Moses is the largest Montefiore Medical Center Einstein campus and is the hub for transfers from other hospitals within and outside of the health system. The Moses campus has high quality subspecialty services including neurosurgery, oncology and organ transplant. The medicine service includes 40 hospitalists, 85 physician assistants, and a large internal medicine residency program with residents who rotate between Moses and Weiler. In addition to serving as the primary medicine service, the Division of Hospital Medicine offers a robust medicine consultation service, a night liver transplant service, tremendous teaching to Einstein students, and PA services for medicine and the Division of Cardiology.
The medicine service is responsible for approximately 300 beds across 9 medicine units with 22 daily medical teams. Hospital Medicine designed a geographic patient assignment system so that the entire census of each individual medicine team is contained on one medical unit. Several of the units have dedicated hospitalists, known as unit medical directors, who partner with an administrative nurse manager to oversee clinical care and throughput operations of the unit. This geographic model with consistent physician leadership maximizes multidisciplinary communication, physician efficiency, and physician and patient satisfaction. Many hospitalists are faculty members of Albert Einstein College of Medicine and work closely with the medical school by leading student courses and mentoring research projects. In addition to being education leaders, hospitalists at Moses have developed and continue to lead programs in ultrasound, infection control, hospital throughput, and patient experience. Hospitalists and PAs at Moses are a diverse group who enjoy spending time together both professionally and personally.
Weiler is the second largest hospital of Montefiore Medical Center's Einstein campus. Weiler has over 600 beds, and the medical service is comprised of 230 beds on 6 units with 15 daily medical teams. At this site there are 45 hospitalists, 50 physician assistants, and rotating medicine residents and students. Medicine follows a geographic staffing model that allows for consistency, collaboration, and coordinated care. In addition to patient care, many of our hospitalists participate in quality improvement initiatives including CAUTI/CLABSI reduction and the Point of Care Ultrasound Program.
Our proximity to the Albert Einstein College of Medicine allows hospitalists to engage in numerous teaching activities, and some hospitalists have leadership responsibilities at the College of Medicine and on the Einstein Senate. Unique to Weiler is the Division of Hospital Medicine ED Hospitalist Program. Thirteen internal medicine hospitalists make up this special sub-group, and three hospitalists are on duty 24/7 to care for patients admitted to the medicine service but remaining in the emergency department while awaiting inpatient beds. The program’s goal is to advance medical care, avoid management delays, and ensure that patients continue to receive the highest quality of inpatient-level care while physically remaining in the emergency room. Our hospitalists and physician assistants form a diverse group – many with roots from four of the major continents and the Caribbean. We are a close group, a family, and we often celebrate as such – birthdays and holiday potlucks with dishes that represent the globe. The team also plans and participates in fun activities outside of the hospital, from picnics in Central Park to the infamous NYC 5 Borough Bike Ride.
Wakefield is a busy hospital with approximately 150 patients on the medicine service daily. We care for patients on general medicine and telemetry while also providing consultative services for other departments including surgery, psychiatry, OB/GYN, and rehabilitation medicine. The focus includes providing high quality medical care, superior education, and mentorship to students from Albert Einstein Medical School and the 79 internal medicine residents. In addition, our hospitalists lead quality improvement initiatives in areas that include C. diff, foley catheter infections, central line infections, telemetry optimization, throughput, readmission reduction, and enhancement of pre-operative assessments. At this site the Division of Hospital Medicine has 16 hospitalists and 22 physician assistants. Faculty are involved in all aspects of education with many in leadership positions in the residency program and medical school, including an associate program director, point-of-care-ultrasound site director, third year clerkship site director and a sub-internship site director. Hospitalists also lead faculty development programs, continuing education conferences, and grand rounds.
Mount Vernon is a close-knit community hospital with hospitalists and physician assistants who are members of the larger health system Division of Hospital Medicine. The five hospitalists work as a team with five physician assistants to provide comprehensive inpatient care to patients on the general medical floor and telemetry unit. The team cares for approximately 15 patients daily and closely collaborates with subspecialists and care management to coordinate safe, robust, and efficient discharge of patients back into the Mount Vernon community. Hospitalists also provide medical consultations for the psychiatry and surgical services, which may include pre-operative risk assessment and supportive post-surgical management. In conjunction with the emergency department the hospitalists also evaluate and transfer critical patients to the larger campuses of Montefiore. Our hospitalists play an integral role in providing the highest quality of care, participating in quality projects, and optimizing operations within Mount Vernon Hospital.