Tag: bristol-hospital

Should ER Groups Use Locums? Passing the Baton in Connecticut

September 19th, 2012
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One of the first issues an emergency medicine group must address when they take over a new Emergency Department is whether to employ temporary locums providers to staff the department. The pressure is on to staff up, and many groups use locums as a stop-gap until they have hired full-time emergency physicians. Other groups may […]

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Posted in Hospital Partnership, Leadership

Observation Medicine Coming to Shady Grove Adventist

September 11th, 2012
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This Fall, we will help our partner Shady Grove Adventist Hospital launch an Observation Medicine Unit aimed at reducing one day admissions and re-admissions. Over $15 billion a year is spent each year on these types of hospital admissions. A majority of this money is spent on Medicare patients, and according to a Medicare Payment Advisory Commission […]

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Posted in Observation Care

Culture Change in the Bristol Emergency Department

April 24th, 2012
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After five months of helping to manage the emergency department at Bristol Hospital, it is tempting to talk about the various changes in the department – our metrics, efficiencies, ongoing efforts to improve throughput, or our relations with nursing, ancillary services, and other departments within the hospital. But I fall back on the one factor […]

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Posted in Hospital Partnership, Life in the ER

Observation Medicine Playing Bigger Role in the ER

April 20th, 2012
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Traditional observation units often focus on chest pain and a few other diagnosis. But as the health care market continues to change, so has the need to decrease length of stay, decrease re-admissions, and streamline patent care. Accordingly, our Observation Services at Western Maryland Health System continues to grow. We have physically expanded from ten to […]

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Posted in Future of Healthcare, Observation Care

Leading from the Front in a New Emergency Department

January 31st, 2012
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I recently spent a week working clinically at our new hospital partner, Bristol Hospital, in Connecticut. I worked along many other experienced, seasoned physicians and leaders. In fact, nearly all of our group’s top leadership and senior partners have worked clinical shifts in the Emergency Department there in recent weeks. And “leading from the front,” so to […]

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Posted in Leadership

After 20 Years in Emergency Medicine, The Worries and Tools I Take to a New ER

January 24th, 2012
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When I completed my training nearly 20 years ago, I always wondered what type of emergency department I would work in. Two decades later I can say I’ve worked in a lot of different emergency departments, seven of them to be specific. They range from bustling suburban hospitals to small rural facilities to busy trauma […]

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Posted in Life in the ER, Quality Efficiency Utilization