Health & Medical First Aid & Hospitals & Surgery

Emergency and Hospital Medicine: A Call for Collaboration

Emergency and Hospital Medicine: A Call for Collaboration

Conclusion


Hospitals today face unprecedented fiscal threats, given the increasing numbers of uninsured patients, unfunded federal and regulatory mandates, and scrutiny of health care quality that impacts both compensation and consumer choice. At the center of most hospitals' efforts to manage these challenges is the interface between the ED and the hospitalist service. We propose that emergency physicians and hospitalists work together to develop protocols for consistent, evidence-based, and expeditious care of patients admitted from the ED; to collaborate in the care of ED patients who can safely be discharged home; to pursue joint quality, hospital leadership, and cost-effectiveness projects; to work in partnership to assure adequate staffing of hospital-based specialists; and to cooperate in the professional, front-line assessment of clinically and fiscally driven policies aimed at assessing the appropriateness of hospital admissions and readmissions. Care in the hospital of the future will be largely determined by emergency physicians and hospitalists. We envision a vital role for ongoing collaboration between them in achieving the goals of patient care, education, and quality and safety outcomes.



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