Society of Hospital Medicine
|Industry||Hospital Medicine, Hospitalists, Internal Medicine|
|Headquarters||Philadelphia, Pennsylvania, United States|
|Key people||Laurence Wellikson, MD, SFHM (CEO); Eric Howell, MD, SFHM (Current President)|
|Services||Education, Practice Management, Careers, Advocacy, Community|
The Society of Hospital Medicine (SHM) is a membership society for hospitalists—physicians who practice the specialty of hospital medicine.
SHM is focused on supporting the hospital medicine industry and individual hospitalists. SHM provides continuing education and industry updates for hospitalists in its monthly publication, The Hospitalist and peer-reviewed journal for hospital medicine, the Journal of Hospital Medicine. In addition to its publications, SHM conducts surveys, prepares written analyses and offers discussion forums that aid in the overall development of the specialty of hospital medicine.
SHM is focused on providing resources, programs and mentoring for quality improvement program for reducing readmissions and hospital acquired diseases whil optimizing transitions of care, glycemic control and overall patient care. An integral role of SHM has been the development of policy and position statements to address the concerns and issues of hospitalists and advocating on behalf of hospitalists before government and regulatory agencies.
Founded in 1997 by Internists John Nelson, MD, FHM, of Bellevue, Washington and Winthrop Whitcomb, MD, FHM, of Springfield, Massachusetts, SHM was originally known as the National Association of Inpatient Physicians (NAIP). SHM’s goals include promoting high-quality care for hospitalized patients; advancing education and research in hospital medicine; enhancing medical teamwork to achieve the best care for hospitalized patients; supporting career paths to attract and retain high quality hospitalists; defining competencies, activities and needs of the hospitalist community; and advocating, proposing, and promoting changes to the healthcare system that lead to better care by hospitalists.
A History of SHM, and in many ways the Hospital Medicine Movement:
- 1996: In a New England Journal of Medicine article, Drs. Robert M. Wachter and Lee Goldman coin the term “hospitalist.”
- 1997 (January): A national database of hospitalists and hospital medicine programs is developed and put to use by the National Association of Inpatient Physicians (NAIP) with its first newsletter mailing.
- 1997 (April): The initial national meeting of hospitalists is held as NAIP holds its first meeting (“Management of the Hospitalized Patient” Conference), hosted by University of California, San Francisco.
- 1998 (April): NAIP holds its first annual meeting not affiliated with another event.
- 1999 (Spring): NAIP issues a position statement that referrals to hospitalists from primary physicians should be voluntary.
- 2003 (Spring): NAIP officially changes its name to the Society of Hospital Medicine (SHM).
- 2005 (January): SHM hosts its first Leadership Academy which focuses on the non-clinical development of hospitalists.
- 2006 (January): SHM published The Core Competencies in Hospital Medicine: A Framework for Curricular Development, defining the hospital medicine specialty.
- 2006 (February): SHM launches the Journal of Hospital Medicine (JHM) which later becomes indexed by Medline.
- 2008 (September): SHM selects and implements first six Project BOOST pilot sites.
- 2009 (March): Second Project BOOST cohort begins consisting of 24 national sites.
- 2009 (May): The inaugural class of over 500 members inducted as Fellows in Hospital Medicine
- 2010 (January): Blue Cross Blue Shield Association of Michigan partners with SHM to implement Project BOOST at 15 Michigan hospitals.
- 2010 (January): SHM Physician Membership reaches over 10,000 members. SHM 2010 Media Kit
- 2010 (April): The inaugural class of Senior Fellows and Masters of Hospital Medicine inducted at Hospital Medicine 2010.
- 2010 (April): SHM published The Core Competencies in Pediatric Hospital Medicine with endorsement from the Academic Pediatric Association and the American Academy of Pediatrics
- 2010 (May): SHM partnered with the California Healthcare Foundation to support 20 California hospitals become Project BOOST sites.
- 2010 (July): SHM launches a revamped section of its website to communicate its relationship with industry partners
- 2010 (September): SHM becomes a member of the Council of Medical Specialty Societies (CMSS) and an adopter of the CMSS Code for Industry Relations
Continuing education and professional development
The specialty of hospital medicine is made up of a varied constituency with both overlapping and discrete educational needs. These constituencies include academic hospitalists, clinicians-internists, family physicians, pediatricians, hospital medicine group leaders, researchers, clinical educators, nurse practitioners, physician assistants, hospital administrators, and pharmacists.
The Society focuses on lifelong learning for all of these. Its main focus is the enhancement of hospitalists’ knowledge on topics related to specific clinical situations and the fostering of independent learning through traditional and emerging channels. Ongoing hospitalist education should:
- Improve the teaching and learning skills of physicians.
- Provide access to education for facilitating improved outcomes.
- Support the maintenance of current knowledge and competence.
Currently, SHM has developed modules as well as created a listing of peer reviewed online accessible CME modules around various topics for healthcare professionals who specialize in hospital medicine.
Maintenance of certification
The American Board of Internal Medicine (ABIM) has launched the new Focused Practice in Hospital Medicine Maintenance of Certification (MOC) program. Hospital medicine is the first area to be awarded focused practice recognition by ABIM, a major milestone for the field.
SHM quality initiatives
Research shows that hospitalists reduce the length of stay, treatment costs and improve the overall efficiency of care for hospitalized patients. Among medical societies, SHM is unique in its support of a core group of leaders in hospitals implement change in performance to improve quality of care.
Together with the leaders in healthcare, SHM has designed several quality improvement initiatives to aid hospitalists in their efforts to improve the quality care in key areas including transitions of care, co-management of orthopedic patients, reducing hospital acquired blood clots and optimizing the care of hyperglycemic patients.
In addition to mentoring for quality improvement programs to reduce readmissions and improve the quality of care, SHM provides practice management resources to practicing hospitalists and hospital administration for running successful and sustainable hospitalist programs. According to Dr. Airan-Javia, profiled in the NYT article, “New Breed of Specialist Steps In for Family Doctor” approximately forty percent of a hospitalist’s time is spent treating diseases and caring for patients while the other 60% of her time is spent designing systems to improve workflow and ROI of the hospital.
Relationship with sanofi-aventis
In May 2011, staff of the Senate Finance Committee issued a report concerning sanofi-aventis efforts to secure favorable comments from medical societies to the Food and Drug Administration. These comments raised safety concerns about generic equivalents to the sanofi-aventis product Lovenox.
The report, initiated as a result of an article by Alicia Mundy in the Wall Street Journal, and later covered on ProPublica.org, identified SHM, along with another medical society (National Thrombosis Forum) and a physician (Victor Tapson, MD) as having submitted comments as part of the Citizen Petition Process without disclosing in the letter their financial ties to the pharmaceutical. In the case of SHM, those ties amounted to over $2.0M (since 2007) for a variety of uses that included exhibit space, sponsorship and other outreach.
Sanofi-aventis described this as a key accomplishment for its public relations team. Larry Wellikson, SHM’s CEO said in the Mundy article that "if we were writing the FDA now, we would be very clear about our relationship with any partner, including financial support."
- Wachter R, Goldman L (1996). "The emerging role of "hospitalists" in the American health care system". N Engl J Med 335 (7): 514–7. doi:10.1056/NEJM199608153350713. PMID 8672160.
- "Hospitalists fill in for general practitioners". m.Live Everything Michigan. Retrieved 2008-06-29.
- "Comprehensive Program To Improve Discharge Process Reduces Readmissionss". Agency for Healthcare Research and Quality. 2014-02-12. Retrieved 2014-02-21.
- "More Internists Becoming Hospitalists". American Medical Association, American Medical News. Retrieved 2009-04-16.
- "So You Want to Become a PA In Hospital Medicine?". American Academy of Physician Assistants, AAPA News. Retrieved 2009-03-15.