Building and Sustaining Co-Management Programs in Hospital Medicine: A Technical Report and Operational Guide-Appendix A

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Appendix A of the document "Building and Sustaining Co-Management Programs in Hospital Medicine" provides several real-world examples of hospitalist co-management programs, based on the duration they've been established. Here is a high-level summary of these programs:<br /><br />1. <strong>University of Texas Medical Branch</strong> (2 years): Focuses on reducing the burden on teaching teams, improving patient care quality, with hospitalists dedicated to co-management in specialties like orthopedics and neurosurgery.<br /><br />2. <strong>Monash Health, Australia</strong> (2 years): Co-manages colorectal surgery patients, emphasizing perioperative complication prevention and patient-centric decision-making.<br /><br />3. <strong>Smilow Cancer Hospital, Yale</strong> (3 years): Manages solid tumor oncology and sickle cell disease, enhancing care complexities and efficiency.<br /><br />4. <strong>Yale New Haven Hospital</strong> (8 years): Covers fragility hip fractures and high-risk spine cases to enhance outcomes for older adults and streamline patient care.<br /><br />5. <strong>Thomas Jefferson University</strong> (8 years): Co-manages neurosurgery and orthopedic spine services, improving patient outcomes and enabling neurosurgeons to focus on surgical tasks.<br /><br />6. <strong>Regions Hospital, HealthPartners</strong> (10 years): Works with orthopedic surgery with an emphasis on collaboration and optimal patient care.<br /><br />7. <strong>Stanford University</strong> (12 years): Manages neurosurgery, orthopedic surgery, and ENT, aiming to improve patient care and reduce surgical complications.<br /><br />8. <strong>Hospital Universitario Clínico San Carlos, Spain</strong> (14 years): Handles various surgeries such as cardiac and maxillofacial to minimize complications and hospital stays.<br /><br />9. <strong>UCSF</strong> (18 years): Co-manages general cardiology and advanced heart failure patients to support care complexity.<br /><br />10. <strong>Children's Healthcare of Atlanta, Nemours Children's Health</strong> (18 years): Primarily works with orthopedic co-management to ensure patient safety and improve satisfaction.<br /><br />11. <strong>Froedtert Hospital, Wisconsin</strong> (20 years): An established program for orthopedic and neurosurgery services to enhance surgical patient care while supporting surgical goals.<br /><br />12. <strong>Kaiser Permanente, California</strong> (20 years): Specializes in neurosurgery co-management to improve ICU throughput, patient satisfaction, and reduce complications.<br /><br />Each program leverages dedicated hospitalists, often in collaboration with surgical teams, focusing on specific metrics like length of stay, readmission rates, and patient satisfaction to assess their outcomes. Co-management hospitalists participate actively in creating order sets, clinical pathways, quality improvement projects, and are integral to multi-disciplinary committees. Compensation varies, but often includes salaries covered by the hospital with potential bonuses related to quality metrics and engagement. Backup plans are typically in place to ensure continuity of care.

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Concept Hospitalist Comanagement

Concept Patient Outcomes

Concept Complications

Concept Length of Stay

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hospitalist co-management

patient care quality

perioperative complication prevention

surgical co-management

patient satisfaction

multidisciplinary collaboration

quality improvement

clinical pathways

order sets

hospital medicine

Hospitalist Comanagement

Patient Outcomes

Complications

Length of Stay

Readmission