Mixing It Up: Operational Impact of Hospitalist Caseload and Case-Mix

Published Online:https://doi.org/10.1287/mnsc.2022.4342

References

  • Bavafa H, Savin S, Terwiesch C (2013) Redesigning primary care delivery: Customized office revisit intervals and e-visits. Preprint, submitted December 6, http://dx.doi.org/10.2139/ssrn.2363685.Google Scholar
  • Campello F, Ingolfsson A, Shumsky RA (2016) Queueing models of case managers. Management Sci. 63(3):882–900.LinkGoogle Scholar
  • Chan CW, Dong J, Green LV (2016) Queues with time-varying arrivals and inspections with applications to hospital discharge policies. Oper. Res. 65(2):469–495.LinkGoogle Scholar
  • Chan CW, Yom-Tov G, Escobar G (2014) When to use speedup: An examination of service systems with returns. Oper. Res. 62(2):462–482.LinkGoogle Scholar
  • De Véricourt F, Jennings OB (2011) Nurse staffing in medical units: A queueing perspective. Oper. Res. 59(6):1320–1331.LinkGoogle Scholar
  • Dobson G, Tezcan T, Tilson V (2013) Optimal workflow decisions for investigators in systems with interruptions. Management Sci. 59(5):1125–1141.LinkGoogle Scholar
  • Dong J, Perry O (2020) Queueing models for patient-flow dynamics in inpatient wards. Oper. Res. 68(1):250–275.LinkGoogle Scholar
  • Elliott DJ, Young RS, Brice J, Aguiar R, Kolm P (2014) Effect of hospitalist workload on the quality and efficiency of care. JAMA Internal Medicine 174(5):786–793.CrossrefGoogle Scholar
  • Faddy M, Graves N, Pettitt A (2009) Modeling length of stay in hospital and other right skewed data: Comparison of phase-type, gamma and log-normal distributions. Value Health 12(2):309–314.CrossrefGoogle Scholar
  • Fulton BR, Drevs KE, Ayala LJ, Malott DL Jr (2011) Patient satisfaction with hospitalists: Facility-level analyses. Amer. J. Medical Quality 26(2):95–102.CrossrefGoogle Scholar
  • Gans N, Koole G, Mandelbaum A (2003) Telephone call centers: Tutorial, review, and research prospects. Manufacturing Service Oper. Management 5(2):79–141.LinkGoogle Scholar
  • Glasheen JJ, Misky GJ, Reid MB, Harrison RA, Sharpe B, Auerbach A (2011) Career satisfaction and burnout in academic hospital medicine. Arch. Internal Medicine 171(8):782–790.CrossrefGoogle Scholar
  • Green LV, Savin S (2008) Reducing delays for medical appointments: A queueing approach. Oper. Res. 56(6):1526–1538.LinkGoogle Scholar
  • Green LV, Savin S, Savva N (2013) “Nursevendor problem”: Personnel staffing in the presence of endogenous absenteeism. Management Sci. 59(10):2237–2256.LinkGoogle Scholar
  • He B, Dexter F, Macario A, Zenios S (2012) The timing of staffing decisions in hospital operating rooms: Incorporating workload heterogeneity into the newsvendor problem. Manufacturing Service Oper. Management 14(1):99–114.LinkGoogle Scholar
  • Howrey BT, Kuo YF, Goodwin JS (2011) Association of care by hospitalists on discharge destination and 30-day outcomes after acute ischemic stroke. Medical Care 49(8):701–707.CrossrefGoogle Scholar
  • Kaiser Family Foundation (2016) Hospital adjusted expenses per inpatient day. Accessed February 14, 2019, http://kff.org/other/state-indicator/expenses-per-inpatient-day/.Google Scholar
  • Kara A, Flanagan ME, Gruber R, Lane KA, Bo N, Kroenke K, Weiner M (2019) A time motion study evaluating the impact of geographic cohorting of hospitalists. J. Hospital Medicine 14:E1–E7.Google Scholar
  • Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW (2007) Deficits in communication and information transfer between hospital-based and primary care physicians: Implications for patient safety and continuity of care. J. Amer. Medical Assoc. 297(8):831–841.CrossrefGoogle Scholar
  • Kuntz L, Mennicken R, Scholtes S (2015) Stress on the ward: Evidence of safety tipping points in hospitals. Management Sci. 61(4):754–771.LinkGoogle Scholar
  • Kuo YF, Goodwin JS (2010) Effect of hospitalists on length of stay in the medicare population: Variation according to hospital and patient characteristics. J. Amer. Geriatrics Soc. 58(9):1649–1657.CrossrefGoogle Scholar
