About James Allen, MD

I am a Professor of Internal Medicine at the Ohio State University and the Medical Director of Ohio State University Hospital East

Reducing Joint Replacement Surgery Infections

Reducing Joint Replacement Surgery Infections

Joint replacement surgeons are coveted by hospitals because they bring in lucrative elective inpatient surgeries that can improve the hospital’s financial margin. Furthermore, patients who have successful joint replacements are some of the happiest patients in the hospital and they will often improve the hospital’s patient satisfaction scores. However, a post-operative infection of the newly […]

Inpatient Palliative Medicine Services: Making The Right Economic Projections

Inpatient Palliative Medicine Services: Making The Right Economic Projections

The demand for inpatient palliative medicine services is very high and the supply of palliative medicine physicians is rather low. When considering bringing palliative medicine services to your hospital, the real value of palliative medicine is in what does not appear on the basic accounting pro forma. A robust palliative medicine service is a multidisciplinary […]

Timing Of Hip Fracture Surgery

Timing Of Hip Fracture Surgery

How we practice medicine in the United States is often dictated by quality metrics established by Medicare and The Joint Commission. Our hospitals often focus on monitoring these publicly reported metrics but there are others that deserve equal attention, even though they are not publicly reported. One of these is the time between when a […]

Dying To Reduce Hospital Readmissions

Dying To Reduce Hospital Readmissions

20% of people who get admitted to the hospital require readmission within 30 days of being discharged. Medicare has taken steps to reduce these readmissions, but the unintended consequence of these steps appears to be an increase in mortality rates. Readmissions are expensive and cost Medicare about $17 billion per year. Conventional dogma holds that […]

Why The Medication List In Your Electronic Medical Record is Wrong

Why The Medication List In Your Electronic Medical Record is Wrong

The importance of an accurate medication list for every outpatient cannot be overstated. In theory, the electronic medical record should improve the accuracy of the medication list but in reality, medication lists are very often inaccurate. The act of verifying the medication list is called “medication reconciliation” which sounds so easy on the surface but […]

The 2017 Saline Bag Shortage

The 2017 Saline Bag Shortage

One of the casualties of Hurricane Maria was the Baxter Healthcare. Baxter makes supplies and fluids for intravenous therapy and also makes products for dialysis. One of Baxter’s manufacturing plants is in Puerto Rico. When the hurricane knocked out power to the island, the plant was not able to make products. The products that they […]

The Cocaine Mule

The Cocaine Mule

This morning, I was contacted by the emergency department. We had a patient who came in with severe agitated delirium to the point that no combination of sedative and anti-psychotic medications could control him and keep him from harming himself or ER staff members. Ultimately, he had to be intubated and placed on continuous IV sedatives. It reminded […]