The otolaryngology hospitalist: A novel practice paradigm

Matthew S. Russell, David Eisele, Andrew Murr

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives/Hypothesis To define a new clinical hospitalist practice paradigm originating at the University of California, San Francisco. Design Retrospective administrative database review at a tertiary referral hospital. Materials and Methods A consortium model of an otolaryngologist hospitalist practice was developed. Billing records, including Current Procedural Terminology (CPT) and International Classification of Disease-9 (ICD-9) codes, were reviewed to evaluate the number and type of consultations and surgeries generated during a 2-year period. Results A total of 375 new inpatient consultations generated 951 patient encounters. The most common diagnoses were respiratory failure (12%), sinusitis (10.6%), stridor (10.6%), and dysphonia (7.6%). Twenty-six percent of consultations involved a procedure or surgical intervention, the most common of which were endoscopic sinus surgery, laryngoscopy, and tracheotomy. Conclusions To our knowledge, ours is the first full-time otolaryngology hospitalist model in the United States. The hospitalist practice is a conceptually viable and clinically beneficial paradigm that should be considered at other similar institutions. Level of Evidence N/A.

Original languageEnglish (US)
Pages (from-to)1394-1398
Number of pages5
JournalLaryngoscope
Volume123
Issue number6
DOIs
StatePublished - Jun 1 2013
Externally publishedYes

Keywords

  • Hospitalist
  • acute care
  • consultation
  • inpatient
  • otolaryngology
  • practice model

ASJC Scopus subject areas

  • Otorhinolaryngology

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