What’s old is new again: Hospitals move to buy internists’ practices
Internists looking to sell their practices today may find a familiar taker: their local hospital. As in the 1990s, many hospitals are once again ready and eager to purchase private practices in order to increase referrals and pump up their revenue streams. While the previous trend fizzled out in a wave of mismanagement, this time hospitals seem better equipped to handle the practices they buy. But although for internists the chance to spend less time on administration and more time practicing medicine may seem too good to pass up, selling also has its potential downsides. It’s important to know what to look for when a hospital wants to make a deal. In our cover story, Rochelle Nataloni examines why this trend is resurfacing now and what internists need to know to successfully negotiate a sale.
After a stroke, patients need specialized care, and their primary care physicians are best positioned to coordinate it. But with stroke research and best practices changing daily, that can be a challenge. For example, a recent study conducted in the VA system found that two-thirds of patients who’d had a stroke had discontinued their antithrombotic medications within six months after leaving the hospital, and another found that only two-thirds of stroke patients who smoked had been counseled to quit. Bonnie Darves discusses strategies to improve care quality in post-stroke patients and summarizes current research on antiplatelet use, physical therapy, and prevention of recurrence.
With the time pressures internists face, it’s gotten harder to find an opportunity to ask patients about supplements they may be taking. The additional five or ten minutes can be well worth it, however, since many seemingly harmless herbs and natural remedies can cause serious adverse effects when taken with common medications. Learn which supplements are the most blatant offenders, including why some experts consider St. John’s wort the poster child for potential harm.
We’d like to know: Have you sold your practice to a hospital, or do you have tips for handling discussions with patients about supplement use? Tell us about it.
ACP Internist Weekly
From the January 27, 2015 edition
- Guidelines define an adjunctive role for weight loss and other prescription medications in obesity management
- High-intensity statins often not prescribed after CHD hospitalization, study finds
If you enjoy ACP Internist, sign up for ACP InternistWeekly, an electronic newsletter that covers the latest news in medicine. Click here to subscribe.
Join ACP Internist on Twitter
Get updates automatically and connect with members and other doctors by following ACP Internist's Twitter feed.
ACP Career Connection
Looking for a new internal medicine or subspecialty position?
ACP Career Connection can help you find your next job in internal medicine. Search internist and subspecialist positions nationwide that suit your criteria and preferences. Jobs are posted about two weeks before print publication of Annals of Internal Medicine, ACP Internist, and ACP Hospitalist. Exclusive “Online Direct” opportunities are updated weekly. Check us out online.
Superior MOC Solutions from ACP
Meet your requirements with our approved activities. See details.
Making the Most of Your ICD-10 Transition
To help you and your practice make a smooth and successful transition to ICD-10 coding, ACP and ICD-10 content developers have created multiple resources available at discounted rates for ACP members.
Prepare for the ABIM Certification Exam with ACP Internal Medicine Board Review.
Earn CME Credits through attending live meetings, working online, or watching course recordings on your own schedule.
ACP Depression Care Guide provides physicians with team-based practices for screening, diagnosis, and management of depression in primary care settings.