were affected by staffing challenges caused by the storm and flooding: Christus Spohn Hospital Corpus Christi – South, Cypress Fairbanks Hospital, Houston Methodist Willowbrook Hospital, Kingwood Medical Center, Memorial Hermann Katy Hospital, and Memorial Hermann The Woodlands Hospital. 

Baton Rouge General Medical Center in Louisiana, North Mississippi Medical Center in Tupelo, and Mississippi Baptist Medical Center in Jackson all had plans in place and readied themselves to face flooding as the then-tropical storm moved east.

Collaboration under duress
All programs in Hurricane Harvey’s path were staffed 24/7 by OB hospitalists providing coverage for labor and delivery. Jaynes praised each team’s collaboration with hospital staff and community physicians. Each hospital team worked together—from cleaning teams to nurses—and put themselves in harm’s way, away from otheir families, to do whatever it took to care for their patients, said Jaynes.

"I had doctors who were in the hospital for six days straight, and their families were at home without them," he said.

Twins were born at Christus Spohn Hospital South in Corpus Christi just as Hurricane Harvey made landfall on Aug. 25. A third baby was born at home with emergency personnel assisting, and the mother and baby were later transported to Christus Spohn Hospital South.

At Houston Methodist Willowbrook Hospital in northern Houston, two OBHG hospitalists took turns seeing patients during a very busy few days and said they received much help from community physicians. The hospital also accepted multiple patient transfers from other facilities in flooded areas. News outlets reported that Houston-area Ben Taub General Hospital and Bayshore Medical Center were moving patients and Bayshore had suspended all services.  

Memorial Hermann The Woodlands’ team north of Houston was operating with two hospitalists, one of whom could not return home due to flood waters. Local physicians were also helping this team on a busy Labor and Delivery unit. Two of The Woodlands team members rotated shifts for 4 days because roads were impassable due to flooding.

At Memorial Hermann Katy, one hospitalist team member had been working a bustling 24 hour shift with little sleep, however, also had assistance of community physicians. Memorial Hermann Katy, west of Houston, received transfers from nearby hospitals that evacuated patients. Meanwhile, northwest of Houston at Cypress Fairbanks Hospital, two hospitalists rotated shifts for 4 days and experienced a heavy patient volume. 

Deserved thanks
Despite separation from their families and lack of creature comforts like clean clothes and hot showers, all of our OBHG hospitalists worked with community providers to persevere and care for their patients. OBHG extends its heartfelt thanks to those teams that provided genuine service to patients and their babies through this trying and unpredictable situation.

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

OBHG hospitalist delivers twins amidst Hurricane Harvey

By OBHG Marketing on August 30th, 2017

OBHG hospitalist Dr. Michelle Mulder delivered twins by C-section at Christus Spohn Hospital South as Hurricane Harvey hit Corpus Christi. Our hospitals and obstetrical emergency departments in the Corpus Christi and Houston area are open and treating patients during this disaster. Our teams of clinicians are ensuring that they can provide seamless coverage to all patients in need and have even doubled up on shifts. OBHG employees across the country continue to keep the victims of Harvey in their thoughts. 

"As the storm was headed toward Corpus Christie, OBHG clinicians Dr. Mulder and Dr. Davis made the call to put two clinicians on site until it passed," said OBHG Senior Medical Director of Operations Dr. Charles Jaynes. "We put two clinicians on shift at a time at three hospitals in the Houston area as well, some of whom spent up to six straight days at the hospital. These OBHG clinicians sacrificed riding out the hurricane with their families for ensuring that they could provide care to pregnant women and their babies who came into the hospital."

Read USA Today article here.

 

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.


©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

OBHG’s Dr. Rakhi Dimino stresses the importance of good physician bedside manner

By OBHG Marketing on August 29th, 2017

As an OB/GYN and family member, Dr. Rakhi Dimino has seen physician bedside manner from both sides. This OBHG Medical Director of Operations has experienced some of the best and worst behavior from physicians who were treating her mother in the hospital, and she shares why she believes good bedside manner is a must. 

"As physicians, we are called to do more than fix bodies," said Dr. Dimino. "We are charged with taking care of people, not just bodies. Our patients and their families need us most when there is nothing left to fix but a breaking heart and all-consuming sadness."

Read full blog plost published on KevinMD.com.

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.


©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

OBHG physician interviewed by U.S. News & World Report

By OBHG Marketing on August 26th, 2017

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."

Most OBEDs in the country are staffed with one OB-GYN and two labor-and-delivery nurses around the clock, Dr. Dimino said. Busier locations have two or more doctors working at a time, or a nurse-midwife or an advanced practice nurse for added support. She emphasized that the patient's regular obstetrican is always an important team collaborator.

