Agenda

1. Establishing a Hospitalist Medical Specialty SocietyShaun Frost, MD, SFHM, FACPPresident Elect, Society of Hospital MedicineChief Medical Officer – NE Region, Cogent HMG

2. Agenda • The hospital of the future • A brief history of hospital medicine and the Society of Hospital Medicine • Five essential lessons to consider when building a hospitalist specialty society

3. The Hospital of the FutureChallenges facing hospitals • Patients are sicker and more complex • Hospitals running at capacity • Emergency Departments overcrowded • Workforce shortages • Nurse turnover = 20% annually • PCPs giving up inpatient care • Surgeons / subspecialists narrowing their scope of practice • Hospital – physician relationships • Public trust • Quality & patient safety • Tremendous cost pressures and fiscal responsibilities

4. The Hospital of the FutureCost and mortality

5. The Hospital of the FutureCost pressures

6. The Hospital of the FutureCost pressures will become quality pressures Healthcare reform will change how healthcare dollars are distributed • PPACA • Value Based Purchasing • Bundling • Accountable Care Organizations • Patient Centered Medical Homes • IPAB

7. The Hospital of the FutureCost, quality, and success “Winning” Quality Efficiency

8. The Hospital of the FutureThe vision • Demonstrable quality performance • Maximum efficiency How do we do this?

9. The Hospital of the FutureThe vision • Demonstrable quality performance • Maximum efficiency Genuine systems integration is essential How do we do this?

10. The Hospital of the FutureThe vision • Demonstrable quality performance • Maximum efficiency How do we do this?

11. The Hospital of the FutureThe modern medical staff • Home team • Hospitalists*, ED docs, intensivists • Maybe radiology, anesthesiology, pathology • Important visitors • Ortho, cardiology, nephrology, etc. • Everyone else • PCPs, endo, rheumatolgy, dermatology, etc. * Hospital medicine, OB-Gyn hospitalists, surgicalists, neurohospitalists, etc. Trotten, MK & Orlikoff, JE, “New Models for Hospital-Physician Relationships”, Trustee Magazine January 2008

12. The Hospital of the FutureHow to achieve genuine systems integration Hospitalists have to think unconventionally • Doctors traditionally trained to think of just the patient in front of them • How to treat this woman’s complicated delivery? • Hospitalists must think about entire system • How can we best manage the 100 complicated deliveries that we will attend at this year? • How should nursing, pharmacy, the ED be staffed and organized to accomplish this?

13. The Hospital of the FutureHow to achieve genuine systems integration Home team must act as a unit • All team members collaboratively think through the care delivery tasks • “Outside of the box” thinking results in greater efficiencies and effectiveness • Roles traditionally performed by physicians become responsibility of others • Physicians assume new value added roles

14. Agenda • The hospital of the future • A brief history of hospital medicine and the Society of Hospital Medicine • Five essential lessons to consider when building a hospitalist specialty society

15. A Brief History of HM & SHMHM is very young

16. A Brief History of HM & SHMAstronomically quick growth • 1995: 9.1% of Gen Med claims by hospitalists • 2006: 37.1% of Gen Med claims by hospitalists • 1997 – 2006: Odds of receiving care from hospitalist  year over year by 29.2% Kuo Y et al. N Engl J Med 2009;360:1102-1112

17. A Brief History of HM & SHMAstronomically quick growth • 1997 23 • 1999 800 • 2001 1,750 • 2003 3,200 • 2006 6,300 • 2008 7,850 • 2010 10,000 SHM Membership Statistics 1997-2010

18. A Brief History of HM & SHMSociety of Hospital Medicine in 2011 • Membership ~ 12,000 • Growing 18-20% annually • Annual Meeting >2,500 • Growing 30-35% annually • Unique Publications • Journal of Hospital Medicine • The Hospitalist news magazine

19. A Brief History of HM & SHMSociety of Hospital Medicine in 2011 • ABIM unique MOC in the focused practice of HM • Center for Hospital Innovation and Improvement • BOOST, VTE prevention, glycemic control • Consistently invited to input on significant healthcare policy and regulatory issues • True voice in Washington DC • Pat Conway, MD, CMO of CMS

20. A Brief History of HM & SHMThe short story Hospital medicine has been successful and rapidly accepted because of the attention it has paid to the forces that are driving hospital change and the evolving hospital medical staff of the future

21. Agenda • The hospital of the future • A brief history of hospital medicine and the Society of Hospital Medicine • Five essential lessons to consider when building a hospitalist specialty society

22. How to Build a Medical SocietyFive essential lessons • Focus keenly on quality improvement • Be healthcare reform facilitators • Respect the importance of “branding” • Be inclusive versus exclusive • Define your uniqueness

23. How to Build a Medical SocietyFive essential lessons • Focus keenly on quality improvement • Be healthcare reform facilitators • Respect the importance of “branding” • Be inclusive versus exclusive • Define your uniqueness

24. How to Build a Medical SocietyFocus keenly on quality improvement • Define quality comprehensively • Understand the definition of value • Anticipate the most important quality expectations of your key stakeholders • Help your members deliver high value care