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Practice Closeups

November 2018

Published in the November 2018 issue of Today’s Hospitalist 

Advocate Medical Group
Based in: Chicago, Ill.
Number of hospitalists: 120+, recruiting system-wide
Contact: Becky Bork, Rebecca.Bork@advocatehealth.com

Advocate Medical Group (AMG) is the leading physician-led medical group in Chicago, employing more than 1,600 providers and 600+ advanced practice providers. Advocate has the largest emergency and level I trauma network in Illinois, providing care at more than 400 sites, including 12 acute-care hospitals and the state’s largest integrated children’s network. The system also operates five level I trauma centers. Advocate trains more than 600 residents and fellows annually across four teaching hospitals and holds academic and teaching affiliations with all major universities in the Chicago metropolitan area. Advocate Medical Group is part of the Advocate Aurora Health system, the 10th largest not-for-profit, integrated health system in the United States and a leading employer in the Midwest.

Services: Services vary by site, as hospital size ranges from approximately 200 to 700+ beds. Hospitalist responsibilities include primary care coverage, subspecialist consultation, teaching service, observation center coverage, preoperative evaluations and ED unassigned coverage. Each hospital has its own team and site lead physician.

Schedule and coverage: AMG Hospitalist Service provides a seven-on/seven-off schedule. 

Compensation: AMG offers compensation competitive with the local market and includes an extensive benefits package.

Local highlights: Chicago and its suburbs offer music, theater, sports, an international airport, and a wide variety of social, cultural and educational opportunities.

Advocate Medical Group Central Region
Based in: Bloomington-Normal, Ill.
Number of hospitalists: 9, recruiting for 3
Number of hospitals covered: 2
Founded: 2016
Contact: Debra Gaines, Debra.gaines@advocatehealth.com; 309-268-2915

Advocate Medical Group Central Region is part of Advocate Aurora Health, the 10th largest not-for-profit integrated health system in the U.S., and was recently ranked No. 2 in the nation in health outcomes. Advocate BroMenn Medical Center was recently named one of the “Best Places to Work in Healthcare” by Modern Healthcare. The medical center is a 221-bed Magnet-recognized teaching hospital with a community hospital feel. Services include a certified stroke center, chest pain center and a level II trauma center.

Employment model: Hospitalists are employed by Advocate Medical Group.

Services: No codes, procedures or vent management required. Open ICU with critical care and e-ICU support.

Schedule and coverage: Hospitalists work a seven-on/seven-off schedule with dedicated nocturnist coverage and APN support. Hospitalists also cover a 25-bed rural critical access hospital.

Compensation: Advocate Medical Group Hospitalist Service offers an exceptional salary with benefits including malpractice coverage, CME allowance and an RVU/productivity bonus.

Local highlights: Located in the heart of Illinois, Bloomington-Normal is home to several large businesses and universities. Innovative and family-friendly, the two cities have a combined population of 130,000 with an additional 30,000 students from Illinois State and Illinois Wesleyan. With excellent schools and affordable housing, Bloomington-Normal has a small town feel with big city amenities. Chicago, St. Louis and Indianapolis are all a short drive away.

Ballad Health
Based in: Northeast Tennessee/Southwest Virginia
Number of hospitalists: Varies by facility, recruiting for 5 or more
Contact: Patty Turner, Patty.Turner@BalladHealth.org; 423-230-8506

Ballad Health’s level I and level II trauma centers have around 500 beds each; the smaller hospitals have between 60 and 150 beds, with each facility housing ICU beds. The larger facilities have rapid response and code teams, while some of the smaller facilities provide opportunities for teaching residents.

Employment model: Hospitalists are employed physicians with Ballad Health’s managed provider group. 

Services: Needs vary, but hospitalists can expect to carry out admissions through the ED, treat ICU patients in addition to traditional med/surg patients, and teach residents when the facility requires it.

Schedule and coverage: Hospitalists at all facilities typically work seven-on/seven-off, 9-12 hour shifts, providing call coverage only in the smaller facilities.

Compensation: Hospitalist salary is on par with the national average and competitive within the region; it is not dependent upon productivity or quality incentives.

Practice highlights: Providers are included in the management structure, and physician leaders are encouraged to step forward and advise administration frequently. An excellence in medicine and leadership are desired in the physicians we place there.

