Saturday, December 13, 2008

Are most "hospitalists" suspect and/or foreign trained?

There is not bigger threat to patient safety and rising medical costs than the "hospitalist program model." Carle Foundation Hospital is no different.

But I would hate to think that the hospital program model is a "soft landing" for physicians that simply could never make a living as a clinical doctor who relied on patient trust and relationships.

I would hate to think that the reason these physicians chose the specialty of hospital medicine was because they are foreign medical graduates or inadequate physicians.

But we do have "turf wars" inherent in this program and perhaps the "hospitalists" do not want clinic physician input because the hospitalists are not confident with their medical judgment and skills.

I am familiar with multiple cases at Carle Foundation Hospital where a patient was treated at the Carle Foundation Hospital (Urbana, Illinois) and then left Carle Hospital with no continuity of care. The results were unfortunately poor. Several patients in this situation were elderly and they were funneled into the nursing home system and died or they returned to home care and died.

The hospitalist model does not ensure continuity of care.

The Carle system has a clinic and a hospital. Hmmm. That sounds a lot like Duke. Here is a laugh for you direct from the Carle web-site. http://www.carle.com/Hospital/centprog/hospitalist.shtml

Hospitalists Service

A unique and successful approach to caring for hospital patients.

Many patients in the hospital receive physician care from hospitalists, specially trained physicians who care for hospital patients only. Since 1997, Carle has offered this unique service to care for inpatients. Hospitalist programs are now starting to appear in hospitals across the county, as quality and outcome measures prove their effectiveness at treating and managing hospital patients.

Carle hospitalists work exclusively in the hospital environment so their patients are able to receive seamless and efficient care. Regardless of how many specialties or services are needed, hospitalists can quickly coordinate a patient’s care by focusing the various disciplines to function as a collaborative team. Communication among the caregivers is coordinated so primary physicians, nurses, therapists, case coordinators and social workers are all on the same page with each patient.

Many patients come to know the hospitalists and consider them to be their caregivers while in the hospital with their primary physician being their caregiver as an outpatient.

Since the program began, the number of patients on the service has grown, and a staff of 10 physicians and an advance practice nurse now provide inpatients with complete, quality care 24/7.

Carle Hospitalists Physician Team:

Dr. Aziz Ansari
Dr. Andy Arwari
Dr. Doug Filipov
Dr. Mark Lavizzo
Dr. Mohtaram Masood
Dr. Mehtab Mizan
Dr. Kourosh Moazemi
Dr. Edress Othman
Dr. Crystal Radnitzer
Dr. William Schuh

Let's review what the IDFPR says about these hospitalists.

Frankly, it seems like this group are suspect (not listed by the state of Illinois as licenses physicians. are foreign medical graduates or decline to treat all children in Illinois.)

Dr. Aziz Ansari - He is a DO (not an MD). The IDFPR does not mention Carle as even being his employer. His employer is Loyola University Medical Center

Dr. Andy Arwari - Medical school was Universidad Nacional De CuYo, , Argentina, 2000

Dr. Doug Filipov - Medical school was Univerzitet U. Novi Sad, , Yugoslovia, 1999

Dr. Mark Lavizzo - This health care practitioner IS NOT accepting new AllKids patients. (www.allkidscovered.com)

Dr. Mohtaram Masood - He is not listed as a physician in Illinois

Dr. Kourosh Moazemi - Medical school was Theran Azad University, , Iran, 1994

Dr. Edress Othman - Medical school was University of Aleppo, , Syria, 1999. This health care practitioner IS NOT accepting new AllKids patients.

Dr. Crystal Radnitzer - This health care practitioner IS NOT accepting new AllKids patients.

Dr. William Schuh - This health care practitioner IS NOT accepting new AllKids patients.

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What is "All Kids Covered"?:

Illinois is the first state in the nation to provide affordable, comprehensive health insurance for every child. Of the 250,000 children in Illinois without health insurance, more than half come from working and middle class families who earn too much to qualify for state programs like KidCare, but not enough to afford private health insurance. Through All Kids, comprehensive health insurance is available to every uninsured child at rates their parents can afford.

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