The Surgical Hospitalist Program Management Guide

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The Surgical Hospitalist Program Management Guide: Tools and Strategies for Executives and Physicians

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The Surgical Hospitalist Program Management Guide: Tools and Strategies for Executives and Physicians

John Maa, MD, FACS; John Nelson, MD, FACP

“This book represents the combined wisdom of many of the early physician and non-physician leaders of the surgical hospitalist field.” —Robert M. Wachter, MD

Comprehensive guidance for starting or improving a surgical hospitalist program.

Hospitalist medicine is the fastest growing medical specialty in the U.S., and surgical hospitalists are especially poised for rapid growth. Many hospital systems see surgical hospitalists as the most valuable response to the growing crisis of general call coverage and as a critical strategy in their effort to comply with quality measures.

A first-of-its-kind resource, this book-and-CD set offers a window into successful surgical hospitalist programs to demonstrate exactly how the experts developed thriving programs with strong return-on-investment (ROI). It provides:

  • Comprehensive approaches to build or refine a surgical hospitalist practice
  • Recommendations for utilizing staff resources and internal management
  • Operating room scheduling models with expert analysis
  • Perspective on acute care surgery and trauma coverage
  • Easy-to-understand explanations of codes related to surgical hospitalists
  • Advice on building a financial plan and measuring ROI
  • Dashboards to evaluate ROI and justify program expansion to administrators
  • Financial considerations, including sample pro formas
  • Case studies offering real-life examples

Surgical hospitalist programs developed out of necessity—to ensure specialist coverage for ED unassigned patients, improve ED responsiveness in critical specialties, reduce the burden on the medical staff, and solve the problems presented by staffing shortages. Nevertheless, surgical hospitalist programs have become profitable for many hospitals. This resource gives you the essential building blocks for a successful surgical hospitalist program.

Check out the Table of Contents:

Section 1: Operating a Surgical Hospitalist Practice
Chapter 1: Introduction
Chapter 2: Investing in a surgical hospitalist program: Value, structure, and finance
Chapter 3: Calculating the Return on Investment for Your Surgical Hospitalist
Chapter 4: Internal management
Chapter 5: Staffing
Chapter 6: Scheduling the operating room
Chapter 7: Surgical hospital compensation planning
Chapter 8: Surgical hospitalist scheduling
Chapter 9: Communication issues in surgical hospitalist practice
Chapter 10: Measuring success
Chapter 11: Trauma coverage
Chapter 12: Surgical hospitalists programs and the academic medical center
Chapter 13: Acute care surgery
Chapter 14: Documentation, Coding, Billing, and Related Issues

Section 2: Case Studies
Chapter 15: Case study: Shady Grove Adventist, Rockville, MD
Chapter 16: Case study: Anne Arundel Hospital, Annapolis, MD
Chapter 17: Case study: University of California, San Francisco, CA
Chapter 18: Case study: Thomas Memorial Hospital, South Charleston, WV
Chapter 19: Case study: University of California, Irvine, CA
Chapter 20: Case study: Sacred Hospital, Spokane, WA

Written by:
John Nelson, MD, FACP
John Maa, MD, FACS

Robert M. Wachter, MD

Includes contributions from:
Jason A. Brodsky, MD, FACS
Gaurov Dayal, MD
M. Tray Dunaway, MD, FACS, CSP
Joshua J. Felsher, MD, FACS
Leslie A. Flores, MHA
Robert J. Gray, FACHE
David B. Hoyt, MD, FACS
Michael E. Lekawa, MD, FACS
Darin E. Libby
Paul Lin, MD, FACS
Paul M. Maggio, MD, MBA
David Matteson, MD
R. Steven Norton MD, FACS
David A. Spain, MD, FACS
Leon J. Owens MD, FACS
Eva M. Wall, MD, FACS

Who will benefit?

VPMA, medical director, chief medical officer, chief executive officer, chief operations officer, president, medical staff coordinator, emergency services director, chief financial officer, hospitalist, surgeon, hospitalist program director, surgery department chair, quality manager, chief of internal medicine, chief of surgery, director of surgical services

About the Authors

John Nelson, MD, FACP, has practiced as a hospitalist since completing internal medicine training at the University of Florida in 1988. He is currently medical director of the hospitalist practice at Overlake Hospital Medical Center in Bellevue, WA, where he continues to provide patient care regularly. Since the early 1990s, he has served as a consultant for more than 200 institutions around the country as they start or improve a hospitalist practice. In 1997, he teamed with a Massachusetts hospitalist to found the Society of Hospital Medicine, and is now on the forefront of the growth of surgical hospitalist practice.

John Maa, MD, FACS, is a surgeon dedicated to improving the quality and access of emergency surgical care. His current research focuses on applying the surgical hospitalist model to improve hospital-based emergency care, specifically through new processes and strategies that address the challenges of emergency department overcrowding, boarding, and ambulance diversion. Maa is a member of the board of directors of the American Heart Association and is associate director of Surgery Clerkship at the University of California, San Francisco (UCSF). He participates on several advisory boards and committees that focus on improving care in hospitals. Maa is currently an assistant professor in general surgery at the UCSF, and assistant chair of the department of surgery’s quality improvement program.

You may also be interested in The Surgical Hospitalist Program Toolkit

For the discounted price of $299, you can purchase a package that includes this book-and-CD-ROM set along with the Webcast Surgical Hospitalist Practice: Strategies for Building and Operating a Successful Practice. Presented by authors John Nelson, MD, FACP, and John Maa, MD, FACS, on May 28, 2009, this program demonstrates how the leading experts developed and manage thriving programs. It covers:

  • Drivers for growth in the surgical hospitalist field and the challenges of emergency surgical care
  • Current and future trends in the growth of the surgical hospitalist field
  • Financial issues: Hospital costs, return on investment, and physician compensation
  • Scheduling of surgical hospitalists
  • Political considerations of other surgeons and medical staff members
  • Performance expectations and monitoring

Click here
to order this package.

Published: April 2009