Hospitalist time usage and cyclicality: Opportunities to improve efficiency
dc.contributor.author | Kim, Christopher S. | en_US |
dc.contributor.author | Lovejoy, William S. | en_US |
dc.contributor.author | Paulsen, Michael | en_US |
dc.contributor.author | Chang, Robert | en_US |
dc.contributor.author | Flanders, Scott A. | en_US |
dc.date.accessioned | 2010-09-02T15:24:02Z | |
dc.date.available | 2011-03-01T16:26:46Z | en_US |
dc.date.issued | 2010-07 | en_US |
dc.identifier.citation | Kim, Christopher S.; Lovejoy, William; Paulsen, Michael; Chang, Robert; Flanders, Scott A. (2010). "Hospitalist time usage and cyclicality: Opportunities to improve efficiency." Journal of Hospital Medicine 5(6): 329-334. <http://hdl.handle.net/2027.42/77977> | en_US |
dc.identifier.issn | 1553-5592 | en_US |
dc.identifier.issn | 1553-5606 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/77977 | |
dc.description.abstract | BACKGROUND: Academic medical centers (AMCs) have a constrained resident work force. Many AMCs have increased the use of nonresident service hospitalists to manage continued growth in clinical volume. To optimize their time in the hospital, it is important to understand hospitalists' work flow. DESIGN: We performed a time-motion study of hospitalists carrying the admission pager throughout the 3 types of shifts we have at our hospital (day shift, swing shift, and night shift). SETTING: Tertiary academic medical center in the Midwest. RESULTS: Hospitalists spend about 15% of their time on direct patient care, and two-thirds of their time on indirect patient care. Of the indirect activities, communication and documentation dominate. Travel demands make up over 7% of a hospitalists' time. There are spikes in indirect patient care, followed closely by spikes in direct patient care, at shift changes. CONCLUSIONS: At our AMC, indirect patient care activities accounted for the majority of the admitting hospitalists' time spent in the hospital, with documentation and communication dominating this time. Travel takes a significant fraction of hospitalists' time. There is also a cyclical nature to activities performed throughout the day, which can cause patient delays and impose variability on support services. There is a need for both service-specific and systemic improvements for AMCs to efficiently manage further growth in their inpatient volume. Journal of Hospital Medicine 2010;5:329–334. © 2010 Society of Hospital Medicine. | en_US |
dc.format.extent | 15946 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Hospital Medicine | en_US |
dc.title | Hospitalist time usage and cyclicality: Opportunities to improve efficiency | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Medicine (General) | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Division of General Internal Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan ; Telephone: 734-647-2892; Fax: 734-615-8401 ; MD, MBA, Assistant Professor, Internal Medicine, Assistant Professor, Pediatrics and Communicable Diseases, University of Michigan Medical School, Division of General Medicine, Department of Internal Medicine, 3119 Taubman Center, Box 5376, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5376 | en_US |
dc.contributor.affiliationum | Ross School of Business, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Ross School of Business, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Division of General Internal Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Division of General Internal Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan | en_US |
dc.identifier.pmid | 20803670 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/77977/1/JHM_613_sm_suppinfo.pdf | |
dc.identifier.doi | 10.1002/jhm.613 | en_US |
dc.identifier.source | Journal of Hospital Medicine | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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