Local highlights: Located in the Southern Appalachian Mountains, the area provides an abundance of outdoor activities as well as shopping, dining and the arts. Located at the midpoint between Asheville, N.C. and Knoxville, Tenn., the area is an easy hub for travel.

BayCare Medical Group
Based in: Tampa Bay area, Fla.
Number of hospitalists/nocturnists: 90, recruiting for 6 nocturnists and 4 hospitalists
Founded: 2014
Contact: BMGProviderRecruitment@BayCare.org; 813-586-8154

BayCare Medical Group is Tampa Bay’s leading multispecialty group with more than 600 providers practicing 46 specialties in more than 190 outpatient locations throughout the west Gulf Coast of Tampa Bay and central Florida. BayCare Health System network comprises 15 hospitals with services including imaging, lab, behavioral health, home health care and urgent care. Our priority is connecting patients to a complete range of preventive, diagnostic and treatment services for any health care need throughout their lifetime. 

Services: Hospitalists provide core services including ED coverage, subspecialty consultations, preoperative evaluations and ICU coverage. BayCare covers more than 46 medical subspecialties including cardiology, neurology, endocrinology, oncology and pediatrics. 

Schedule and coverage: Hospitalists typically work a seven-on/seven-off schedule with nocturnist coverage. Schedules vary according to assignment and facility.

Compensation: BayCare Medical offers a competitive base salary with wRVU productivity incentive. We offer benefits including health, dental, vision and life, as well as a discretionary allowance, college savings plan, childcare, auto and pet insurance, wellness center, and more. 

Local highlights: The Tampa Bay area offers the diversity of a casual family-friendly lifestyle in a cosmopolitan city as well as rural and coastal living. Enjoy college sports, world-renowned golf courses, cultural events, recreational activities and family attractions.

Beebe Medical Group
Based in: Lewes, Del.
Number of Hospitalists: 21, recruiting for 1 BE/BC hospitalist
Founded: 2005
Contact: Roberta Thomas, rthomas@beebehealthcare.org; 302-313-2300 x 2101

Beebe Healthcare is a progressive, not-for-profit community health system with a 210-bed hospital and numerous satellite facilities.

Services: Services include cardiac surgery, interventional cardiology, cancer center with radiation, 256-slice CT, 3.0T MRI, PET scan, 3D mammography, 20-bed ICU with technology unique to our hospital size, and hyperbaric chambers. A $180 million system-wide expansion is underway. 

Employment model: Hospitalists are employed by Beebe Medical Group, a multispecialty hospital physician network.

Services: The hospitalist group provides 24/7 physician care to inpatients at Beebe Healthcare. Hospitalists serve on the rapid response team and admit patients; order tests, treatments and medications; consult and comanage patients with specialists; answer patient and family questions; and consult with case managers. 

Schedule and coverage: Physicians cover 12-hour shifts, seven-on/seven-off, with flexible schedules provided.

Compensation: Beebe Healthcare hospitalists can expect a competitive salary with incentives and a generous benefits package

Local highlights: Beebe Healthcare is located at the beach in beautiful, family-friendly south coastal Delaware, which has a population growth rate of 9.2%. Nature, recreational and entertainment attractions, and fine dining surround the hospital’s ocean-side setting, yet it is close to major East Coast cities.

Envision Physician Services
Number of hospitalists: 500+
Number of hospitals covered/sites: 200+
Founded: 1993
Contact: envisionphysicianservices.com/careers; 855-367-3650

Envision Physician Services provides coast-to-coast inpatient medicine services across more than 20 subspecialties and serves more than 1 million patients annually across 24 states.

Employment model: Employed model with full-time, part-time, travel team and per-diem opportunities. We are physician- and clinician-led on the local, regional and national level.

Services: Envision client sites include academic, teaching, community, urban, suburban and rural locations at some of the most well-respected hospitals and health systems in the country. Services include: adult hospital medicine, critical care, intensivist, nocturnist, OB/GYN hospital medicine, observation medicine, pediatric hospital medicine, post-acute care, SNF specialist and telemedicine.

Schedule and coverage: With coast-to-coast positions, we have a variety of coverage options.

Compensation: We provide competitive compensation, robust benefits and industry-leading professional development.

Company highlights: Envision provides exceptional practice support, state-of-the-art tools and resources, and industry-leading professional development programs and mentoring.

