TY  - CHAP
M1  - Book, Section
TI  - Starting a Successful OB/GYN Hospitalist Program
A1  - Dandolu, Vani
A1  - Olson, Rob
A2  - Butler, Jennifer R.
A2  - Amin, Alpesh N.
A2  - Fitzmaurice, Laura E.
A2  - Kim, Christine M.
PY  - 2019
T2  - OB/GYN Hospital Medicine: Principles and Practice
AB  - The  reasons  that  a  hospital  or  healthcare  system  starts  OB/GYN  hospitalist  programs  generally  fall  into  eight  categories:It  has  experienced  a  series  of  bad  outcomes,  with  subsequent  high  malpractice  costs  and  payment  amounts.There  is  a  shortage  of  private-practice  OB/GYNs  because  of  retirement,  loss  of  privileges,  or  an  increased  number  of  patients  creating  demand.  The  small  number  of  OB/GYN  practitioners  causes  the  institution  stress  because  nobody  wants  to  take  calls  or  respond  to  consultation  requests  from  family  doctors  and  midwives.There  is  high  turnover  among  the  nurses  because  a  lack  of  timely  response  from  the  overworked  staff  of  OB/GYNs  results  in  the  nurses  performing  deliveries  unattended  by  physicians,  caring  for  high-risk  patients  with  no  physician  in  the  hospital,  and  dealing  with  dissatisfied  patients  waiting  for  evaluation  in  OB  triage.The  administration  is  dissatisfied  with  paying  for  call  coverage  but  receiving  no  financial  return,  as  well  as  unhappy  OB/GYNs  forced  to  be  on  call.  The  money  spent  by  hospital  administration  does  not  result  in  improved  quality  and  safety.The  hospital  or  healthcare  system  is  losing  obstetrical  patient  volume.The  neonatal  intensive  care  unit  (NICU)  has  excess  beds,  but  there  is  a  lack  of  high-risk  maternal  transports  with  premature  infants.Academic  programs  lack  high-quality  experienced  OB/GYNs  for  teaching  residents,  especially  in  Family  Practice–only  settings.Local  Maternal  Fetal  Medicine  (MFM)  physicians  need  support.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/24
UR  - obgyn.mhmedical.com/content.aspx?aid=1159980568
ER  -