b'1. The Evolution ofHospital medicine also focused on incorporating Hospital Medicinequantitative improvements in efficiency, measured by length of stay and ED throughput, utilization It was 1996 when Dr. Wachter, writing in the Newcost per case, and revenue enhancements through England Journal of Medicine along with Dr. Leedocumentation improvements including case mix index. Goldman, first termed the new hospital-basedHospitals required all these tactics to survive financially physicians hospitalists. 1In doing so, they gave this newin the managed care era.role much needed legitimacy, and thus, a new medical specialty was born. Meanwhile, hospital medicines contemporaneous alignment with the Institute of Medicines To Err is In those early days, the hospital medicine valueHuman and the resulting patient safety movement proposition was focused on management of thefurther served to solidify the hospitalists position.unassigned patientthose patients requiringFrom the round and go equation of the early years to admission from the emergency department withoutthe 24/7 shift-based equation that became a standard an assigned primary care physician. Thus, hospitalof care, Hospital Medicine mirrored the structural medicine took root, born from its slightly olderevolution of emergency medicine.professional sibling, emergency medicine (EM). Throughout these evolutions, hospitalists demonstrated Many of us practicing at that time can vividly rememberagility, a capacity for change, broad perspectives, and the controversy surrounding the emergence of theconsistent leadership. Hospitalists adapted to the hospitalist, with numerous primary care colleagueschanging environment, evolving the equations for lamenting their replacement in the inpatient settinghospital medicine, while continuing to advance patient and onlookers doubting the viability of this newcare in the most challenging of circumstances. trend. Most notably, the intense debate regarding the sustainability of a new specialty with such a dramatic gap between physician compensation and professional fee reimbursement seemed to be a formula for failure.But, hospital medicine not only took root, it also went on to completely transform the model of care delivery to the countrys inpatients.Early hospital medicine value focused on improvements in quality such as inpatient quality management including PQRS, inpatient mortality, patient, nurse and medical staff satisfaction, and the intangibles of enhancing primary care physician lifestyle and medical staff recruitment. Together, we healTogether, we heal 2Together, we heal SCP HEALTHIA NEW HOSPITAL MEDICINE EQUATION FOR A POST-COVID FUTURE'