What We Do

Telehospitalist Image Review

Telehospitalist Services

We know how difficult it is to be on indefinite call, and appreciate how this contributes to provider burnout and departure, leading to the need for locum tenens providers, or a difficult recruitment process. We offer services ranging from as-needed coverage, to providing emergency room consultation, doing admissions, and managing inpatients. However we do not aim to replicate the revolving door of locum tenens in slightly less personal form. We match providers with facilities on a recurring basis, so local staff and patients get to know us.  We believe trust and familiarity lead to better care.

Benefits of our service include:

  • Retention of patients that might have otherwise required transfer
  • Expansion of hospital capabilities if desired
  • Partnership with the receiving facility and local providers.
  • Ability to treat all ages
  • In some cases, ability to receive patients in transfer when needed
  • Use of updated coding practices
  • Strong emphasis on quality measurement and improvement

Specialty Services

One chronic problem for nearly all rural hospitals is timely access to specialty care. Long waits, long drives, or expensive hospital transfers are common. We do not believe this limitation is still necessary, and as such offer an expanding menu of in- and outpatient subspecialty services, including:

  • Allergy and Immunology
  • Cardiology
  • Complex Diabetes
  • Dermatology
  • Dietitian/Certified Diabetic Educator
  • Emergency Medicine
  • Endocrinology, including Pediatric
  • Family Medicine
  • Infectious Disease, including Pediatric
  • Internal Medicine, including Intensive Care
  • Mental Health
  • Nephrology
  • Neurology
  • Pain Management
  • Pediatrics, including Intensive Care
  • Physical Medicine and Rehabilitation
  • Rheumatology

We will soon offer:

  • Hematology/Oncology
  • Pediatric Subspecialties
  • Pulmonology
  • Surgical Consultation

Expansion of Hospital Offerings

Rural hospitals are under increasing financial pressure. One way to address this is the expansion of offered services. While an in-person provider is preferable, that arrangement is not always possible. Our physicians participate in the healthy function of the facilities and communities we serve. As such we ask that participating communities think of us not just as providers that fill in when necessary, but instead as a small group of physicians that has digitally “moved” to the community. The question from our perspective should not only be, “Where can you fill gaps in my schedule?” but “What else could we offer our patients with an additional doctor or two that we can not provide currently?”

Quality Improvement

As the insurance environment shifts from fee-for-service to quality-based reimbursement, we would like to be a part of this process as it pertains to rural health. Contrary to the expectations that are typically associated with locum tenens, our staff are asked to take part in any quality initiatives or reporting already happening locally, and to communicate frequently about areas for further improvement. Beyond this, we also have a strong interest in measuring the quality of the services we provide. Every physician intends to provide the best possible service, but this has historically been difficult to confirm. Though the area of data collection at the individual provider level is largely undeveloped, we plan to pioneer it in conjunction with our partner facilties.

Technology

The growth of telemedicine technology has spawned a number of approaches to the provision of care. Many are predicated on the use of pre-packaged technology “ecosystems,” significant capital investment, or ongoing subscriptions. In our view a more flexible, cost-effective, yet secure solution is needed, and we can provide one. Startup and maintenance costs for our facilities are quite low. Beyond this, as a company driven by the marriage of service and modern technology, we keep a close eye on the latest developments, and incorporate them into our practice. We believe rural medicine should be at the forefront of communication and monitoring technology.

Flexibility

We appreciate what rural hospitals mean to the communities they support, and believe it is critical they stay open. We are a small, adaptable organization, and will work with you to create not just better access to care, but better overall care based on local needs.