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For hospitalists, delivering high-quality care is a complex balancing act between goals and constraints. We strive to make evidence-based clinical decisions, facilitate seamless transitions of care, and allocate time for difficult patient conversations within a full shift. When I think of high-quality care, I am generally not thinking of CMS quality metrics like patient satisfaction, readmission rates, or goals like length of stay. Rather, my focus is on providing the best care to my patients that will meet their goals in a timely and cost-effective way. Oftentimes, these goals align with CMS metrics but not always.
In a hospitalist practice, delivering high-quality patient care means tackling these daily challenges: