Background: There is minimal automated electronic feedback to hospitalists about their level of service in professional billing. Based on today’s payor requirements for inpatient admission, the medical decision-making involved in the care of inpatients almost always justifies a level of service above level 1. However, encounters may still receive level 1 due to under-documentation (e.g. [...]

Background: Academic hospitalists have identified teaching learners as the most fulfilling aspect of their jobs. Components of effective clinical education include teaching at the bedside and giving feedback. To enhance and develop the teaching and professional developmental skills of early-career hospitalists, the Society of Hospital Medicine (SHM), the Society of General Internal Medicine (SGIM), and [...]

Background: As our healthcare system shifts towards a patient satisfaction model, programs focusing on improving physician communication skills have been on the rise. Many of these programs have focused on outpatient providers as it can be more difficult to capture provider-patient communication in the inpatient setting. Most of the patient feedback obtained for inpatient providers [...]

Background: Hospitalists are tasked with improving care quality across several different inpatient metrics. These include length of stay, readmission rates, health care associated infections, system capacity and patient satisfaction scores. While most quality metrics are driven by systems of care, it can be challenging for frontline providers to address variations in individual practice, if any, [...]

Background: In the quest to improve patient satisfaction scores, providers and health systems alike are frustrated with the inability to obtain real-time satisfaction data. Indeed, HCAHPS data lags by six months, and makes it exceedingly difficult to provide real-time feedback to physicians on their communication with patients. As a result, we developed a patient-centered audit [...]

Background: Data dashboards are used in many industries to track performance, however their development and efficacy in hospital medicine has not been well described. Data availability, provider attribution, feedback timeliness, and data accuracy have been cited as barriers to developing and implementing an effective performance dashboard. Purpose: We developed a hospital medicine clinical data dashboard [...]

Background: Clinical reasoning is a core component of medical training yet learners receive very little formative feedback on their clinical reasoning documentation. We hypothesize that this is related to the lack of a shared assessment rubric and faculty time constraints. Purpose: Here we describe the process of developing a machine learning algorithm for feedback on [...]