Purpose: Align utilization management (UM) and clinical documentation integrity (CDI) to improve hospital value = quality / cost. ⚙️ Core Formula 🔗 Value = Quality / Cost Improve documentation and utilization → reduce LOS gap → accurate payment & fair benchmarks. 🏥 Key Metrics 🔗 MetricDefinitionGoal / ImpactALOSActual average inpatient stay≤ GMLOS; optimize throughputGMLOSGeometric mean LOS per DRGBenchmark for case complexityCMICase

Christmas is finally here!  My Christmas started with a much needed nap after a busy night.  There was a steady stream of admissions and cross coverage to take care of.  The 1st part of the shift was not very busy but once at approach midnight I was called with 4

Last night went better than expected. I was just happy to have flipped my schedule to nights smoothly. This time I extended my bedtime 1-2 hours a night until i was fully nocturnal by night 7. This was the first time I have tried a more gradual approach, and

Here we go again. I’m working one week of nights through Christmas and this is the first of seven. It’s not the best situation, especially considering my sons birthday is this week as well and would love to have been on the same schedule to enjoy the afternoon

It has been awhile since I’ve posted. I fell in a  rut creatively and let myself get bogged down by over-analysis paralysis. Days went by and eventually four months. I was lazy and found plenty of excuses not to write or post. During this time, I questioned my

-------------------------------------------------------------------------------- > Word of the Week Cost of goods sold (COGS) is the direct costs of producing goods such as materials and labor directly used to create the goods.. Learn more at Investopedia [https://www.investopedia.com/terms/c/cogs.asp] -------------------------------------------------------------------------------- Preparing for retirement can feel like a gargantuan task, considering

-------------------------------------------------------------------------------- > Word of the Week Revenue (or sales on the income statement) is the money generated from normal business operations, calculated as the average sales price times the number of units sold. Read on at Investopedia [https://www.investopedia.com/terms/r/revenue.asp] -------------------------------------------------------------------------------- Christopher Bullock, an English actor and

> Word of the Week P/E Ratio: The price-to-earnings ratio (P/E ratio) is the ratio for valuing a company that measures its current share price relative to itsearnings per share [https://www.investopedia.com/terms/e/eps.asp](EPS) and is used by investors to determine

A pocket dummy is one who mindlessly spends money unfazed by the iminent long term financial consequences Antonio, the Pocket Dummy "Can you please spare a little change ma'am?" Many would suspect this phrase originated from a sweet  person down on their luck. Unfortunately, this is

As a hospitalist, communication skills are very important to have when conveying information to patients, families and other healthcare providers. In addition, patients and families span across the spectrum of healthcare literacy and exposure, adding to the complexity of this task. Even when equipped with as many soft-skill-tipped

I know you're reading this thinking, "here we go again with another fake guru capping about his luxurious lifestyle and trying to convince me that he has the secret sauce to achieve wealth and prosperity." Fortunately for you, nothing could be further from the truth. I&

The White Coat Investor’s Financial Boot Camp: A 12-Step High-Yield Guide to Bring Your Finances Up to Speed: Dahle, James M: 9780991433117: Amazon.com: BooksThe White Coat Investor’s Financial Boot Camp: A 12-Step High-Yield Guide to Bring Your Finances Up to Speed [Dahle, James

Someone wanted to send me a message 🧐

Seven days on, seven days off, is the life of a hospitalist. I enjoy my time on service doing my part to diagnose, treat and coordinate the care of my patients. I also love taking time off to decompress and enjoy my family. This past week we took a short

When I was younger, my family would go on road trips to our family reunions. one year, we had a reunion in Houston Texas which was a 24 hour drive. We would bring snacks and video games, and pack everything (and everyone) into minivans to travel caravan style. Usually I

During my experience on the interview trial, I received so much advice from recruitment specialists, lawyers and mentors. here are some of the questions I asked myself and/or the recruitment team during my job search and interviews.

During residency, one of my colleagues had the pleasure of taking care of a male in his 40s with refractory  tachycardia. An EKG was done which confirmed sinus tachycardia. Comprehensive metabolic panel along with magnesium and phosphorus were within normal limits. Complete blood count was negative for elevated white blood

How I structure my workday using COLDSAND