  • Lindenauer PK, Chehabeddine R, Pekow P, Fitzgerald J, Benjamin EM (2002) Quality of care for patients hospitalized with heart failure: Assessing the impact of hospitalists. Arch. Internal Medicine 162(11):1251–1256.CrossrefGoogle Scholar
  • Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD (2007) Outcomes of care by hospitalists, general internists, and family physicians. New England J. Medicine 357(25):2589–2600.CrossrefGoogle Scholar
  • Liu N, Ziya S (2014) Panel size and overbooking decisions for appointment-based services under patient no-shows. Production Oper. Management 23(12):2209–2223.CrossrefGoogle Scholar
  • Luo J, Zhang J (2013) Staffing and control of instant messaging contact centers. Oper. Res. 61(2):328–343.LinkGoogle Scholar
  • Lurie JD, Wachter RM (1999) Hospitalist staffing requirements. Effective Clinical Practice 2(3):126–130.Google Scholar
  • Marshall AH, McClean SI (2004) Using Coxian phase-type distributions to identify patient characteristics for duration of stay in hospital. Health Care Management Sci. 7(4):285–289.CrossrefGoogle Scholar
  • Meltzer D (2001) Hospitalists and the doctor-patient relationship. J. Legal Stud. 30(S2):589–606.CrossrefGoogle Scholar
  • Michtalik HJ, Yeh HC, Pronovost PJ, Brotman DJ (2013a) Impact of attending physician workload on patient care: A survey of hospitalists. JAMA Internal Medicine 173(5):375–377.CrossrefGoogle Scholar
  • Michtalik HJ, Pronovost PJ, Marsteller JA, Spetz J, Brotman DJ (2013b) Developing a model for attending physician workload and outcomes. JAMA Internal Medicine 173(11):1026–1028.CrossrefGoogle Scholar
  • Molinari C, Short R (2001) Effects of an HMO hospitalist program on inpatient utilization. Amer. J. Management Care 7(11):1051–1060.Google Scholar
  • Ozen A, Balasubramanian H (2013) The impact of case mix on timely access to appointments in a primary care group practice. Health Care Management Sci. 16(2):101–118.CrossrefGoogle Scholar
  • Palmer HC, Armistead NS, Elnicki DM, Halperin AK, Ogershok PR, Manivannan S, Hobbs GR, Evans K (2001) The effect of a hospitalist service with nurse discharge planner on patient care in an academic teaching hospital. Amer. J. Medicine 111(8):627–632.CrossrefGoogle Scholar
  • Payne K, Marshall AH, Cairns KJ (2011) Investigating the efficiency of fitting Coxian phase-type distributions to healthcare data. IMA J. Management Math. 23(2):133–145.CrossrefGoogle Scholar
  • Phy MP, Vanness DJ, Melton LJ, Long KH, Schleck CD, Larson DR, Huddleston PM, Huddleston JM (2005) Effects of a hospitalist model on elderly patients with hip fracture. Arch. Internal Medicine 165(7):796–801.CrossrefGoogle Scholar
  • Powell ES, Khare RK, Venkatesh AK, Van Roo BD, Adams JG, Reinhardt G (2012) The relationship between inpatient discharge timing and emergency department boarding. J. Emerging Medicine 42(2):186–196.CrossrefGoogle Scholar
  • Pressel DM, Rapport DI, Watson N (2008) Nurses’ assessment of pediatric physicians: Are hospitalists different? J. Healthcare Management 53(1):14–24.CrossrefGoogle Scholar
  • Rachoin JS, Skaf J, Cerceo E, Fitzpatrick E, Milcarek B, Kupersmith E, Scheurer DB (2012) The impact of hospitalists on length of stay and costs: systematic review and meta-analysis. Amer. J. Management Care 18(1):e23–e30.Google Scholar
  • Roy A, Heckman MG, Roy V (2006) Associations between the hospitalist model of care and quality-of-care-related outcomes in patients undergoing hip fracture surgery. Mayo Clinic Proc. 81(1):28–31.CrossrefGoogle Scholar
  • Roytman MM, Thomas SM, Jiang CS (2008) Comparison of practice patterns of hospitalists and community physicians in the care of patients with congestive heart failure. J. Hospital Medicine 3(1):35–41.CrossrefGoogle Scholar
  • Shi P, Chou MC, Dai J, Ding D, Sim J (2015) Models and insights for hospital inpatient operations: Time-dependent ed boarding time. Management Sci. 62(1):1–28.Google Scholar
