MICHIGAN MEDICINE Division of Hospital Medicine

A MESSAGE FROM THE CHIEF

Dear Friends, I am excited to introduce the first edition of the Michigan Medicine Division of Hospital Medicine newsletter. We hope it will keep you informed of our latest initiatives in patient care, education, and research within our Division. Since the establishment of the Hospital Medicine Program in 2002, our Division has grown to approximately 130 faculty and staff, providing care for more than three quarters of all hospitalized medical patients at Michigan Medicine and the VA Ann Arbor Healthcare System. In July 2017, the Division of Hospital Medicine was officially formed with the following mission: Provide the highest quality and most compassionate patient-centered care. Advance medical knowledge and find innovative ways to create value. Commit to the ongoing education of ourselves and others. Advocate for our patients and their families. Support a work environment where each person is valued, respected, and has an opportunity for personal and professional growth. I am pleased to announce that Scott Flanders, MD has begun his new role as Chief Clinical Strategy Officer for Strategic Planning and Business Development. In this role, he represents the medical group and health system, and partners with the Chief Strategy Officer to develop and execute clinical affiliations with other organizations. This work will continue to support the full implementation of Michigan Medicine's clinical network strategy. We are delighted that Scott sits in this important role for the health system and the Division. The annual Society of Hospital Medicine (SHM) National Meeting took place March 24-27. We had one of our strongest showings this year, with over 25 posters, presentations, and workshops. Several research posters came from junior faculty who participated in our JetPack Clinical Scholarship Program and represented their first ever research submission to SHM! Our division looks forward to this conference every year as it's a time to learn about the latest research and best practices from other institutions, showcase what our faculty have been working on each year, and connect with fellow hospital medicine health care providers. View our posters, presentations, and workshops .

We hope you will share your comments and suggestions with us at umhospitalmedicine@umich.edu . We would love to hear from you. And please visit our website  to learn more about our expansive patient care, research, and educational programs.  Go Blue! Sincerely, Vineet Chopra, MD, MSc Chief, Division of Hospital Medicine Michigan Medicine

INAUGURAL NATIONAL HOSPITALIST DAY

The first National Hospitalist Day , initiated by the Society of Hospital Medicine (SHM) , took place on March 7. The day was instituted to honor hospital medicine care teams and to celebrate their contributions to patient care, education, and research. The Division of Hospital Medicine at Michigan Medicine joined SHM in the celebration. Read " All Inpatients, All the Time: Hospital Medicine Grows as a Specialty ", which includes quotes from some of our hospitalists, and watch a video saluting our physicians and advanced-practice clinicians who specialize in hospital medicine. Our video entry was recognized by SHM as the best in the nation among the many entries submitted to the organization! National Hospitalist Day will occur annually, the first Thursday in March. Save the Date: March 5, 2020!

PATIENT CARE

Service Lines Members of the Division of Hospital Medicine fulfill several roles on the inpatient medical wards at Michigan Medicine and the VA Ann Arbor Healthcare System . These include teaching on resident services, attending on non-resident services, and providing medical consultation and surgical co-management to patients on non-medicine services. Additionally, members of the Division also staff a number of service lines that have unique characteristics and patient focus areas such as renal transplant and hematologic malignancies. Learn more about our eight clinical service lines .

EDUCATION & TRAINING

The Saint-Chopra Guide to Inpatient Medicine Sanjay Saint, MD, MPH and Vineet Chopra, MD, MSc publish the Fourth Edition of the comprehensive Guide to Inpatient Medicine . This is an update and expansion of the celebrated Saint-Frances Guides, a bedside clinical manual for caring for the hospitalized patient. Learn more .

Our Division partners with the  Annals of Internal Medicine  to create a special feature called “ Annals for Hospitalists (AFH) .” AFH highlights hospitalist-relevant content from Annals, and brings perspectives from leaders in the field to clinicians, policy-makers, and researchers to everyday hospitalists. Learn more .

