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The heart of a heart doctor

September 14, 2015by Robert Whitcomb in Uncategorized tagged , , , ,

heartinbody

Ileana L. Pina, M.D., a cardiologist specializing in transplant and  heart-failure patients, and  associate chief of cardiology at Montefiore Medical Center, in New York City, talks about what’s good and bad about practicing medicine these days.

She answered these questions from MedPage Today:

1. “What’s the biggest barrier to practicing medicine today?

2. “What is your most vivid memory involving a patient who could not afford to pay for healthcare (including meds, tests, etc.) and how did you respond?

3. “What do you most often wish you could say to patients, but don’t?

4. “If you could change or eliminate something about the healthcare system, what would it be?

5. “What is the most important piece of advice for healthcare providers just starting out today?

6. “What is your ‘elevator’ pitch to persuade someone to pursue a career in medicine?

7. “What is the most rewarding aspect of being a healthcare provider?

8. “What is the most memorable research published since you became a physician and why?

9. “Do you have a favorite medical-themed book, movie, or TV show?

10. “What is your advice to other physicians on how to avoid burnout?”

 

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Welcome to the ‘bedless hospital’

September 14, 2015by Robert Whitcomb in Uncategorized tagged , , ,

hospbed

Bye-bye bed.

A  growing number of healthcare providers are building facilities with a wide range of hospital-type services but without inpatient beds.  Modern Healthcare focuses on a couple of them, including Children’s Hospital of Michigan Specialty Center  —  a 63,000-square-foot, $44 million pediatric outpatient center in Michigan that will have “a 24-hour pediatric-emergency room, operating rooms for a range of pediatric surgeries, and outpatient care in several specialties, including cardiology, neurology and oncology.”

“Similarly, Montefiore Medical Center in New York opened a ‘bedless hospital’ last year in the Bronx. The $152 million, 12-floor, 280,000-square-foot tower features 12 operating rooms, exam rooms, a headache clinic, imaging facilities and, eventually, a full-service pharmacy—but no inpatient beds.”

Driving much of this is cost.

These facilities raise the definitional question: Can it be a “hospital” and yet not have inpatient beds?

“These facilities offer a mix of telemedicine, imaging, short-term observation care and surgery. Technology allows patients to avoid being kept overnight for monitoring. Many routine checks can be done through remote digital technology,” the publication says.
”You can set a patient up with an iPad at home,”  Erin Nelson, a consultant with Chicago-based real estate adviser CBRE Healthcare, told Modern Healthcare. ‘“They can access discharge instructions, information on medication and video chat with a nurse.”’
“There are way fewer big projects and more highly focused smaller facilities,” Paul Strohm, director of global healthcare practice at design and architecture firm HOK, said. “We’re designing facilities that are smaller and more efficient and more flexible.”

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