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PRESENTATION TOPICS
We speak to industry groups, at conferences and seminars and to individual hospitals or hospitalist groups on a variety of topics related to hospitalist practice.
For stand-alone presentations to hospitalist groups or hospital leadership groups/boards, we can build into the program ample question and answer time. Among the presentations we offer:
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An Introduction to Hospitalist Practice
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45 – 60 minutes
- Forces that have led to the explosion in hospitalist practice nationally (as well as in other countries)
- The current state of and future projections for hospitalist practice, e.g., numbers of hospitalists in practice, and variations in hospitalist scope of practice
- Benefits of hospitalist practice for all stakeholders:
- Patients (including summary of scientific research about effects of hospitalist model on healthcare quality and costs)
- Hospitals and payers
- Other (non-hospitalist) physicians
- Hospitalists themselves
- Concerns about the hospitalist model
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A Culture of Practice Ownership
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45 minutes to two hours
- Why a physician mindset of practice ownership (even if they aren’t legal owners of their practice) is the most important key to a high performing hospital medicine practice
- How to achieve an ownership mindset on the part of your hospitalists – specific discussions around aligning goals and interests, practice leadership, structural issues such as compensation and scheduling, and the how and why of providing the hospitalists with information about their performance
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Hospitalist Staffing and Scheduling
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45 – 60 minutes
- How to determine the number of providers—MDs and (if applicable) non-physician providers (NPs, PAs)—your practice needs
- How to address and staff for unpredictable patient volumes/workloads
- Options for scheduling the staff you do have
- Common staffing and scheduling problems
- Thoughts on recruiting hospitalists
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Hospitalist Compensation
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45 – 60 minutes
- Overview of existing data regarding compensation from survey reports and our own extensive consulting experience
- Correlations between the amount of hospitalist compensation and workloads, plus other variables such as what party employs the hospitalists
- Various options for the method of compensation, and pros and cons of each approach
- Salary Attributes of a Compensation structure that anticipates future growth and evolution of the practice
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Developing a Hospitalist Performance Monitoring Process and Dashboard
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60 minutes
- The importance of having some kind of data tracking/reporting system
- Types of data to collect, and where to find it
- How to present and use the data
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Developing a Surgical Hospitalist Program
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60 minutes
- An overview of specialty hospitalist models—e.g., laborists, GI and psych hospitalists, neurologic hospitalists and others outside the common medical/pediatric hospitalist practices
- The forces leading to the growth of the surgical hospitalist model
- The difference between surgical hospitalists, acute care surgeons, traumatologists, and similar terms
- Operational issues
- The surprising similarities and dissimilarities between surgical and “medical” hospitalist practice
- Where to find the surgeons to staff your practice
- Who should employ the surgical hospitalists
- How many surgical hospitalists an institution needs, and ideas about scheduling and compensating them
- How to anticipate and mitigate your existing general surgeons’ concerns about a new surgical hospitalist practice
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Measuring Hospitalist Return on Investment
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60 minutes
- Why hospitalist programs require financial support—and how much is typical
- Key reasons why organizations choose to subsidize their hospitalist programs
- Which benefits are measurable
- Taking “soft” or non-quantifiable benefits into consideration
- Practical methods for measuring ROI, including important analysis considerations
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Negotiating a Contract between a Hospital and a Hospitalist Group
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60 minutes
- What you should expect the agreement to do for you
- Setting up a win-win proposition
- Key provisions you can’t afford to miss
- What you should expect to pay
- Alternative methods for structuring the financial support
- Monitoring program performance and contract compliance
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We’re happy to customize these presentations for specific audiences, or to speak on other topics related to hospital medicine. We can also include one or more of these presentations during a site visit that is part of a larger consulting engagement. Please call John Nelson at 425.467.3316 or Leslie Flores at 760.771.3323 or email us at info@nelsonflores.com to discuss your presentation needs.
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