  • Southern WN, Berger MA, Bellin EY, Hailpern SM, Arnsten JH (2007) Hospitalist care and length of stay in patients requiring complex discharge planning and close clinical monitoring. Arch. Internal Medicine 167(17):1869–1874.CrossrefGoogle Scholar
  • Sox HC (1999) The hospitalist model: Perspectives of the patient, the internist, and internal medicine. Ann. Internal Medicine 130(4, part 2):368–372.CrossrefGoogle Scholar
  • Sprivulis PC, Da Silva JA, Jacobs IG, Jelinek GA, Frazer AR (2006) The association between hospital overcrowding and mortality among patients admitted via western Australian emergency departments. Medical J. Australia 184(5):208–212.CrossrefGoogle Scholar
  • State Inpatient Database (2015) Healthcare Cost and Utilization Project, 2005–2009. Agency for Healthcare Research and Quality, Rockville, MD, www.hcup-us.ahrq.gov/sidoverview.jsp.Google Scholar
  • Stevens JP, Nyweide DJ, Maresh S, Hatfield LA, Howell MD, Landon BE (2017) Comparison of hospital resource use and outcomes among hospitalists, primary care physicians, and other generalists. JAMA Internal Medicine 177(12):1781–1787.CrossrefGoogle Scholar
  • Taheri PA, Butz DA, Greenfield LJ (2000) Length of stay has minimal impact on the cost of hospital admission. J. Amer. College Surgeons 191(2):123–130.CrossrefGoogle Scholar
  • Tan TF, Netessine S (2014) When does the devil make work? An empirical study of the impact of workload on worker productivity. Management Sci. 60(6):1574–1593.LinkGoogle Scholar
  • Tipping MD, Forth VE, O’leary KJ, Malkenson DM, Magill DB, Englert K, Williams MV (2010) Where did the day go? A time-motion study of hospitalists. J. Hospital Medicine 5(6):323–328.CrossrefGoogle Scholar
  • Today’s Hospitalist (2018) Hospitalist career and compensation survey. Accessed February 7, 2019, https://www.todayshospitalist.com/salary-survey-results.Google Scholar
  • Trzeciak S, Rivers EP (2003) Emergency department overcrowding in the United States: An emerging threat to patient safety and public health. Emerging Medicine J. 20(5):402–405.CrossrefGoogle Scholar
  • Wachter RM (2014) Hospitalist workload: The search for the magic number. JAMA Internal Medicine 174(5):794–795.CrossrefGoogle Scholar
  • Wachter RM, Goldman L (1996) The emerging role of “hospitalists” in the American healthcare system. New England J. Medicine 335:514–517.CrossrefGoogle Scholar
  • Wachter RM, Goldman L (2016) Zero to 50,000—The 20th anniversary of the hospitalist. New England J. Medicine 375(11):1009–1011.CrossrefGoogle Scholar
  • Wang WY, Gupta D (2014) Nurse absenteeism and staffing strategies for hospital inpatient units. Manufacturing Service Oper. Management 16(3):439–454.LinkGoogle Scholar
  • White HL, Glazier RH (2011) Do hospitalist physicians improve the quality of inpatient care delivery? A systematic review of process, efficiency and outcome measures. BMC Medicine 9:58.CrossrefGoogle Scholar
  • Wright PD, Bretthauer KM, Côté MJ (2006) Reexamining the nurse scheduling problem: Staffing ratios and nursing shortages. Decision Sci. 37(1):39–70.CrossrefGoogle Scholar
  • Yankovic N, Green LV (2011) Identifying good nursing levels: A queuing approach. Oper. Res. 59(4):942–955.LinkGoogle Scholar
  • Yom-Tov GB, Mandelbaum A (2014) Erlang-R: A time-varying queue with reentrant customers, in support of healthcare staffing. Manufacturing Service Oper. Management 16(2):283–299.LinkGoogle Scholar
  • Yousefi V, Chong CA (2013) Does implementation of a hospitalist program in a Canadian community hospital improve measures of quality of care and utilization? An observational comparative analysis of hospitalists vs. traditional care providers. BMC Health Services Res. 13(1):204.CrossrefGoogle Scholar
  • Zacharias C, Armony M (2017) Joint panel sizing and appointment scheduling in outpatient care. Management Sci. 63(11):3978–3997.LinkGoogle Scholar
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