A message from the Board Chair

According to an article in The New England Journal of Medicine about the 20th anniversary of the hospitalist movement in the U.S., "Within a few years, evidence showed that using hospitalists could result in reduced costs, shortened lengths of stay, and preserved or even enhanced quality of care and patient satisfaction-in essence improving the value of care. The field was off and running."

At Dosher, the hospitalist program allows primary care physicians (PCP) on staff to focus on the diagnosis and treatment of patients on an outpatient basis, namely, their offices. When an inpatient admission is needed, the hospitalists consult with each patient's PCP and keep the PCP abreast of changes in patient condition, notify the PCP when the patient is discharged, and coordinate scheduling for a follow-up visit at the PCP's office.

Although Dosher is an independent, critical access hospital, it has kept up with the evolution of the hospitalist movement nationwide and introduced a formal hospitalist program in 2007. Dosher hospitalists staff the 25-bed Patient Care Unit at the hospital.

Congratulations to Medical Director Dr. Keith Reschly and core hospitalists Dr. William Meacham, and Dr. Raymond Schmoke for reaching the 10th anniversary of the hospitalist program at Dosher. Thanks to Chief of Staff Dr. Domenic A. Palagruto, II, who also works an occasional shift on the hospitalist schedule.-Sherri Marshall, Chair, Dosher Hospital Board of Trustees.

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