Implementing a Hospitalist Comanagement Service in Orthopaed... : JBJS

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Current Concepts Review

Ghanem, Diane MD1,a; Kagabo, Whitney MD1; Engels, Rebecca MD1; Srikumaran, Uma MD1; Shafiq, Babar MD1

Author Information

1Department of Orthopaedic Surgery, The Johns Hopkins Hospital, Baltimore, Maryland

aEmail for corresponding author: [email protected]

Investigation performed at The Johns Hopkins Hospital, Baltimore, Maryland

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJS/H946).

The Journal of Bone and Joint Surgery | DOI: 10.2106/JBJS.23.00789

Metrics Abstract ➤ Hospitalist comanagement of patients undergoing orthopaedic surgery is a growing trend across the United States, yet its implementation in an academic tertiary care hospital can be complex and even contentious. ➤ Hospitalist comanagement services lead to better identification of at-risk patients, optimization of patient care to prevent adverse events, and streamlining of the admission process, thereby enhancing the overall service efficiency. ➤ A successful hospitalist comanagement service includes the identification of service stakeholders and leaders; frequent consensus meetings; a well-defined standardized framework, with goals, program metrics, and unified commands; and an occasional satisfaction assessment to update and improve the program. ➤ In this article, we establish a step-by-step protocol for the implementation of a comanagement structure between orthopaedic and hospitalist services at a tertiary care center, outlining specific protocols and workflows for patient care and transfer procedures among various departments, particularly in emergency and postoperative situations. Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated Full Text Access for Subscribers:

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