i had no idea when i chose my beat for this class that it would actually turn out to be useful in my personal life.
you see, my grandmother was admitted to Athens Regional on Sunday evening because she had some blurred vision and slurred speech. I went to visit her today and she seemed to be doing well. She had a host of tests all Monday but had yet to see a doctor that told her anything. She said she had three doctors visit her since she was admitted -- which of course made sense to me.
Friday I interviewed the head of the hospitalist program at Athens Regional, Dr. Chris Edwards. The interview was interesting, but pretty much everything I had expected to hear -- save one detail (more on this later). Hospitalists at Athens Regional work in 12 hour shifts for 7 days in a row, with Tuesday being the turn around day for the new shift. So, my grandmother (since she won't leave until Tuesday afternoon at the earliest) will theoretically see three doctors. The first hospitalist, a second when the first goes home, and a third when the shift change happens Tuesday morning.
Is this the best method? Sure, Dr. Edwards was right that hospitalist save the hospitals money by being always available and shortening patient stay -- but how is a patient supposed to be assured continuity of care when a case such as my grandmother's case comes up? Dr. Edwards assured me that the computerized records in the hospital would be able to keep doctors up to date -- but that revealing comment keeps me wary. Dr. Edwards actually works for PrimeDoc, a private company that provides hospitalist services for hospitals throughout the country. According to the site and Dr. Edwards, PrimeDoc has been in Athens Regional since 2004 and just this year has launched a branch at the Barrow Regional Medical Center in neighboring Barrow County. PrimeDoc is obviously on the move in Northeast Georgia and we'll see what an actual hospitalist has to say about this soon.
Monday, October 15, 2007
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3 comments:
Wow, Colin. I hope your grandmother is OK. My Mom had her own run-in with the hospitalist system, as she had no idea about any of it when she went to St. Mary's. When she got a separate bill for the hospitalist's services, she freaked out, needless to say. A distinct lack of information at that time.
Colin, wanted to respond on your blog. First of all, we are not at Barrow hospital, a division of St. Mary's hospitalist program is running that program. We did talk to them. Secondly, I can assure you that all the doctors involved in her care will know her case well and will provide excellent care. If you have any problems or questions about her care please let me know
Hope everything goes well with your grandmother,
Chris Edwards, M.D.
Regional Director, PrimeDoc
This "continuity of care" issue is coming up in the world of "safety net clinics" as well. It seems to be a buzz word in the health profession.
Getting people under the watchful eye of as few as people as possible seems to be in the best interest of the patient.
That is assuming the "eye" is right.
Hope your grandmother gets well soon.
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