Fragmentation of inpatient care has precluded collaboration among neighboring institutions. Hospitals in large urban areas characteristically function as separate silos. Yet the increased complexity of inpatient care necessitates a different approach. The advent of hospital medicine (HM) makes it possible to establish new models of collaboration across institutions.
To develop a region‐wide pediatric hospital medicine (PHM) model centered on Society of Hospital Medicine (SHM) goals and collaborative leadership.
Many of the more than 60 hospitals in the New York metropolitan area (NY), affiliated with more than 10 medical schools, have introduced a hospitalist care model. In 2008, we were able to create a broad‐based network of pediatric hospitalists: the Regional PHM Forum. Our members meet quarterly face to face at hospitals across the region, with approximately 1:5 constituency representation. Meeting content includes hot topics, practice modalities, research, quality improvement (QI), health disparities, career development, and sharing of expertise and information. We facilitate collaborative interactions and incorporate hospitalists’ feedback. Subgroup committees work independently on a more frequent basis.
The constituency is 89 pediatric hospitalists; mean attendance is 18/session, representing 19 hospitals in the Bronx, Brooklyn, Manhattan, Queens, Westchester County, and the New Jersey area. We have held 6 quarterly meetings at different NY hospitals since October 2008. The network has served as a platform for collaborative interinstitutional projects: establishing subgroup committees (QI, Research and Education); developing institutional review board protocols; organizing a multidisciplinary family‐centered rounds seminar; promoting local CME activities; planning and securing industry sponsorship for our first PHM regional conference; being invited to coauthor the AAP PHM manual. Factors associated with success include: (1) support—department chairs, PHM directors, and key regional and national leadership (AAP, APA, SHM); (2) constituency—diverse academic and community hospitalists committed to improving inpatient care, inclusion of junior and senior perspectives; (3) structure—clear goals; evening meetings, face‐to‐face interactions, conference calls, timely electronic communication with entire constituency; (4) principles—equitable decision making, collaborative leadership and teamwork, sharing of information and expertise, process transparency.
We have developed a thriving PHM collaborative leadership model across hospitals in the NY metropolitan area. This novel approach addresses the lack of interinstitutional communication in the largest urbanized region in the United States and offers a platform for direct interaction, resource accessibility, knowledge dissemination, QI, research and professional growth toward the ultimate goal of attaining higher‐quality care for all hospitalized children in the region.
N. Esteban‐Cruciani ‐ none; H. Rhim ‐ none; S. Osorio ‐ none; D. A. Rauch ‐none; P. Hametz ‐ none; L. Douglas ‐ none; K. O’Connor ‐ none; M. Mungekar ‐none
To cite this abstract:Esteban‐Cruciani N, Rhim H, Osorio S, Rauch D, Hametz P, Douglas L, O’Connor K, Mungekar M. Collaborative Leadership in Hospital Medicine: An Innovative Regional Model. Abstract published at Hospital Medicine 2011, May 10-13, Dallas, Texas. Abstract 166. Journal of Hospital Medicine. 2011; 6 (suppl 2). https://www.shmabstracts.com/abstract/collaborative-leadership-in-hospital-medicine-an-innovative-regional-model/. Accessed July 21, 2019.