title: A framework for the frontline: How hospitalists can improve healthcare value.
abstract: As healthcare costs continue to grow, hospitalists may be able to help patients and health system administrators make decisions that generate higher-value care. In this article, we discuss 3 ways hospitalists can contribute to the mission of delivering value-based healthcare: design innovative strategies to coordinate care, advocate for appropriate utilization of tests and treatments, and lead local value-improvement initiatives. We also describe specific tools hospitalists can use in their daily practice, including the Choosing Wisely lists and the COST (Culture, Oversight, Systems Change, Training) framework for value-improvement initiatives.
authors.affiliation: Division of Hospital Medicine, University of California, San Francisco, San Francisco, California.|Center for Healthcare Value, University of California, San Francisco, San Francisco, California.|Costs of Care, Inc, Boston, Massachusetts.
authors.forename: Christopher
authors.initials: C
authors.lastname: Moriates
authors.affiliation: Costs of Care, Inc, Boston, Massachusetts.|Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, Massachusetts.
authors.forename: Neel T
authors.initials: NT
authors.lastname: Shah
authors.affiliation: Costs of Care, Inc, Boston, Massachusetts.|Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, Illinois.
authors.forename: Vineet M
authors.initials: VM
authors.lastname: Arora
mesh_terms: D020445:Hospitalists / Q000592:standards*; D006801:Humans; D010819:Physician's Role; D019095:Point-of-Care Systems / Q000191:economics / Q000592:standards; D011787:Quality of Health Care / Q000191:economics* / Q000592:standards*; D000070376:Value-Based Health Insurance / Q000191:economics*