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Definitions of Obstetric and Gynecologic Hospitalists

McCue, Brigid, MD, PhD; Fagnant, Robert, MD; Townsend, Arthur, MD, MBA; Morgan, Meredith, MD; Gandhi-List, Shefali, MD; Colegrove, Tanner, MD; Stosur, Harriet, MD; Olson, Rob, MD; Meyer, Karenmarie, MD; Lin, Andrew, MD; Tessmer-Tuck, Jennifer, MD

doi: 10.1097/AOG.0000000000001235
Contents: Current Commentary

The obstetric hospitalist and the obstetric and gynecologic hospitalist evolved in response to diverse forces in medicine, including the need for leadership on labor and delivery units, an increasing emphasis on quality and safety in obstetrics and gynecology, the changing demographics of the obstetric and gynecologic workforce, and rising liability costs. Current (although limited) research suggests that obstetric and obstetric and gynecologic hospitalists may improve the quality and safety of obstetric care, including lower cesarean delivery rates and higher vaginal birth after cesarean delivery rates as well as lower liability costs and fewer liability events. This research is currently hampered by the use of varied terminology. The leadership of the Society of Obstetric and Gynecologic Hospitalists proposes standardized definitions of an obstetric hospitalist, an obstetric and gynecologic hospitalist, and obstetric and gynecologic hospital medicine practices to standardize communication and facilitate program implementation and research. Clinical investigations regarding obstetric and gynecologic practices (including hospitalist practices) should define inpatient coverage arrangements using these standardized definitions to allow for fair conclusions and comparisons between practices.

We recommend definitions for obstetric hospitalist, obstetric and gynecologic hospitalist, and obstetric and gynecologic hospitalist medicine practices, facilitating communication, program implementation, and research.

Beth Israel Deaconess Hospital–Plymouth, Plymouth, Massachusetts; Intermountain Healthcare, Salt Lake City, Utah; Townsend Gyn Specialists and Integrated Physician Services, Germantown, Tennessee; Methodist Le Bonheur Healthcare, Memphis, and TeamHealth, Knoxville, Tennessee; the Woman's Hospital of Texas and Houston Methodist Hospital, Houston, Texas; West Valley Women's Care and Banner Thunderbird Medical Center, Glendale, Arizona; Northwestern Medical Group, Lake Forest, and the University of Illinois, Chicago, Illinois; Providence St. Vincent Medical Center, Portland, Oregon; Peace Health, Bellingham, Washington; NorthBay Health Care, Fairfield, California; Meridian Specialty Hospitalist Solutions, El Dorado, California; and North Memorial Health Care, Robbinsdale, Minnesota.

Corresponding author: Brigid McCue, MD, PhD, 275 Sandwich Street, Plymouth, MA 02360; e-mail: bmccue@societyofobgynhospitalists.org.

Financial Disclosure The authors are current or former board members of the Society of Obstetrics and Gynecologic Hospitalists (2012–2015). Dr. Olson is a consultant for obstetric and gynecologic hospitalist programs.

The authors thank Cate Stika, MD for her editing efforts.

© 2016 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.