Gundersen Health System
Based in: La Crosse, Wisc.
Number of hospitalists: 20 physicians, 10 associate staff; recruiting for 1
Founded: Hospitalist program established in 2002
Contact information: Kalah Haug, physician recruiter, kjhaug@gundersenhealth.org; 608-775-1005

Gundersen Health System in La Crosse is seeking an internist to join its established hospitalist team. Gundersen is an award winning, physician-led, integrated health system, employing more than 500 physicians.

Practice highlights:
• 182 shifts per year (primary schedule seven-on/seven-off). If interested in a purely evening/night position, shift lengths are between 7 & 8.5 hours in duration.
• Collaborative, cohesive hospitalist team established in 2002 with high retention rate and growth.
• 30-member internal medicine hospitalist team of 20 physicians and 10 associate staff.
• Primary responsibility is adult inpatient care. Telemedicine responsibilities for our critical access hospitals on a rotational basis.
• Manageable daily census.
• Excellent support and collegiality with subspecialty services.
• Competitive compensation and benefits package, including loan forgiveness.

Local highlights: La Crosse is a historic, vibrant city nestled between bluffs and the legendary Mississippi River. The region boasts great year-round outdoor recreation, excellent schools including three universities, affordable housing in safe neighborhoods, an endless variety of live entertainment and breathtaking beauty, making this a great place to call home. Learn more at www.gundersenhealth.org/MedCareers.

iNDIGO Health Partners
Based in: Traverse City, Mich.
Number of hospitalists: 150+
Founded: 1993
Contact: Heidi Henry, FASPR, hhenry@indigo247.com; 231-346-6812; www.iNDIGOHealthPartners.com

iNDIGO Health Partners is a private company, founded and led by physicians. We understand what’s important to you and your career. Be part of a dedicated team that’s making a real difference for the hospitals and communities we serve. We offer manageable workloads and a healthy work-life balance.

Services: iNDIGO provides hospitalist coverage, including ICU and med/peds coverage, at multiple Michigan community hospitals. Services also include telehealth, post-acute and long-term care.

Schedule and coverage: iNDIGO has a dedicated in-house scheduling team utilizing Web-based software for flexible hospitalist and telehealth shifts. Hospitalists typically work four- to 10-day blocks and average between 14 and 18 shifts per month.

Compensation: iNDIGO offers competitive compensation and an attractive benefits package.

Local highlights: Based in northern Michigan, iNDIGO offers opportunities to enjoy a career that allows for making a real difference in the communities served. Programs help ensure that quality health care is available where it is needed.

North Shore Medical Center
Based in: Salem, Mass.
Number of hospitalists: 38, recruiting for 4
Founded: October 2003
Contact: Louis Caligiuri, lcaligiuri@partners.org; 978-573-4302

North Shore Medical Center (NSMC) is a 400-bed academic community medical center on the North Shore of Boston. NSMC is a member of the Partners Healthcare System, whose founding members include Massachusetts General Hospital and Brigham and Women’s Hospital.

Services: Hospital medicine is the primary service for approximately 70% of all NSMC hospitalizations. Hospitalists also provide medicine consultations for patients admitted to the psychiatry, surgery and orthopedic services. Patients admitted to the ICU are followed by intensivists 24/7 and are not part of hospital medicine’s practice scope. 

Schedule and coverage: Day rounders typically work a seven-on/seven-off schedule with shifts of 10 or 12 hours. Admitters work eight-hour shifts starting at 3 p.m. Nocturnists work 12-hour shifts and have four weeks of paid vacation. Daily workloads are designed for sustainable careers and quality time at the bedside.

Compensation: NSMC offers a competitive compensation package that combines a base salary with quarterly incentive compensation based on quality, citizenship and productivity metrics.

Professional development: There is support for growth in the areas of clinical expertise, quality improvement, teaching and/or leadership.

Local highlights: The North Shore of Boston provides easy access to the Atlantic coastline, mountains, the amenities of a major metropolitan area, outstanding local public and private schools, and all the charm of New England.

