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 in-house physician.

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.

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