Read more

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

 

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

New OBHG program featured in the news

By OBHG Marketing on August 25th, 2017

Brookwood Baptist Medical Center's new obstetrical emergency department (OBED) was recently featured in the local Birmingham, Alabama business journal. The OBED, developed and managed by Ob Hospitalist Group, will provide a safety net for patients and community OB/GYNs.

Amy Beard, the hospital's vice president of women's services, noted that circumstances around pregnancy and birth can be unpredictable.

"We are pleased to offer our patients peace of mind knowing they’ll receive immediate, specialized care no matter when they arrive at Brookwood Baptist Medical Center," she said.

Patient Courtney Farley told Brookwood staff she was impressed with the efficiency and professionalism displayed by the clinicians in the OBED.

“I was thankful that there was a special place for expecting women that was separate from the main ER," she said. "I felt cared for and safe. I believe that this is a service that takes Brookwood’s commitment to expecting mothers to the next level. I am grateful above all that my little one is safe, and I received my peace of mind because of this experience.

Read more

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.
 
 ©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Maternal mortality: causes and concerns from an OB hospitalist

By Dr. Rakhi Dimino on August 23rd, 2017

As a mom and an OBGYN, it hit me hard to learn that maternal mortality was higher in the United States than other developed nations. In the labor and delivery unit, I can vividly remember women who flirted with death and survived. One bled so profusely after birth that we heard the blood hit the ground. One mother sat straight up and said she was dying before she collapsed with an embolism. But we have read about other pregnant women who have died at home from a brain hemorrhage or from postpartum suicide. The birth of a baby should be one of the most normal events that a woman’s body endures, and even with access to modern medicine, we have not been able to decrease the maternal mortality rate in the U.S. for the last 25 years. Instead, it has actually increased. My home state of Texas leads the nation in the number of women who die during or shortly after delivery. Unfortunately, this is not a simple problem to solve, and there are many contributing factors.

The rise of chronic diseases
Although our knowledge of the birthing process has grown in the last quarter century, the profiles of women having babies has changed. Obesity, chronic hypertension, heart disease, and diabetes are all more common now than 20 years ago. The number of women delaying childbirth until their mid to late 30s or even their 40s has increased as well. As we increase in age, the prevalence of these same chronic medical problems increases even further. With improvements in fertility treatments, women who have previous medical conditions, such as cancer, are now able to pursue pregnancy. These baseline medical problems all increase the risk of maternal mortality.

Lack of access
But it’s not just that our bodies might be different from women having babies a few decades ago. Prenatal, delivery, and postpartum access to healthcare is lacking in large swaths across the country. As more and more rural hospitals close their labor and delivery units due to cost constraints, and the shortage of OBGYNs continues to grow, many women either go without care or must travel hours to get to a hospital with appropriate access to care. In most obstetrical emergencies, such as hemorrhage, stroke, embolism, and heart disease, minutes matter. There is no time for hours. Adding to distance challenges are astounding racial disparities. Black women are nearly three and a half times more likely to die from pregnancy related conditions than white women. Foreign-born women also have a higher maternal mortality rate. This begs us to look at access to pregnancy care as a key factor.

Issues in medical reimbursement
The way physicians often receive reimbursement might contribute to the problem as well. When physicians are reimbursed by the number of patients seen, time is money. In some clinics, one physician will see more than 40 pregnant patients in one office day. There is simply no time to listen to all of a patient’s concerns or adequately counsel them about which symptoms they should seek medical attention for. There is no reimbursement for any extra visits including screening of postpartum pre-eclampsia and depression about one week after delivery. This poor combination of potentially inadequate counseling and poor follow-up screens can contribute to missed early warning signs.

High C-section rate
As many have pointed out before, our high C-section rate likely contributes to maternal mortality as well. No one will argue that some C-sections are necessary. But many physicians do not offer a trial of labor after a previous C-section because most hospitals require a physician to be immediately available during the entire labor for safety reasons. It does not make economic sense for a physician to cancel an entire office day to be immediately present for one laboring patient. And yet each subsequent C-section leads to an increase of a life-threatening complications. At times, physicians are choosing what makes economic sense over what is best for the individual patient.

So what’s going to solve this issue? It won’t be physicians alone. It will take a collaboration of OB physicians, family physicians, OB anesthesiologists, nurse midwives, doulas, mother-baby nurses, hospital administrators, public health officials, lawmakers, and patients with their families. We must work as a village to build a safety net of support around our pregnant mothers, not just during pregnancy but after birth as well. Our team must realize that more intervention during childbirth is not always better, but a good support system is critical to decrease maternal mortality. As a team, we must be prepared to not only react to an emergent condition quickly, but also to predict and prevent one before it happens.