OSF HealthCare
Based in: Illinois
Number of hospitalists: Rockford: 14; Bloomington: 10; Peoria: 36; Galesburg: 2; Kewanee: 2; Danville: 8; Champaign/ Urbana: 12
Contact: Tony Matranga, tony.matranga@osfhealthcare.org; 309-683-8351; www.osfhealthcare.org

OSF HealthCare System is an integrated health system headquartered in Peoria, Ill., with acute care hospitals in 11 locations throughout the state. Those locations have a total of more than 1,500 beds, and the largest facility, OSF Saint Francis Medical Center, has more than 600 beds. OSF HealthCare also has a physician organization that employs nearly 700 physicians. The system is seeking additional hospitalists because the hospitalist program is experiencing growth. 

Services: Services vary by site, but OSF HealthCare offers a full range of subspecialty support and ancillary services. Two locations—Peoria and Rockford—have an academic affiliation, giving hospitalists an opportunity to get involved in teaching.

Schedule and coverage: Hospitalists work seven-on/seven-off shifts, 7 a.m.-7 p.m. Blocks run from Tuesday through Monday so hospitalists don’t have to handle weekend discharges on the first day of their block. Hospitalists work one week of nights per quarter. 

Compensation: Hospitalists receive a competitive base salary and bonus structure. Physician employees of OSF HealthCare also receive a full benefits package that features medical, dental, vision coverage, a dollar-for-dollar matching 401k and separate 457b plan. Financial-services plan provides discounted interest rates for medical student debt.

Local highlights: OSF HealthCare locations are in mid-major communities near large metropolitan areas with family-oriented communities and excellent schools.

San Juan Regional Medical Center
Based in: Farmington, N.M.
Number of hospitalists: 12-15
Contact: Terri Smith, tsmith@sjrmc.net; 888-282-6591 or 505-609-6011

Located in the beautiful San Juan River Valley in northwest New Mexico, San Juan Regional Medical Center (SJRMC) is a 194-bed level III trauma center including state-of-the-art operating suites and 72 private patient rooms with fresh air balconies. As a non-profit community-owned hospital, SJRMC supports patients and families in the Four Corners region of New Mexico, Arizona, Colorado and Utah. The organization offers a continuum of care that includes a regional cancer center; spine center; heart center; rehabilitation hospital; outpatient diagnostic center; onsite daycare facility; hospital-owned AirCare air-ambulance service; and all the San Juan Health Partners specialty clinics.

Services: 100% inpatient work.

Schedule and coverage: Hospitalists work a hybrid schedule.

Compensation and benefits:
• $275,000-$295,000 base salary plus productivity and quality bonuses.
• Lucrative benefits package, including retirement.
• Sign-on and relocation package.
• Student loan repayment.
• Quality work/life balance.

Local highlights: Farmington offers a temperate four-season climate near the Rocky Mountains with world-class snow skiing, fly fishing, golf, hiking and water sports. Easy access to world renowned Santa Fe Opera, cultural sites, national parks and monuments. Farmington’s strong sense of community and vibrant Southwest culture make it a great place to pursue work-life balance. 

Schumacher Clinical Partners
Based in: Nationwide
Number of hospital medicine providers: 700 full-time hospitalists, 200 full-time nurse practitioners/physician assistants
Founded: 1994
Contact: opportunities@schumacherclinical.com; www.schumacherclinical.com/providers/find-a-job

Schumacher Clinical Partners is one of the nation’s leading health care organizations specializing in emergency medicine, hospital medicine, urgent care, intensivist care, telehealth and other innovative services covering the entire continuum of care. Founded and led by physicians, we keep patient-centered care at the heart of all we do.

We currently manage more than 100 hospital medicine programs, each with a team of physicians led by an onsite medical director with regional support from a group medical officer. We offer integration with the EDs in which we also have contracts to promote seamless care transitions.

Facility types range from academic, community and regional access hospitals to trauma centers. We offer employee and partnership models.

Services: Services vary by site as hospital size varies. Hospitalist responsibilities may include the following:
• Treat ED unassigned patients.
• Cover ICU patients.
• Consult with subspecialists.
• Treat observation patients.
• Provide preoperative evaluations.
• Collaborate with telehospitalist.
• Collaborate with qualified NPs/PAs.

Schedule and coverage: Typical schedules are 7 a.m.–7p.m./7 p.m.–7 a.m., but shift times vary from site to site and with program size.

Local highlights: With opportunities available nationwide, our locations range from large urban areas to mid-sized cities to smaller rural communities.

