Let the Right Hand in on the Conversation

By Andre Harris, MD, chief medical officer, Miami Valley Hospital

One of the most common frustrations patients express is the lack of communication among their health care team. Too often, we hear complaints like, “It feels like the right hand doesn’t know what the left hand is doing in here.” As the complexity of a patient’s care increases, so does the need for clear, frequent communication among the health care team.

Health care can be a tumultuous journey. The more diagnoses a patient has, the more providers become involved in their care. This can create confusion, as each specialist may focus on their area of expertise, potentially clouding the overall picture of the patient’s needs. For example, a CT scan may reveal an incidental finding that leads to a biopsy, but the patient is left wondering, “I came to the hospital because I had difficulty breathing—why are we talking about a biopsy now?”

Multidisciplinary collaboration is essential, especially for complex patients. Hospitalists need to stay in close communication with nephrologists, pulmonologists, nurses, respiratory therapists, and more. While this may seem daunting, it’s exactly what patients are hoping for—coordinated, cohesive care.

So, how can you, as a provider, overcome these hurdles? Don’t rely solely on notes. After documenting, take the extra step of either sending a secure chat or calling the cell phone of the providers who requested the consultation. Make sure to share important updates: changes in the care plan, new imaging or procedures scheduled, or additional labs needed. While it may seem that “everything is in the notes,” the reality is that nuances often emerge in direct conversations with colleagues.

True collaboration leads to better care, and it begins with clear communication. Once the plan is set, ensure the patient is informed and understands the full picture. Sitting down, explaining the thought process, and answering their questions will make a world of difference in their experience—and their outcomes.

Back to the October 2024 issue of Premier Pulse