To build our maternal safety net, we must start thinking outside the box. Can we leverage technology and apps to monitor women at home who live remotely from a maternity hospital? Can we have doulas provide emotional support during labor and in the weeks to come, calling for help when concerning physical and mental symptoms arise? Can we decrease physician visits in low-risk women, and allow high risk patients to spend more time with physicians? Can midwives manage most low-risk prenatal and delivery care that could decrease our C-section rate while saving high-risk management for physicians? Could an inpatient OB hospitalist team be the glue that sticks this team together? None of these are new or impossible ideas, but they take good collaboration to maximize their usefulness.

The ability to study the causes of maternal mortality in detail is very important to solving this crisis. We cannot stop there. We must start building our collaborative support system. We must all be willing to work together and be a part of the solution to prevent the loss our mothers.

 

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

OBHG partner to expand care for region’s women and children

By OBHG Marketing on August 18th, 2017

Mercy Gilbert Medical Center in Gilbert, Arizona, part of the Dignity Health system, is planning a new five story tower that will house an obstretrical emergency department (OBED) managed by Ob Hospitalist Group, along with high risk labor and delivery and postpartum rooms, and a pediatrics wing.

The building, which will expand and advance care for the region's women and children, was made possible by an alliance between Dignity Health and Phoenix Children's Hospital.

Construction is set to begin in 2018 and the new tower is expected to open by 2020.

Read more

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

Local physicians appreciate presence of OBHG hospitalists

By OBHG Marketing on August 15th, 2017

When St. David's South Austin Medical Center first partnered with Ob Hospitalist Group (OBHG), local OB/GYNs were skeptical. Soon, they disovered the benefits of the partnership and the impact it has not only on their lives but the lives of their patients and their families.

“The hospitalists are easy to work with. They have made our call and coverage easier. They are very competent in their evaluation and treatment of our patients,” said Dr. Ana Eduardo of Hill Country OB/GYN in Austin, TX. 

 

View full case study.


This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2016. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

The OB/GYN shortage: from an OBHG hospitalist’s perspective

By OBHG Marketing on August 11th, 2017

As a former private-practice OB/GYN, Dr. Michael Green witnessed many of his colleagues trying to maintain their rigorous schedules as they neared retirement age. Seventeen years into his career, he was approached after a 2 a.m. delivery by a nurse who suggested that he look into hospitalist medicine. Although he first thought the idea of an OB hospitalist lifestyle seemed too good to be true, Dr. Green started researching his options. He soon decided to leave private practice behind for a career with Ob Hospitalist Group (OBHG) and he hasn’t looked back yet.

Dr. Green jumped ship and began working for OBHG in September 2016. He was recently promoted to Team Lead at Northridge Hospital Medical Center in Northridge, CA, and works with a team of eight clinicians.

He isn’t all that surprised that there is a national shortage of OB/GYNs. Much like the report Doximity released in late July, Dr. Green attributes the lack of physicians to several issues: the absence of younger OB/GYNs in practice; high maternity workloads; and earlier retirement age. In the sections below, we provide insight from Dr. Green on each of these issues affecting the OB/GYN industry today.

Difficulty recruiting OB/GYNs
According to Dr. Green, medical students and OB/GYNs just coming out of residency these days prioritize work-life balance. They don’t want an 80-to-100-hour work week, but instead wish to spend more time enjoying life outside of work hours. 

In the past, OB/GYNs had a well-deserved reputation for living a very difficult lifestyle and working crazy hours.

“This time last year, 80 hours was a light work week for me, 100 was the norm, and occasionally I would work 120 hours in a week,” said Dr. Green. “People don’t want to do that. There needs to be time for things outside of medicine.”

Supply and demand gap and heavier workloads
The healthcare industry has seen a tremendous amount of change since the advent of Obamacare. Now that millions of once uninsured patients have coverage, the system is stretched, said Dr. Green. The patient volume increased but the number of clinicians did not. Reimbursement payments from insurance companies have also decreased over the years.

“When I started in private practice in 1999, OB/GYNs could do 10 to 15 deliveries per month and make a really nice living,” said Dr. Green. “When I left practice last year, we were doing 30 to 40 deliveries, and we still weren’t making as much money. Every year, I was working harder and harder but making less money.”

Another factor affecting the supply of OB/GYNs is the cost of malpractice coverage. In the past, many family doctors performed deliveries. Now, this is not the case due to increased malpractice coverage fees. 

Dr. Green also attributes the dawn of electronic medical records (EMR) to the increased physician workload, especially for older clinicians.

“If I could go back and do one thing over again, I would take a typing class,” he said.