Recent Issues April 16, 2019, Just What the Doctor Ordered - Checklists to Improve Diagnosis December 18, 2018, Nonexpert Leadership - Can Hospitalists Turn the Tide of Aggressive End-of-Life Hospital Care? November 20, 2018, How I Changed My Practice - Perioperative Bridging Anticoagulation

Hospital Medicine Fellowship Program The Division of Hospital Medicine at the University of Michigan is among the few divisions in the nation to offer a dedicated two-year research fellowship in the field of Hospital Medicine. Built within the curriculum of the  U-M Institute for Healthcare Policy & Innovation National Clinician Scholars Program  (formerly the Robert Wood Johnson Clinical Scholars Program), the fellowship is based on an adult-learning theory model and is goal-directed at each stage. Learn more .

JetPack Clinical Scholarship Program In 2017, the Division of Hospital Medicine launched the JetPack Clinical Scholarship Program, aimed specifically at clinicians interested in quality improvement or operational efforts. JetPack provides peer-to-peer mentoring within a resource rich environment to help mentees succeed, typically junior faculty, with little experience in conducting or writing a research/QI project. It is designed to help Hospital Medicine faculty pursue academic work that will lead to the publication of a peer-reviewed paper. Learn more .

Michigan Mentorship Academy Workshop   A one-day workshop aimed to help you become a better mentor, a more effective mentee, and enhance your organization's mentoring culture. The workshop is for those interested in learning about how to mentor and be mentored. The day will include lectures, panel discussions, question and answer sessions, small group discussions, and role play. Learn more and register .   Date: June 22, 2019 Time: 8:00 am - 5:30 pm - Dinner to Follow Cost: $100 - $200 per person

Lecture: " Islands of Mindfulness within Oceans of Chaos " Sanjay Saint, MD, MPH and Vineet Chopra, MD, MSc presented their work on healthcare-associated complications, diagnostic errors, and mindfulness during their talk "Islands of Mindfulness within Oceans of Chaos" at the Ross School of Business on March 18. The talk was rated as among the best in the school's Positive Links Speaker Series. Learn more .

GRANTS

McKay Grant and Heart of a Champion Award Brian Emmer, MD was selected to receive a Michigan Medicine Frankel Cardiovascular Center (CVC) McKay Grant. The McKay Grant was created by the CVC to fund cutting-edge, high-risk, high-reward research. These awards are competitive and often provide key pilot data for larger grants. In addition, the most competitive McKay Grant applicant is designated as the annual Heart of a Champion award recipient, which was also awarded to Dr. Emmer.

IN THE NEWS

Mary Rogers, PhD, MS discusses study findings that examined private insurance coverage for people with diabetes before and after the enactment of the preexisting condition mandate. Read more .  Valerie Vaughn, MD, MSc finds that patients are getting discharge prescriptions for fluoroquinolones in hospitals that have active antimicrobial stewardship programs. Read more .

RECENT PUBLICATIONS

Clinical Infectious Diseases, April 2019 Multidrug-Resistant Organisms in Hospitals: What Is on Patient Hands and in Their Rooms? BMJ, March 2019 Variation in Use and Outcomes Related to Midline Catheters: Results from a Multicentre Pilot Study American Journal of Case Reports, March 2019 Severe Coagulopathy as a Rare Feature of Celiac Crisis in a Patient Previously Diagnosed with Celiac Disease Journal of Hospital Medicine, March 2019 Leadership & Professional Development: Know Your TLR Teaching and Learning in Medicine, March 2019 Cross-Cover Documentation: Multicenter Development of Assessment Tool for Quality Improvement BMJ, February 2019 Nationwide Cohort Study of Independent Risk Factors for Acute Respiratory Distress Syndrome After Trauma NEJM, February 2019 Structural Latrogenesis - A 43-Year-Old Man with “Opioid Misuse” American Journal of Infection Control, January 2019 Changes in Health Care-Associated Infection Prevention Practices in Japan: Results from 2 National Surveys BMJ, January 2019 Characteristics of Healthcare Organizations Struggling to Improve Quality: Results from a Systematic Review of Qualitative Studies

