When patients return to a hospital repeatedly, frustrations, as well as medical records, can pile up. This month's cover story describes how some hospitals and hospitalists around the country have tackled this challenge by charging committees with developing care management plans. For issues ranging from needing dialysis to seeking of opioids, the plans set clear guidelines for patients and physicians, potentially preventing repeated hospitalizations, or at least clarifying the course when they do occur.
This issue also includes coverage of Internal Medicine Meeting 2015, when ACP gathered in Boston to celebrate its centennial. In the first conference coverage article, a Boston physician describes his work providing and researching health care for the homeless. Then, learn about common risks and misconceptions surrounding blood transfusions. Finally, a cardiologist offers expert advice on handling hypertensive emergencies. This month's Coding Corner should help to bring your blood pressure down, explaining why documenting care under ICD-10-CM is not going to be as difficult as many think.
Multiple articles in this issue tackle challenges hospitalists face with geriatric care. Our Success Story and Q&A, written by our new staff writer Mollie Durkin, discuss a model for improving posthospital care for nursing home residents and the dilemma of how much autonomy patients want and need at the end of life, respectively. In our Perspectives section, hospitalist Rajshekhar Chakraborty, MD, ACP Member, describes his experience helping a patient understand what hospice entails. care-perspectives.htm
Anemia, specifically how to use the anemia index to diagnose the causes of anemia, is the focus of an Expert Analysis. Speaking of experts, if you have a colleague who is particularly knowledgeable or skilled, you may want to nominate him or her for our upcoming Top Hospitalists issue.
Editor-in-Chief, ACP Hospitalist