According to Dr. Green, many older physicians are not technically savvy, and it often takes them longer to work on the EMR than with the previous pen and paper method of keeping records.

“Physicians are struggling to get the EMR done each day, and they either can’t take as many patients or they stay after hours or come in on a Saturday to get their charts done.”

Early retirement
Along with the increasing number of medical students choosing shift work such as emergency medicine over obstetrics, a generation of experienced OB/GYNs have recently retired or are planning to soon.

“Anybody who could retire, has retired in the last five years or so,” Dr. Green noted. “The work has gotten too hard and the changes too extreme.”

There are some financial barriers that can keep obstetricians from simply reducing their work hours as they get older.

“If you’re in private practice and you’re paying your own malpractice, they don’t charge you any less if you work part time,” said Dr. Green. “For instance, if you are close to retirement age and want to slow down to working just a couple of shifts per week, you can’t, because the overhead is too high.”

Although many OB/GYNs would like to slow down, they are bound by their overhead.

“There are a lot of people who are 65 or older who would like to get out of the rat race of private practice, but they’re basically handcuffed by their malpractice company.”

How OBHG can help
Dr. Green says the opportunities hospitalist medicine provides open up a whole new world for obstetricians. In addition to fully paid medical malpractice coverage, OBHG offers flexibility, a predictable schedule and ample time off. This allows physicians to continue practicing later in life and extend their careers, while avoiding burnout.

“I’ve got another 7 to 10 years of working hard, and then I’m going to want to slow down, and OBHG allows you to do that. You can work just a few shifts per month if you want.”

The hospitalist lifestyle frees physicians from the frustrations of excessive paperwork and the many administrative demands that come with running a business. They can focus their energies on the passion that led them to pursue medicine in the first place – caring for patients.

“I’m really happy with OBHG,” says Dr. Green. “This has been an amazing transition for me. It’s probably one of the best decisions I’ve made in my life.”

 

Download full article here.



This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

 

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.

August brings breastfeeding education, support

By OBHG Marketing on August 8th, 2017

While breastfeeding fell out of favor in the U.S. for a time during the 1960s and 70s due to women working outside the home and an overall lack of information and support, the practice has seen a reawakening as moms and clinicians learn more about the health reasons to nourish babies with mothers' milk whenever possible.

Because human breast milk contains protective hormones and antibodies, the risk of asthma, leukemia, obesity, ear infections, type 2 diabetes, and sudden infant death syndrome (SIDS) is lower for breastfed babies.

Colostrum - a nursing mother’s protein-rich first milk often referred to as “liquid gold” – plays an important role in developing a healthy digestive system. And her mature milk (produced three to five days after giving birth) contains the perfect blend and amounts of nutrients her baby needs to grow and thrive.

Breastfeeding also offers health benefits for moms – women who nurse their babies are less likely to be diagnosed with diabetes, ovarian cancer, and breast cancer. Some studies indicate it can help kick-start postpartum weight loss as well.

There are even environmental reasons to support breastfeeding. As more women opt for the most natural method, fewer formula cans and plastic bottles find their way to the ocean or end up in landfills.

In the past few decades, hospitals and birthing centers have strived to provide more comprehensive education and support for breastfeeding and facilitate optimal mother/baby/family bonding.

To help guide these efforts, in 1991 the World Health Organization and UNICEF founded the Baby-Friendly Hospital Initiative, a global program that encourages breastfeeding as the best way to improve infant health. The initiative awards certified “Baby-Friendly” status to facilities that achieve several specific evidence-based milestones, such as in-depth training for all health care staff and a policy that allows new mothers and their babies to remain together 24 hours a day.

This month is the perfect time of year for hospital leaders, clinicians and families to learn more about the myriad benefits of breastfeeding. Declared National Breastfeeding Month by the United States Breastfeeding Committee in 2011, the first week of August is also recognized as World Breastfeeding Week by the World Alliance for Breastfeeding Action.

The Centers for Disease Control has developed helpful resources outlining best practices, national policies, recommendations, and answers to frequently asked questions, along with a portal for the latest scientific research related to breastfeeding.

In addition, many health and women’s organizations, experts and supporters are using social media sites to share additional tips, stories, and articles this month. Use the hashtag #NBM17 to peruse the content or join the conversation.

Screenshot from @CDCObesity Twitter, August 2

This blog provides general information and discussion about healthcare-related subjects. The content and linked materials provided are not intended and should not be construed as medical advice. If the reader is an expectant mother with a medical concern, she should consult with an appropriately licensed physician or healthcare provider.

©2017. Ob Hospitalist Group, Inc. All rights reserved. View our linking and republishing policies.