Ask the operator to page the hospitalist on-call.
Hospitalists are doctors who provide care only in a hospital. They do not have a private practice outside the hospital, although the group affiliated with Wesley is called Mid-Kansas Inpatient Physicians. One of the hospitalists is available at all times. Wesley's hospitalists are qualified to care for both adults and children. They also have teaching, research and leadership roles at Wesley.
Hospitalists visit their patients every day while they are in the hospital. Patients may see the same hospitalist throughout their hospital stay or they may be cared for by more than one of the hospitalists on staff. The hospitalists keep each other well informed about their patients' medical conditions and needs.
The hospitalists coordinate care with the patient's primary care doctor or another doctor from the primary care doctor's practice. If additional expertise is needed, a specialist is consulted. A dismissal summary is sent to the patient's primary care doctor following discharge from the hospital, and follow-up care is provided by the primary care doctor.
Alex DeBaun, M.D.
Matthew Harris, D.O.
Wesley Kirk, M.D.
Kendra Marcotte, M.D.
Kristin Myers, M.D.
William Park, M.D.
Joseph Parra, M.D.
Richard Rivero, M.D.
Brent Rockley, M.D.
Ha Ta, M.D.
Dan Tran, D.O.
Scott Street, D.O.
Caleb Bowers, M.D.
Mid-Kansas Inpatient Physicians are employed as hospitalists by Wesley Medical Center to assume the care of hospitalized patients upon request. Working as partners with primary care physicians, the hospitalists are available to coordinate admission and provide comprehensive, 24-hour coverage while patients are in-house. Patient care is directed back to the primary care physician upon discharge.
Advantages of hospitalist program
- Convenience for primary care physicians
- Rapid response to crises and changes in a patient's condition
- Increased availability to family and patients
- Familiarity with hospital employees
- Expertise in care of common inpatient disorders
- Convenience in coordinating care with post- acute health-care providers
- Accountability for cost and quality in hospital
Effects of full-time hospitalist programs in U.S.
- Physicians report improved efficiency and productivity
- No change in mortality rates
- 54 percent reduction in readmission rates (p=0.001)
- Reduced length of stay
- Reduced median cost of care
- Upon request, the hospitalist consults with the primary care physician regarding admission decision and obtains patient's records from physician's office or clinic.
- Patient status is reported to primary care physician via fax or phone.
- Patient expectations for hospital stay are set or reviewed.
- Discharge planning and coordination are started.
- Projected discharge date is communicated to patient or family.
- Diagnosis and clinical decisions are made.
- Appropriate tests and procedures are ordered.
- Primary care physician is consulted.
- Hospitalists are available to patient through the day.
- Discharge planning is coordinated.
- Discharge planning is coordinated and primary care physician consulted.
- Discharge summary is faxed to primary care physician at the time of discharge.
- Patient is given post-discharge instructions.
Mid-Kansas Inpatient Physicians
- Full-time physicians
- Provide 24-hour coverage, seven days per week
- Provide general medical and pediatric consultations, admissions and transfers; surgical co-management and clearance observations
- Provide care for all age groups from newborns to seniors
- Help assume care of many "unassigned" patients
- Employed by Wesley Medical Center
- No separate outpatient practice or affiliation
- Active in improving quality of care by participating in many Wesley quality improvement committees