To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The staff hospitalist must be able to competently care for the hospitalized patient throughout the hospital stay. This includes emergency evaluation and triage in addition to admission to the hospital and formation of a differential diagnosis. It is essential to formulate a comprehensive care plan in accordance with the most up to date, evidence based protocols. The staff hospitalist must possess excellent communication skills and exhibit these through communication with primary medical doctors as well as in house consultant physicians and colleagues. The hospitalist must interact in a professional manner with all members of the patient care team. The hospitalist physician should participate in education of the housestaff physicians, students, nurses and all members of the patient care team. The hospitalist should keep high quality care and patient safety in mind while transitioning the patient back to the outpatient setting upon discharge. The hospitalist shall deliver the above with service excellence and patient satisfaction in mind.
- 1. 1. Provides direct patient care
- A. Admits adult patients to the hospital (both on and off house staff teams) for private primary care physicians, from the out-patient center and when there is no local primary care physician.
- B. Conducts comprehensive examinations and evaluations and makes treatment decisions.
- C. Communicates regularly and effectively verbally and in writing at frequent and appropriate intervals (including on admission and discharge) with the primary care physicians who care for the patients.
- D. Provides general internal medicine consultation to non-internal medicine physicians regarding patients seen in the Emergency Department and/or for pre-operative assessment, risk stratification and post-operative co-management.
- E. Provides primary and consultative in-patient medical care on patients admitted to Medicine, Surgery and the Medical/Surgical Intensive Care Unit with appropriate sub-specialty consultation.
- F. Takes call as necessary to provide 24/7 coverage.
- G. Coordinates care of patients through appropriate collaboration with other physicians (including house staff), nursing staff, case managers and ancillary service providers.
- H. Enrolls in all Managed Care plans with which the Hospital participates.
- 2. Teaches and Role Models
- A. Provides leadership in the Department of Medicine and the Internal Medicine Residency Program as an expert in in-patient medical practice.
- B. Directly supervises and teaches medical residents and students.
- C. Role models excellence in service to patients and primary care physicians and non-internal medicine specialists and medical sub-specialists.
- D. Provides leadership to the Medical Staff in the use and in-service education of Physician Computerized Order Entry and the Health Information System.
- E. Participation and leadership in formal medical education, transitional care rounds.
- F. Provides in-service education on hospital based best practice to nursing staff.
- G. Assists the Residency Program Director in revising the curriculum for the residency in in-patient medical practice and consultative medicine.
- H. Completes mandatory hospital/unit based in-services.
- I. Helps identify goals for achievement consistent with the Department and Hospitals long and short-range goals.
- J. Actively participates in own performance appraisal.
- K. Demonstrates the ability to accept constructive criticism by showing improvement within established time frames.
- 3. 3. Evaluates Outcomes of In-patient Medical Care
- A. Identifies problem prone clinical practices and initiates solutions to maximize desired outcomes.
- B. Works collaboratively with the Hospitalist Director, Program Director, Medicine / Cardiology and with Case Management and Quality Management staff in Process Improvement studies in in-patient medical practice and documenting outcomes.
- C. Evaluates outcomes and identifies improvements in care.
- D. Performs and coordinates clinical documentation audits to assure compliance with best practice standards and appropriateness of medical care.
- E. Enhances academic and clinical productivity through publication and presentation of quality focused PI projects locally and nationally.
- F. Coordinates such studies with the Internal Medicine Residency and other providers in the Yale New Haven Health System.
- 4. 4. Demonstrates Leadership Skills
- A. Works collaboratively with the Hospitalist Director and the Program Director, Medicine / Cardiology to foster collegial relationships with primary care providers and enhance the Hospitalist program physician referral base.
- B. Works collaboratively with the Hospitalist Director and others on new in-patient programs and services for the Hospital.
- C. Works collaboratively with the Nursing staff to insure that a safe, efficient and patient friendly environment is maintained.
- D. Utilizes effective time management skills. Organizes day efficiently and meets organizational deadlines.
- E. Participates on Hospital committees and CQI teams.
- F. Meets volume goals set by the Hospital.
- G. Maintains up to date knowledge and skills in hospital based medical practice through regular attendance at CME meetings, participation in national hospital medicine and internal medicine professional organizations.
- 5. A. Assures that all patients are treated with respect and that needs are met promptly.
- B. Shows consideration for patient's family and visitors by acknowledging them promptly and speaking in a way that shows concern.
- C. Remains calm in stressful situations promoting a sense of confidence to patient and family members.
- 6. Interdisciplinary Rounds participation will directly impact
- a. Patient safety
- b. Length of stay
- c. Early discharge
- d. Through put/flow/process
- 7. Improve communication with a. Nursing b. Ancillary, PT/OT/Pharmacy c. Consultant d. Family & Patient e. PCP
- 8. Increase service to a. Patient & Family b. Consultant c. Nursing & Ancillary Staff
- 9. Increase efficiency/decrease Waste
- a. Better time management
- b. Patient care
- c. Improve nursing efficiency
- d. Reduce waste
- 10. Increase Production a. Utilization management - Conversion of observation to inpatient - Direct communication with the medical directors on insurance - Reduction in denial b. Availability to the CDS team will increase the CMI/ SI
- 11. Leadership Role
- a. Participation to different committees related to patient care
- b. Undertaking quality assurance projects
Medical Degree (MD, DO) and Internal Medicine Residency completion
Inpatient Care of the Medical Patient
Board Certification in Internal Medicien within one year of hire
Procedural skills desirable but not required
MMR is required. Varivax (chicken pox vaccine) or evidence of prior chicken pox is required. Hepatitis B (or signed declination) is required for those with potential exposure to blood/body fluids. Tdap and influenza vaccination are strongly encouraged. All shifts including overnight