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Our hospitalists enjoy a constant flow of diverse patients and are able to participate in a variety of specialties and services provided by the hospital medicine group. Multidisciplinary teams are a key foundation for our patient's care; these teams include, but are not limited to, physicians, students, pharmacists, a social worker, case manager, nursing plus any ancillary services that are needed.
We currently have three acute medicine services that are comprised of one physician. Patients on these services have a broad range of diagnoses.
Teaching Service
There are six teams on this service comprised of an attending, one intern, one senior resident, one sub-intern and one third year medical student. Patients on these services have a broad spectrum of diagnoses. Each team’s census averages 12 patients with a maximum of 14. While on teaching rounds, we have the privilege to round with a pharmacist as well as a Spanish interpreter if needed.
Eating Disorders - ACUTE Center for Eating Disorders
ACUTE is a nationally unique medical stabilization center serving the country's most medically compromised patients with eating disorders. Patients are referred from around the country by eating disorder programs, individual clinicians, and other hospitals who lack expertise in this field. These patients receive treatment provided by a team of hospitalists, registered dieticians, physical therapists, nurses and psychotherapists from within ACUTE and a local eating disorder program, The Eating Recovery Center (ERC).
Bedside Procedure Service
The Procedure service provides care to patients requiring bedside procedures. This service has expanded to the Internal Medicine house-staff teams and surgical services on the floor. This team currently performs central venous catheter insertions, thoracentesis, paracentesis and lumbar puncture seven days a week. Hospitalist physicians attending on the team also work with mid-level providers on another service is involved in care of patients with complex disposition and those awaiting placement in a long term care facility.
Admitting and Patient Flow
This team addresses Emergency Department (ED) over-crowding, diversion and care of boarded ED patients. The main two functions of the service are (1) to provide ongoing care for medicine patients boarded in the ED awaiting inpatient beds and (2) to work with the nursing supervisor at our institution to improve patient flow by adding physician clinical expertise to bed management.
Chest Pain Observation Unit
This is a consult service provided by Hospitalists to aid the Emergency Room physicians in the evaluation of patients presenting with chest pain. This service is provided 24 hours a day and 7 days a week. The main objective of the consult is to determine whether patients meet criteria for exercise treadmill testing. Such tests are available 7 days a week and are completed within 24 hours of the initial consult.
Clinical Transition/ Observation Unit
The Clinical Transition Unit is a 24 hour observation unit located adjacent to the emergency department. This unit is managed by hospitalist physicians and midlevel providers with a dedicated nursing staff. There are strict inclusion and exclusion criteria guiding admission into this unit. This unit cares for 80 to 120 patients per month.
Medicine Consult Service
The medicine consult program was the first service provided by our division and continues to be an integral part of hospital medicine at Denver Health. The medical consult team works closely with our colleagues in psychiatry, neurology, physical medicine and rehabilitation, anesthesia, the emergency department, the pre-operative clinic, general surgery and the surgical subspecialties. Internal medicine consults address both acute medical questions as well as peri-operative management of medical co-morbidities on total joint replacement, gastric bypass and oral maxillary-facial surgical patients during their time in the hospital.
Hemodialysis Unit
This service admits those patients with criteria for emergent hemodialysis who do not have access to routine outpatient hemodialysis. This team is comprised of one physician and either a nurse practitioner or physician assistant. All hospitalists in our group cover this team 1-2 weeks per year.