American Journal of Infection Control, December 2018 How Often Are Health Care Personnel Hands Colonized with Multidrug- Resistant Organisms? A Systematic Review and Meta-Analysis Journal of Hospital Medicine, December 2018 A Model to Improve Hospital-Based Palliative Care: The Palliative Care Redistribution Integrated System Model (PRISM) Journal of General Internal Medicine, December 2018 Is There a Role for Internal Medicine Residency Preparation Courses in the Fourth Year Curriculum? A Single-Center Experience Elsevier, November 2018 Role of Transfusions in the Development of Hospital-Acquired Tract-Related Bloodstream Infection Among United States Veterans Annals of Global Health, November 2018 Advancing Women Leaders in Global Health: Getting to Solutions Hospital Pediatrics, November 2018 Adherence to AAP Healthy Newborn Discharge Criteria in a Tertiary Care Children’s Hospital Journal of the American Geriatrics Society, October 2018 Interprofessional Intervention to Improve Geriatric Consultation Timing on an Acute Medical Service

Visit our Research webpage.

AWARDS & RECOGNITION

Robert Chang, MD received a commendation letter from the institution’s Chief Medical Information Officer for his role in streamlining order sets and physician order entry within MiChart. Leading a multidisciplinary committee to develop, approve, and implement a number of solutions, he showed significant creativity and flexibility, and a deep detailed technical expertise in informatics, as well as a profound appreciation for clinical workflow. During the Joint Commission survey in late March 2019, zero citations were found related to order sets, which is a direct reflection of Dr. Chang’s outstanding service and commitment to improving the delivery of clinical care.

David Bozaan, MD (pictured left) elected as Vice President and Mark McQuillan, MD (pictured right) elected as Secretary of the Michigan Chapter of the Society of Hospital Medicine .

Vineet Chopra, MD, MSc elected to the Annals of Internal Medicine Editorial Board .

Daniel Cronin, MD  selected to receive the Senior Year Award .

Daniel Giesler, MD received the Department of Internal Medicine Quality Improvement Award. Learn more .

Paul Grant, MD inducted into the Department of Internal Medicine Clinical Excellence Society.  Learn more .

Michael Lukela, MD honored with the Medical School Dean's Program Kaiser Permanente Excellence in Teaching Award .

Matthew Luzum, MD received the Division of Hospital Medicine Quality Improvement Award. Learn more .

Mary Rogers, PhD, MS  is lead author of a study selected for Health Affairs Editor-in-Chief's "top ten" articles for 2018. Learn more .

Sanjay Saint, MD, MPH appointed Editor-at-Large for BMJ Quality & Safety .

Valerie Vaughn, MD, MSc inducted into the IHPI Early Career Faculty Advisory Council .

Teaching Awards The Division of Hospital Medicine faculty members are dedicated to the teaching and career development of medical students, residents, and fellows, and make up approximately 80% of all teaching teams at the University of Michigan. As a result, our faculty members have received several teaching awards from the Department of Internal Medicine and the Medical School. These include the Department of Internal Medicine Annual Awards for the H. Marvin Pollard Award for Outstanding Teaching of Residents , Special Recognition for Contributions to the House Office Teaching Program, and Richard D. Judge Award for Medical Student Teaching, and the Medical School Dean's Program Kaiser Permanente Excellence in Teaching Award , which has been won by one of our faculty for the past four years.

Department of Internal Medicine Clinical Excellence Society Many of our faculty members belong to the Department of Internal Medicine Clinical Excellence Society , with two faculty members serving as officers. The Clinical Excellence Society recognizes in an ongoing fashion those faculty who, by their peers and their division, exude and demonstrate clinical excellence towards their patients and colleagues. See below for faculty who are members: Aaron Berg, MD Robert Chang, MD (Secretary - Treasurer) Scott Flanders, MD Paul Grant, MD Michael Lukela, MD Mark McQuillan, MD (President) David Wesorick, MD

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