Providence Telehospitalist Services
Community hospitals have traditionally used
two models for providing nighttime hospital care:
coverage by an on-call physician who can admit
the patient unseen, or coverage by an employed
To provide a consistent standard of care,
hospitals and health systems are progressively
moving toward in-house coverage models. In
the 2011 SHM-MGMA State of Hospital Medicine
report, 81 percent of nonteaching hospitalist
practices reported providing on-site care at night.
This is compared to 68 percent in 2010 and 53
percent in 2008. Although in-house physicians
provide 24-hour immediate care, the related
costs and staffing pose a significant challenge
for community hospitals.