--- title: Blog | James Haering, DO SFHM description: Current/future state of healthcare. Physician Advisor observations/tips on business trends. Hospital process improvement opportunities + system of care refinements. --- [Skip to content](https://www.jbh-solutions.com/blog/author/james-haering-do#main-content) ![](https://www.jbh-solutions.com/hs-fs/hubfs/JBH-Solutions_Logo.png?width=81&height=50&name=JBH-Solutions_Logo.png) - [Home](https://www.jbh-solutions.com/) - [About](https://www.jbh-solutions.com/about) - [Services](https://www.jbh-solutions.com/en/services) - [Blog](https://www.jbh-solutions.com/blog) Open main navigation Close main navigation - [Home](https://www.jbh-solutions.com/) - [About](https://www.jbh-solutions.com/about) - [Services](https://www.jbh-solutions.com/en/services) - [Blog](https://www.jbh-solutions.com/blog) - [CONTACT US](https://www.jbh-solutions.com/contact) [CONTACT US](https://www.jbh-solutions.com/contact) # BLOG This publishing portal was created to act as a catalyst and advocate for sharing expertise, knowledge and ideas for healthcare improvement.   ###### **CONTENT PUBLISHED WILL BE REGARDING:** + Current state and the future of healthcare + Lead Physician Advisor observations on trends in the business of healthcare with tips of the trade + Hospital process improvement opportunities and systems of care refinements NOTE the PEARL(s)! They are wisdom highlights and knowledge-experience giveaways for readers to take and apply as appropriate.  CONTENT DISCLAIMER: The contents of text/graphics and other materials made by JBH Solutions LLC are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Reliance on any information provided by JBH Solutions, leadership or employees appearing in content is at your own risk but we do hope you’ll find it useful and helpful.  [![2024 rules gavel](https://www.jbh-solutions.com/hubfs/2024rules-256x256.jpg)](https://www.jbh-solutions.com/blog/medicare-advantage-two-midnight-rule-threshold-for-inpatient-admissions-how-are-they-doing) [Documentation](https://www.jbh-solutions.com/blog/tag/documentation), [LOS](https://www.jbh-solutions.com/blog/tag/los), [Trend](https://www.jbh-solutions.com/blog/tag/trend), [CDS](https://www.jbh-solutions.com/blog/tag/cds), [Regulation](https://www.jbh-solutions.com/blog/tag/regulation) ## [MEDICARE ADVANTAGE + TWO-MIDNIGHT Rule Threshold for INPATIENT ADMISSIONS - How Are They Doing?](https://www.jbh-solutions.com/blog/medicare-advantage-two-midnight-rule-threshold-for-inpatient-admissions-how-are-they-doing) [James Haering, DO SFHM](https://www.jbh-solutions.com/blog/author/james-haering-do) 2/8/24 11:07 AM CMS-directed contract policy and technical updates went into effect on January 1st, 2024. For hospit... [Read more](https://www.jbh-solutions.com/blog/medicare-advantage-two-midnight-rule-threshold-for-inpatient-admissions-how-are-they-doing) [![](https://www.jbh-solutions.com/hubfs/2MNClock.jpg)](https://www.jbh-solutions.com/blog/improving-protections-new-regulations-for-2024-medicare-advantage-plans-regarding-the-two-midnight-rule) [CDI](https://www.jbh-solutions.com/blog/tag/cdi), [AI](https://www.jbh-solutions.com/blog/tag/ai), [Risk](https://www.jbh-solutions.com/blog/tag/risk), [Case Study](https://www.jbh-solutions.com/blog/tag/case-study), [EHR](https://www.jbh-solutions.com/blog/tag/ehr), [Regulation](https://www.jbh-solutions.com/blog/tag/regulation) ## [IMPROVING PROTECTIONS + NEW REGULATIONS for 2024 MEDICARE ADVANTAGE PLANS REGARDING the TWO-MIDNIGHT RULE](https://www.jbh-solutions.com/blog/improving-protections-new-regulations-for-2024-medicare-advantage-plans-regarding-the-two-midnight-rule) [James Haering, DO