The hospitalist program in critical care was started in 2006 with four physicians at UPMC South Side and has since grown to a division of 37 hospitalists with a presence at three UPMC hospitals. We provide inpatient care at UPMC Mercy, Passavant, and St. Margaret hospitals. Our services are tailored to the specific needs of each institution and include: internal medicine resident teaching, managing critically ill patients, airway support, basic procedures, and traditional inpatient internal medicine.
The mission of the Hospitalist Division in CCM is to provide patients with high quality, around the clock, innovative care with an emphasis on patient safety, communication and evidence based decision making. We also provide tailored service to each of our hospitals with an emphasis on efficiency and compliance by maintaining expertise in core measures, meaningful use criteria, avoidable delays, care management coordination, and Joint Commission requirements. We routinely have the best length of stay and avoidable delay metrics for the medical services in our hospitals. In addition to caring for our own patients we are general problem solvers within the hospital when urgent or unique situations arise. Our physicians become involved in the operations of the hospital through committee work and through their close interaction with nurses, care managers, and other support services. We are frequently the first to adopt new technologies such as electronic documentation and the first to trial new work-flow initiatives. The hospitalists are involved in Quality Initiatives which are investigating ways to reduce our readmission rates and resource utilization. Where teaching programs exist, we support the educational mission through teaching and facilitating compliance with ACGME requirements. The division provides and encourages training in leadership skills for all hospitalists. Our physicians receive training in Crisis Team Management, central venous catheter placement, and difficult airway support. Our hospitalists pursue advance academic recognition such as Fellowship in the American College of Physicians and the ABIM Focused Practice in Hospital Medicine.
Over the next five years the Division of Hospital Medicine will continue to expand services to new hospitals as well as transform and shape inpatient medicine in our current locations. The hospitalists will be leaders in all aspects of hospital operations including infection control, workflow, patient satisfaction, and resource management. The hospitalist service will be the laboratory for innovations in patient care. Our hospitalists will active at the national level in the Society for Hospital Medicine and the American Board of Internal Medicine. The research program will produce robust, high quality studies in clinical and health services research. We will continue to develop graduate level training programs leading to advanced degrees in leadership and health administration.
In 2006 the idea of having hospitalists within the department of Critical Care Medicine was conceived by the previous chairman Dr. Mitchell Fink. The concept was to utilize hospitalists as “critical care extenders” to oversee the ICU at night and to run the rapid response teams in smaller, community hospitals with no around the clock critical care coverage. These physicians would benefit from the training and continuing education which is offered in the department as well as the availability of CCM physicians at UPMC Presbyterian for support. Over the ensuing years the program expanded to UPMC Braddock, McKeesport, Mercy and Passavant. Our patient panel continues to grow at each hospital as we take on patient groups from community primary care providers, unassigned patient admissions through the emergency rooms, and patients who overflow from the teaching program services.