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Hospitalist Transcript

Hospitalist – Sanjay Vadgama, MD Video

Announcer: Over the past few years the hospitalist role has increased in demand and is one of the fastest growing specialties in medicine today.

Visuals: Announcer is a male in a suit. He is introduced with the title “Kris Long – American Health Journal” in lower-third. He is in front of a news studio background with glass and wood panels and a large monitor with the title “Hospitalist” displaying video a doctor in busy hospital hallway typing into a keyboard with computer monitor.

Announcer (V.O.): We spoke to Dr. Sanjay Vadgama at Valley Presbyterian Hospital in the San Fernando Valley and asked him to explain the function of the hospitalist.

V.O. visuals: Dr. Sanjay Vadgam, wearing a suit and tie, being interviewed in a studio; exterior of hospital buildings; main entrance of the hospital and…

Sanjay Vadgama, M.D.: A hospitalist is a healthcare provider who has dedicated their career to the management of in-patients. These are the patients who are specifically in the hospital. These are doctors who don’t traditionally have out-patient practices…

Vadgama (V.O.): …and their entire career is based on taking care of patients that are solely in the hospital.

V.O. visuals: Close-up of Vadgama who is introduced with the title “Sanjay Vadgama, MD – Valley Presbyterian Hospital” in the lower-third; Vadgama at the desk in a hospital unit, looking at a patient chart.

Vadgama: Very often community physicians have busy out-patient practices and so when their patients are admitted to the hospital, it’s easier for them to have a hospitalist team that have doctors in-house twenty-four seven, seven days a week to manage their patients.

Vadgama (V.O.): So we communicate with their community physicians and ensure that their care is smooth and safe.

V.O. visuals: Vadgama speaking to a female unit nurse behind the desk; close-up of Vadgama talking to her.

Vadgama: At any one time there are some physicians in-house taking care of patients as they come through and throughout their stay. The advantage of this as opposed to traditional programs is that if you are admitted…

Vadgama (V.O.): …through the emergency room, you’re likely to see the same physician for the entire length of your stay.

V.O. visual: Vadgama standing next to the nurse seated at a computer, looking at the monitor together and talking.

Geraldine Taguba, RN: With the hospitalist program, we have onsite access to physicians twenty-four seven. In the event of a change in the patient’s condition, or there is an escalation of pain, as a result…

Visual: Close-up of the nurse in the unit being interviewed. She is introduced with the title “Geraldine Taguba, RN – V alley Presbyterian Hospital” in the lower-third.

Taguba (V.O.): …patients are quickly treated, complications are avoided and further deterioration of the patient’s status is prevented.

V.O. visual: Close-up of Taguba in the unit talking with Vadgama.

Announcer (V.O.): Dr. Vadgama gives us a scenario of an ER patient with kidney problems.

V.O. visual: Another angle of Vadgama standing next to Taguba, looking at the monitor together.

Vadgama: You will present to the Emergency Room and there, you are evaluated by your Emergency Room physician. He or she makes the decision to admit you based on your condition’s severity. Once the decision has been made to admit you to the hospital, they contact a hospitalist team. Our team comes down and evaluates you and has a discussion with the Emergency Room physician…

Vadgama (V.O.): …and they pick up your care from there on. Then for the rest of your stay, the hospitalist…

V.O. visual: Close-up of Vadgama reviewing a patient chart in the hospital hallway.

Vadgama: …coordinates your care with some specialists. In this case, an Urologist or Nephrologist, a kidney specialist, and they’ll make sure that they coordinate care between…

Vadgama (V.O.): …the different providers such that when you’re discharged, you’re discharged safely and they also coordinate follow up after that.

V.O visual: Taguba at desk looking at monitor with Vadgama standing next to her.

Vadgama: There’s a lot of data now to show that these programs improve quality of care, shorten the length of stay, and improve patient outcomes as well.

Vadgama (V.O.): It is very satisfying for the physicians to…

V.O. visual: Vadgama and Taguba talking as they walk up hospital hallway toward the camera.

Vadgama: …see a patient come in through the Emergency Room, improve, and be discharged safe and happy. And in that role, I think our physicians have a great deal of satisfaction. They also are able to coordinate care once the patient is discharged with their primary care physician and make sure that follow up is arranged and follow up appointments, blood tests, etcetera, are done in a timely manner.

Visual: Vadgama being interviewed in the studio.

End screen is black.