Matthew S Russell1, David Eisele, Andrew Murr. 1. Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California 94115, USA. mrussell@ohns.ucsf.edu
Abstract
OBJECTIVES/HYPOTHESIS: To define a new clinical hospitalist practice paradigm originating at the University of California, San Francisco. DESIGN: Retrospective administrative database review at a tertiary referral hospital. MATERIALS AND METHODS: A consortium model of an otolaryngologist hospitalist practice was developed. Billing records, including Current Procedural Terminology (CPT) and International Classification of Disease-9 (ICD-9) codes, were reviewed to evaluate the number and type of consultations and surgeries generated during a 2-year period. RESULTS: A total of 375 new inpatient consultations generated 951 patient encounters. The most common diagnoses were respiratory failure (12%), sinusitis (10.6%), stridor (10.6%), and dysphonia (7.6%). Twenty-six percent of consultations involved a procedure or surgical intervention, the most common of which were endoscopic sinus surgery, laryngoscopy, and tracheotomy. CONCLUSIONS: To our knowledge, ours is the first full-time otolaryngology hospitalist model in the United States. The hospitalist practice is a conceptually viable and clinically beneficial paradigm that should be considered at other similar institutions.
OBJECTIVES/HYPOTHESIS: To define a new clinical hospitalist practice paradigm originating at the University of California, San Francisco. DESIGN: Retrospective administrative database review at a tertiary referral hospital. MATERIALS AND METHODS: A consortium model of an otolaryngologist hospitalist practice was developed. Billing records, including Current Procedural Terminology (CPT) and International Classification of Disease-9 (ICD-9) codes, were reviewed to evaluate the number and type of consultations and surgeries generated during a 2-year period. RESULTS: A total of 375 new inpatient consultations generated 951 patient encounters. The most common diagnoses were respiratory failure (12%), sinusitis (10.6%), stridor (10.6%), and dysphonia (7.6%). Twenty-six percent of consultations involved a procedure or surgical intervention, the most common of which were endoscopic sinus surgery, laryngoscopy, and tracheotomy. CONCLUSIONS: To our knowledge, ours is the first full-time otolaryngology hospitalist model in the United States. The hospitalist practice is a conceptually viable and clinically beneficial paradigm that should be considered at other similar institutions.
Authors: Kevin J Choi; Russel R Kahmke; Matthew G Crowson; Liana Puscas; Richard L Scher; Seth M Cohen Journal: JAMA Otolaryngol Head Neck Surg Date: 2017-05-01 Impact factor: 6.223