SFHM](https://www.jbh-solutions.com/blog/author/james-haering-do) 10/27/23 3:21 PM We are in the midst of a sea-change in the relationship between hospitals and Medicare Advantage (MA... [Read more](https://www.jbh-solutions.com/blog/improving-protections-new-regulations-for-2024-medicare-advantage-plans-regarding-the-two-midnight-rule) [![“The goal is not a good death. The goal is a good life--all the way to the very end." Atul Gawande, M.D., MPH, surgeon, writer, and public health leader](https://www.jbh-solutions.com/hubfs/EOL-Quote.png)](https://www.jbh-solutions.com/blog/deep-dive-advanced-care-planning-communication-of-end-of-life-goals) [AI](https://www.jbh-solutions.com/blog/tag/ai), [FHIR](https://www.jbh-solutions.com/blog/tag/fhir), [Case Study](https://www.jbh-solutions.com/blog/tag/case-study) ## [DEEP DIVE: ADVANCED CARE PLANNING + COMMUNICATION of END OF LIFE GOALS](https://www.jbh-solutions.com/blog/deep-dive-advanced-care-planning-communication-of-end-of-life-goals) [James Haering, DO SFHM](https://www.jbh-solutions.com/blog/author/james-haering-do) 9/28/22 3:09 PM My work as a Physician Advisor (PA) for Utilization Management (UM), has taken me across the country... [Read more](https://www.jbh-solutions.com/blog/deep-dive-advanced-care-planning-communication-of-end-of-life-goals) [![](https://www.jbh-solutions.com/hubfs/Societal%20Factors%20Impacting%20Health%20Decisions.png)](https://www.jbh-solutions.com/blog/why-capturing-patient-social-issues-are-important) [Documentation](https://www.jbh-solutions.com/blog/tag/documentation), [Trending Risk](https://www.jbh-solutions.com/blog/tag/trending-risk), [Trend](https://www.jbh-solutions.com/blog/tag/trend) ## [Importance of Societal Factors + Impact on Health Decisions](https://www.jbh-solutions.com/blog/why-capturing-patient-social-issues-are-important) [James Haering, DO SFHM](https://www.jbh-solutions.com/blog/author/james-haering-do) 6/8/22 7:57 PM Hospitals and Health Systems are working on capturing social determinants of health data in efforts ... [Read more](https://www.jbh-solutions.com/blog/why-capturing-patient-social-issues-are-important) [![Trending Risk](https://www.jbh-solutions.com/hubfs/TrendingRisk2.jpg)](https://www.jbh-solutions.com/blog/trending-risk-denial-for-short-inpatient-stays-what-to-do) [Documentation](https://www.jbh-solutions.com/blog/tag/documentation), [LOS](https://www.jbh-solutions.com/blog/tag/los), [Physician Advisor](https://www.jbh-solutions.com/blog/tag/physician-advisor), [Short Stay](https://www.jbh-solutions.com/blog/tag/short-stay), [Pearl](https://www.jbh-solutions.com/blog/tag/pearl), [Trend](https://www.jbh-solutions.com/blog/tag/trend), [Risk](https://www.jbh-solutions.com/blog/tag/risk) ## [TRENDING RISK: Denial for Short Inpatient Stays + WHAT To DO](https://www.jbh-solutions.com/blog/trending-risk-denial-for-short-inpatient-stays-what-to-do) [James Haering, DO SFHM](https://www.jbh-solutions.com/blog/author/james-haering-do) 1/10/22 4:02 PM The last several months have seen the resurgence of audits by CMS and commercial payers. One prime a... [Read more](https://www.jbh-solutions.com/blog/trending-risk-denial-for-short-inpatient-stays-what-to-do) [![](https://www.jbh-solutions.com/hubfs/Imported_Blog_Media/AttendingPhysician-Visual.jpg)](https://www.jbh-solutions.com/blog/2021/11/03/the-absent-attending-attending-in-name-only-aino) [Main](https://www.jbh-solutions.com/blog/tag/main), [Healthcare Technology](https://www.jbh-solutions.com/blog/tag/healthcare-technology), [AI](https://www.jbh-solutions.com/blog/tag/ai), [Checklist](https://www.jbh-solutions.com/blog/tag/checklist) ## [THE ABSENT ATTENDING: Attending In Name Only (AINO)](https://www.jbh-solutions.com/blog/2021/11/03/the-absent-attending-attending-in-name-only-aino) [James Haering, DO SFHM](https://www.jbh-solutions.com/blog/author/james-haering-do) 11/3/21 11:15 AM Who is the "attending physician"? In the “old days,” the answer was straightforward. The attending p... [Read more](https://www.jbh-solutions.com/blog/2021/11/03/the-absent-attending-attending-in-name-only-aino) [Main](https://www.jbh-solutions.com/blog/tag/main), [Healthcare Technology](https://www.jbh-solutions.com/blog/tag/healthcare-technology), [AI](https://www.jbh-solutions.com/blog/tag/ai), [KPI](https://www.jbh-solutions.com/blog/tag/kpi), [Checklist](https://www.jbh-solutions.com/blog/tag/checklist) ## [HEALTHCARE AI: Critical for Successful UTILIZATION MANAGEMENT (UM) + Achieving Key PERFORMANCE Metrics](https://www.jbh-solutions.com/blog/2021/09/16/healthcare-artificial-intelligence-ai-why-its-critical-to-a-successful-utilization-management-um-program-achieving-key-performance-metrics) [James Haering, DO SFHM](https://www.jbh-solutions.com/blog/author/james-haering-do) 9/16/21 4:57 PM We can thank Alan Turing (British mathematician and logician) in the 1950’s for kicking-off Artifici... [Read more](https://www.jbh-solutions.com/blog/2021/09/16/healthcare-artificial-intelligence-ai-why-its-critical-to-a-successful-utilization-management-um-program-achieving-key-performance-metrics) [Main](https://www.jbh-solutions.com/blog/tag/main), [Healthcare Technology](https://www.jbh-solutions.com/blog/tag/healthcare-technology), [AI](https://www.jbh-solutions.com/blog/tag/ai), [FHIR](https://www.jbh-solutions.com/blog/tag/fhir) ## [UTILIZATION MANAGEMENT (UM) and the Biases of ARTIFICIAL INTELLIGENCE (AI)](https://www.jbh-solutions.com/blog/2021/08/31/utilization-management-um-and-the-biases-of-artificial-intelligence-ai) [James Haering, DO SFHM](https://www.jbh-solutions.com/blog/author/james-haering-do) 8/31/21 8:58 AM The use of Artificial Intelligence (AI), in medicine has been in existence formally since the mid 19... [Read more](https://www.jbh-solutions.com/blog/2021/08/31/utilization-management-um-and-the-biases-of-artificial-intelligence-ai) [Main](https://www.jbh-solutions.com/blog/tag/main) ## [PHYSICIAN ADVISING: Mental and Substance Use Disorders (MSUDs) + Inpatient Psychiatric Care Encounters](https://www.jbh-solutions.com/blog/2021/05/31/physician-advising-mental-and-substance-use-disorders-msuds-inpatient-psychiatric-care-encounters) [James Haering, DO SFHM](https://www.jbh-solutions.com/blog/author/james-haering-do) 3/31/21 1:24 PM In day-to-day work as a Physician Advisor, we frequently encounter cases that are primarily due to, ... [Read more](https://www.jbh-solutions.com/blog/2021/05/31/physician-advising-mental-and-substance-use-disorders-msuds-inpatient-psychiatric-care-encounters) [Main](https://www.jbh-solutions.com/blog/tag/main), [Hospitalist](https://www.jbh-solutions.com/blog/tag/hospitalist) ## [YOU NEED a COLONOSCOPY](https://www.jbh-solutions.com/blog/2021/03/29/you-need-a-colonoscopy) [James Haering, DO SFHM](https://www.jbh-solutions.com/blog/author/james-haering-do) 3/29/21 1:29 PM While it is probably not on the top five worst things you can hear, being told you need a colonoscop... [Read more](https://www.jbh-solutions.com/blog/2021/03/29/you-need-a-colonoscopy) First Prev [1](https://www.jbh-solutions.com/blog/author/james-haering-do) [2](https://www.jbh-solutions.com/blog/author/james-haering-do/page/2) [Next](https://www.jbh-solutions.com/blog/author/james-haering-do/page/2) [Last](https://www.jbh-solutions.com/blog/author/james-haering-do/page/2) ## Interested in Specific Topics Covered? 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