Sound Physicians
Number of hospitalists: 3,500+ providers, including hospitalists, physician advisors, intensivists, telemedicine and emergency medicine providers
Number of hospitals covered/sites: 350+
Founded: 2001
Contact: belong@soundphysicians.com; careers.soundphysicians.com

Sound Physicians is a physician-founded and -led organization providing services across the acute episode of care—through emergency medicine, critical care, hospital medicine, transitional care, telemedicine, and advisory services—for 350+ hospitals in 40 states across the country.

Employment model: Hospitalist providers work as a team and are employed by Sound Physicians. The practice model includes a manageable workload with a focus on driving quality, satisfaction and efficiency.

Compensation: Sound offers competitive pay in all markets and provides other opportunities to earn additional compensation working as a physician advisor or telehospitalist on off weeks. All providers are on a partnership track with Sound Physicians from the time they join.

Company highlights: Every team has an onsite chief hospitalist, a clinical performance nurse, support staff, and a regional operations team to support its efforts. Teams benefit from accountable leadership, performance feedback to drive continuous quality improvement, and tools designed to help the providers optimize their efficiency.

Sound is committed to developing leaders, and more than 50 promotions to hospital and regional leadership roles occurred in 2017. Learning and development options include in-person training, virtual learning groups and online education modules, including CME courses.

Chief hospitalists utilized an advanced analytics platform for meaningful insights into the operational impact of individuals and team performance.

St. Luke’s University Health Network
Based in: Eastern Pennsylvania and Western New Jersey
Number of hospitalists: 100+, recruiting 13
Number of hospitals covered: 9
Contact: Jillian Fiorino, Jillian.Fiorino@sluhn.org; 484-526-6182

St. Luke’s University Health Network (SLUHN) is a fully integrated, regional, non-profit network of 14,000 employees providing services at 10 hospitals and more than 300 outpatient sites. St. Luke’s is the preeminent teaching hospital in central-eastern Pennsylvania and the only health care system in central-eastern Pennsylvania to earn Medicare’s five-star rating (the highest) for quality, efficiency and patient satisfaction.

Services: Hospitalists staff the primary admitting service at all campuses for both inpatient and observation care. Hospitalists provide consulting services for various specialties. Closed ICU and no procedures at most campuses.

Schedule and coverage: Hospitalists work variations of the seven-on/seven-off model. No in-house nights; extensive moonlighting opportunities. Patient encounters average 16-18 per shift. 

Compensation: Competitive compensation model with base salary and incentives for quality, productivity and citizenship. Location and call stipends 
are available at some campuses. Starting bonuses, relocation assistance and a generous loan repayment program offered.

Local highlights: Set amid gentle hills and charming countryside, the Lehigh Valley is home to Allentown, Bethlehem, and Easton and close to New York City, Philadelphia and Washington, D.C. Outstanding higher education facilities include Lehigh University and Moravian College.

UPMC Pinnacle
Based in: South central Pennsylvania (Harrisburg area)
Number of hospitalists: 60 physicians, 40 advanced practice clinicians
Number of hospitals covered: 8
Contact: Steven Lilie, MD (stlilie@pinnaclehealth.org); Shannon Schwalm (sschwalm@pinnaclehealth.org); upmcpinnacle.com

UPMC Pinnacle is a nationally recognized leader in providing high-quality, patient-centered health care services in central Pennsylvania and surrounding rural communities. More than 2,900 physicians and allied health professionals and approximately 11,000 employees serve a 10-county area at outpatient facilities and eight acute-care hospitals with 1,360 licensed beds.

Group highlights: The hospitalist group regularly engages in quality-improvement efforts. Recent initiatives have led to the creation of a new inpatient CHF team, marked improvements in COPD and sepsis care over the past year, and the transition to a new EMR system. The hospitalist team is led by an overall medical director and site directors/team leaders at all sites.

Schedule and coverage: Most hospitalist groups work block schedules of seven-on/ seven-off in 12-hour shifts, but the group offers flexibility with popular hybrid schedules that offer a mix of day and night shifts. UPMC Pinnacle hospitalists see an average of 14 to 16 daily patient encounters and have excellent PA and NP support. 

Benefits: Hospitalists receive a highly competitive salary with incentive bonus plus a rich benefits package that includes malpractice coverage and a retirement plan. Relocation allowance is available.

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