Resources

HCS Resources

Original Canadian Hospitalist Research

  • Re-designing Hospital Care: Learning from the Experience of Hospital Medicine in Canada
  • Vandad Yousefi, David Wilton. Journal of Global Health Care Systems, 2011; 1(3)

  • The emergence of the hospitalist model (a model of inpatient care delivery by physicians referred to as hospitalists who spend the majority of their time in the hospital setting) has been a major development in the Canadian healthcare landscape over the past decade. Similar to the United States, the number of hospitalist programs in Canada has grown exponentially since the late 1990's. More recently, the model is being adopted in other countries such as Singapore and Brazil. The Canadian hospitalist model is still evolving, but its development can provide learning opportunities for policy makers and healthcare practitioners in other countries who are developing their own versions of this health delivery model. Read more.

  • How Canadian hospitalists spend their time -- a work-sampling study within a hospital medicine program in Ontario
  • Vandad Yousefi. Journal of Clinical Outcomes Management.2011;18(4):159-163

  • Background: Despite significant growth of hospital medicine in Canada over the past decade, little is known about the characteristics of hospitalist pro- grams and how they operate.
    Objective: To understand the type of activities hos- pitalists perform and the amount of time they spend on performing various tasks.

  • Methods: Over a 2-week period, a trained observer followed 7 hospitalists for 2-hour blocks during 11 shifts. The shifts were chosen to represent various times of day, evening, weekend, and night call shifts. Activities were recorded using data sheets captur- ing 1-minute increments, allowing for recording of simultaneous tasks. Activity categories were defined a priori. Read more.

HCS Whitepaper

  • The changing face of health-care in Ontario and its impact on hospitalists (pdf) 

  • The economic crisis of the past few years has forced health-care payers to focus on efforts to “bend the health-care cost”. In this paper, HCS analyzes some of the proposed new health-care legislations and funding initiatives in Ontario and the opportunities and the challenges they provide for the hospitalist movement in the province.

  • Hospitalist Scheduling: how can a balance be reached (pdf)

    Arguably, the most time consuming and complex issue facing a hospitalist leader and his or her group is scheduling. Designing a schedule that satisfies every member’s request for holiday and CME time and at the same time meets the coverage requirements of the hospital is surely the most challenging part of running a hospitalist group.In Part 1 of our series on scheduling, we present an overview of some of the important issues that need to be considered for an optimal Hospitalist scheduling system ...
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  • Workload Models(pdf)

    The ability to predict and measure workload is an integral part of running a successful hospitalist program. It has major implications on projecting staffing needs, maintaining equitable and sustainable scheduling, and predicting appropriate compensation levels. Traditionally, there has been little emphasis placed on this type of measurement in medicine. This may in part be the result of the prevailing compensation mechanisms for physicians which up to recently have primarily been ...
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HCS Presentations