To redesign acute care around complex patients, hospitals will need to reexamine and adapt their decision-making processes for an era of hospital care in which large groups of clinicians care for patients with multi-morbidity.
To make better, faster decisions, hospitals must employ a new type of in-hospital clinical decision maker: the hospitalist. A hospitalist is a generalist doctor with specific training managing complex, multi-morbid patients within the acute care setting. These doctors provide something most sub-specialists cannot: the critical ability to understand and treat a multimorbid patient’s medical and psychosocial conditions as a whole rather than focusing on a specialised component. Many organisations find introducing hospitalists a challenge—especially in regions where this is a new and different-in-kind sub-specialty.