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ACHIEVEMENTSINHEALTHCARE10AmoreformalprogrambeganatConcordHospitalintheearly2000sandnowhospitalistsarethefastest-growingmedicalspecialtyinthecountry.CoordinatedbyDr.AlexGadboisthe19physiciansandsevenphysiciansassistantsandnursepractitionersinCHMGsHospitalistProgramprovide247medicalcareforadultpatients.ThereisalsoaseparateHospitalistProgramforchildren.Hospitalistsdontleavetoconductofcehours.TheHospitalwithitsspecialiststechnologyandhigh-qualitycareistheirofce.TheyareanintegralpartoftheHospitalsacutecaresystemavailableimmediatelytorespondtochangesinapatientsconditionortoevaluateprogress.Theyalsocanmoreeasilyarrangetomeetwithpatientfamilymembersandcanseepatientsmorethanonceaday.MorefrequentvisitscanmeanshorterHospitalstays.ForinstancewecanactontestresultsrightawayefcientlymeetingapatientsneedsandpossiblyallowingasafereturntohomeandfamilysoonerthanmighthavepreviouslyhappenedDr.Gadboissaid.Inadditiontoprovidingimmediatecarehavingahospitalistavailablearoundtheclockhasreducedstressforpatientstheirfamiliesfamilydoctorsandfornurseswhooftenwerecaughtinbetween.BeforedifferentfamilypractitionerswerecominginatdifferenttimesofthedaytoseetheirpatientssaidveterannurseStaceyMahoney.Wewereconstantlypagingthem.Weweretryingtocalltheirofces.PatientswerealwaysaskingCanyoucallthedoctorWhenaretheycomingWhencanIgohomeHospitalizedpatientsandpatientswhoseefamilydoctorsintheirofceshavebeneted.ItmeansalottopatientswhenthedoctortakesthetimetolistentotheirconcernswithoutrushingoutorbeingpagedMahoneysaid.DoctorsintheHospitalareabletospendmoretimewithpatientsatthebedsideanddoctorsattheofceareabletospendmoretimewiththemthere.TherewasinitialconcernthatpatientswouldresistbeingtreatedbysomeoneotherthantheirfamilydoctorbutbothdoctorssaidfewpatientsnowquestionthepracticeandoccasionswhenfamilydoctorsarecalledintoseetheirpatientsintheHospitalarerare.WeintroducepatientstotheconceptduringtheirofcevisitDr.Smithsaid.Iexplainthathospitalistsarepartnerspartofmypractice.Forpatientswhoareadmittedunexpectedlywithoutaconsultationwiththeirfamilydoctorthehospitaliststhemselvesintroducetheconcept.Dr.Gadboissaidtheystresstopatientsthatthehospitalistworkswiththeacuteinpatientmedicalneedsofapatientratherthanaproviderwithalowvolumeofinpatientadmissions.Dr.Gadboissaidhehearsdirectlyfrompatientsthattheconceptisworking.SomewonderiftheycanbetreatedbyhospitalistsaftertheyleavetheHospital.ItsanicecomplimentbutwesaySorry.Theonlywayyoucanseeusistogetsickandcomebackbutpleasedontdothat.CONTINUEDFROMPAGE9OneofthekeystothesuccessofqualityefcienthealthcareatConcordHospitalMedicalGroupisasophisticatedElectronicMedicalRecordsEMRsystemlinkingthegroups238providers.ConcordHospitalMedicalGroupprovidersbenetfromauniedmedicalrecordonechartforeachpatientlistinginformationsuchasmedicalproblemsallergiesandmedications.Thesystemimprovescommunicationbetweendoctorsandpatientsbutalsobetweendoctorsofcesavoidingduplicationoftestsandproceduresandallowingforsafermoreefcienthigherqualitycare.LinkingCHMGpracticespatients