Patient Care

The Hospital Medicine Service accounts for approximately 25% of all admissions to the Rady Healthcare system and over 98% of general pediatric admissions. Patients cared for may present with common or complex problems, and may have no past issues or multiple chronic co-morbid medical and surgical conditions. The average census varies by season, averaging 45 patients in winter months and 20 in the traditionally quieter summer months. Volume is high, with 25-35 admissions in a 24 hour period during the winter months at the Rady site alone. Service activities include provision of inpatient care, consultation for sub-specialty and emergency department patients, sedation, housestaff and medical student teaching and coordination of approximately 100 emergency transports monthly. Additionally, the hospitalists provide acute and ongoing care to skilled nursing and subacute level convalescent patients at the Bernardy Center, located on the RCHSD campus.

The Hospital Medicine Service at Palomar Hospital began in July 2006, in partnership with local pediatricians. The census at this Rady-licensed unit ranges from 5 to 12 patients. This non-resident service is part of a larger Rady program that includes newborn nursery and the neonatal intensive care unit. The hospitalists also provide consultation for the emergency department at this location.

The hospitalists began providing services at the Rady-licensed unit at Sharp Grossmont Hospital in July 2008. This unit has an average daily census of four that increases in the winter to 6-8. This program is also a partnership with community pediatricians and provides families living in the area with easy access to RCHSD resources and hospital medicine physicians.

Visit the Pediatric Hospital Medicine Program at Rady Children's Hospital