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Collaboration Brings Pediatric Hospitalists to ... - Magazooms

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From the Medical Direc<strong>to</strong>r<br />

William F. Schmidt III, M.D., Ph.D.<br />

We often see businesses –<br />

even in health care – seek <strong>to</strong><br />

defeat, destroy or dominate<br />

the competition. But there’s<br />

another way: cooperate and<br />

collaborate. One party need<br />

not lose for the other <strong>to</strong> win.<br />

At Children’s Hospital of<br />

Greenville Hospital System,<br />

we look for ways <strong>to</strong> engage<br />

in partnerships that improve<br />

the health of those we serve.<br />

The cover s<strong>to</strong>ry on pediatric<br />

hospitalists highlights an<br />

example with AnMed Health<br />

System that benefits both<br />

hospital<br />

systems and<br />

our patients.<br />

AnMed<br />

Health built<br />

a spectacular<br />

children’s<br />

facility <strong>to</strong> care for inpatients,<br />

yet its pediatric market share<br />

kept declining. Why? It seems<br />

that people were bypassing<br />

Anderson <strong>to</strong> admit patients<br />

<strong>to</strong> GHS Children’s Hospital,<br />

which they perceived as<br />

providing a different level<br />

of care. For AnMed Health<br />

<strong>to</strong> reverse this trend, it had<br />

<strong>to</strong> invest heavily in pediatric<br />

recruitment, services and<br />

infrastructure – or work with<br />

someone who could deliver all<br />

those in their facilities.<br />

Children’s Hospital already<br />

had invested heavily in<br />

pediatric specialty services<br />

and was a tertiary care center.<br />

The influx of general inpatient<br />

cases <strong>to</strong> Children’s Hospital<br />

from outside the immediate<br />

Win, Win,<br />

Win<br />

service area was overcrowding<br />

our beds, making it hard<br />

<strong>to</strong> accept patients needing<br />

specialty care. To correct this<br />

trend, we had <strong>to</strong> staff more<br />

beds or collaborate with<br />

someone who could care for<br />

these patients with us.<br />

The result was a partnership.<br />

Children’s Hospital recruited<br />

and employed pediatricians<br />

<strong>to</strong> serve as<br />

hospitalists<br />

and minor<br />

care<br />

physicians<br />

at AnMed<br />

Health.<br />

AnMed<br />

Health backs the cost of their<br />

salaries, and the physicians<br />

follow the same quality<br />

measures and pro<strong>to</strong>cols that we<br />

use at Children’s Hospital.<br />

Working <strong>to</strong>gether <strong>to</strong><br />

achieve a goal, we can<br />

disperse scarce resources<br />

wisely and create systems<br />

<br />

Despite initial pushback<br />

in both communities, this<br />

arrangement has been good<br />

for AnMed Health, bringing<br />

added pediatric expertise and<br />

reversing its downward slide in<br />

market share. It also has been<br />

good for Children’s Hospital,<br />

freeing up beds needed for<br />

specialty care.<br />

Most important, it has been<br />

good for many families in<br />

Anderson County whose<br />

children can be cared for close<br />

<strong>to</strong> home when they require<br />

hospitalization.<br />

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