A New Hospitalist Model for Managing High-Cost, High-Need Patients

Brief
Key Questions Answered
  • What would a hospitalist model for complex care look like?
  • What is the evidence for its effectiveness?
Key Themes and Takeaways

This resource describes a promising new hospitalist model for inpatient treatment of complex care patients.

  • In July 2016, Commonwealth Care Alliance and Boston Medical Center created a hospitalist service staffed with physicians and mid-level providers who specialize in complex care. 
  • This complex care hospitalist model has four fundamental, replicable components: communication, continuity of care, social determinants of health, and specialists in complex care.
  • Preliminary results show that patients receiving this service had lower 30-day readmissions rates and lower rates of return to the emergency department, compared with patients receiving traditional hospitalist services. 
Authors
Caroline M. Berchuck
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Promising
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