What is an OB/GYN hospitalist? 

We are expert providers for both OB and GYN emergencies.  Duties include:

• Care for unassigned inpatient OB and GYN patients
• L&D triage or OBED
• Providing OB and GYN consultations on the floor and Emergency Department
• Oversee residents, fellows, midwives or advanced practice nurses
• Provide call coverage and L&D support: interpretation of EFM strips, stand-by for deliveries, perform amniotomies & sonograms, IUPC/FSE placement, monitoring of laboring patients for staff OBs
• MFM extenders
• Member and leader of the OB Rapid Response Team
• Surgical assist for staff OBs
• Members of patient safety and quality review committees
• Enforce quality metrics and evidence-based medicine

Benefits of Starting a Hospitalist Program

• ACOG: Committee Opinion #657, February 2016
  • https://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Patient-Safety-and-Quality-Improvement/The-Obstetric-and-Gynecologic-Hospitalist

• Rosenstein: The Association of Expanded Access to a Collaborative Midwifery and Laborist Model With Cesarean Delivery Rates
  • http://journals.lww.com/greenjournal/Fulltext/2015/10000/The_Association_of_Expanded_Access_to_a.5.aspx

• Iriye: Implementation of a laborist program and evaluation of the effect upon cesarean delivery
  • http://www.ajog.org/article/S0002-9378(12)01351-8/fulltext

• Iriye: Impact of Obstetrician/Gynecologist Hospitalists on Quality of Obstetric Care (Cesarean Delivery Rates, TOLAC/VBAC rates, and Neonatal Adverse Events
  • https://www.sciencedirect.com/science/article/pii/S0889854515000522?via%3Dihub

• Srinivas: Evaluating the impact of the laborist model of obstetric care on maternal and neonatal outcomes
  • http://www.ajog.org/article/S0002-9378(16)30572-5/fulltext

• Feldman: Do laborists improve delivery outcomes for laboring women in California community hospitals?
  • http://www.ajog.org/article/S0002-9378(15)00528-1/fulltext

• Garite: Business and Organizational Models of Obstetric and Gynecologic Hospital Groups
  • https://www.sciencedirect.com/science/article/pii/S088985451500056X?via%3Dihub

• Rayburn: Foreward: the OB/GYN Hospitalist: An expanded area of practice deserving our attention
  • https://www.sciencedirect.com/science/article/pii/S0889854515000613?via%3Dihub

• Kisuule and Howell: Hospitalists and Their Impact on Quality, Patient Safety, and Satisfaction
  • https://www.sciencedirect.com/science/article/pii/S0889854515000492?via%3Dihub

• OB Hospitalist Programs; Growth, unexpected benefits and how to implement your own
  • https://www.beckershospitalreview.com/hospital-physician-relationships/ob-hospitalist-programs-growth-unexpected-benefits-and-how-to-implement-your-own.html

• Farley: Webinar of Wayne Farley, QuestCare’s OB Medical Director discussing hospital implementation, volume, cost issues and more
  • https://www.youtube.com/watch?v=yQvdHT_fod4&feature=youtu.be