Hospital Medicine Specialties and Services

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.

Service Description
Non-Teaching Service We currently have three acute medicine services that care for our inpatients and observation patients and these teams consist of one physician and one mid-level provider on 2 of the three services. Patients on these services have a broad range of diagnoses.
Teaching Service There are six teaching teams that consist of an attending, one intern, one senior resident, and often one sub-intern and one third year medical student. Patients on these services have a broad spectrum of diagnoses.
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 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 to provide care for patients with complex disposition needs.
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 the hospitalists to aid the Emergency Room physicians in the evaluation of patients presenting with chest pain.
Short Stay / Observation Unit The Short Stay Unit is an observation unit staffed primarily by the hospitalist team.  Our focus is on efficient, effective and high-quality care of patients in observation status.
Medical Consult 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 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.
Palliative Care The Palliative Medicine service provides specialized medical support for patients with serious illness through inpatient and outpatient consultative services. The palliative team of doctors, nurses, and other specialists work to provide an extra layer of support by providing relief from the symptoms, pain, and stress of a serious illness, so as to improve quality of life for both patient and family. Palliative care is appropriate at any age and at any stage in a serious illness, and is provided along-side curative treatment.

The goal of palliative care is to improve the quality of a patient’s life by:

• Alleviating distressing symptoms

• Addressing the psychological-social-spiritual components of a disease

• Eliciting the goals of care

• Planning for the next steps.