Letter from the Editor

This month's issue includes a cover story on changes in rapid response teams and articles on patients' perspectives of readmissions, heart failure treatment, hospitalist fellowships, and more.


Rapid response teams have often included physicians and nurses, but some hospitals are adding new team members to the mix. Our cover story by Janet Colwell describes the latest innovations in rapid response. Hospitalists may want to consider following 1 or more of these examples and adding nearby nurses, pharmacists, computers, or palliative care to their own hospitals' teams.

Developing such a team could be a suitable task for a hospitalist fellow. Our article examines hospitalist fellowships, which come in a variety of sizes and focuses, looking at their costs and benefits for recent residency grads and practicing physicians. And there are pros and cons for the hospitals that offer fellowships, as well.

Balancing pros and cons will be key for physicians deciding whether to prescribe the new heart failure medication sacubitril/valsartan. Learn what experts thought about the initial data on this drug, which was approved by the FDA in July, shortly after another drug, ivabradine, broke a long dry spell in heart failure research.

Researchers may have found a new angle on another perennial hospital problem—readmissions. Instead of hunting through medical records for the causes of a readmission, look up from your screen and ask the patient why he's back, they suggest. Our article explains how this simple concept, sometimes called patient-reported outcomes, could change research and practice. Continuing on the same theme, this month's Success Story reports on a hospitalist program that collected patient-satisfaction data, as everyone does, but used them immediately to improve care.

Our Q&A investigates how hospitalists can get along better with another important stakeholder, the primary care physician (PCP). The good news is that PCPs want to hang out with you—mixers of hospitalists and PCPs were one of the ideas collected in a survey of the 2 groups. But for a fictional patient, the news is all bad, as Jamie Newman imagines what would happen if hospital physicians did the opposite of choosing wisely.

This issue also contains an Expert Analysis on myopericarditis and The Brief Case, the latter of which was submitted by physicians from Hennepin County Medical Center. You can write for us, too. Get the details online.

Sincerely,
Stacey Butterfield
Editor-in-Chief, ACP Hospitalist