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At #SHMConverge23 Dr. Aziz Ansari from @LoyolaMedMD and I presented this talk.

We were expecting *maybe* 100 attendees.
Instead, we had SRO (350+) in the room, and others turned away at the door.

Why??? A reflective 🧵 (1/11)
2/ In conversation with our audience, LOS (or, if you prefer, “LOS O:E”) is going up everywhere. Exasperation was palpable.

More to the point: people are TIRED…tired of their performance being judged by this antiquated metric.

And, tired of being asked to “fix” it.
3/ This is the Iceberg Model of Systems Thinking.

LOS is an “event.” Therefore, measuring hospitalist performance based on LOS is superficial.

Any hospitalist will tell you it’s the “stuff” beneath the surface that drives LOS
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