Before deploying any changes, the SCP HM team held frequent onsite meetings with existing staff (both locums and employees), leadership, and administration. This immersion accomplished two early wins: building deep trust and uncovering important challenges.

The program was operating with three physicians and one NP/PA managing 136 patients. Many of those providers were admitting and consulting inappropriately, leading to dips in both provider engagement and patient experience. With no incumbent HM physicians and a sub-30-day startup time, SCP had much to accomplish in very little time. With the medical center fully invested, informed, and on board with making transformational changes, SCP promptly:

  • Executed an efficient, effective recruiting and onboarding process to hire 5 new FTE NPs/PAs and physicians in under 30 days
  • Held in-person, data-based conversations with providers to educate them on more effective and appropriate admission and consultation practices
  • Launched multiple subcommittees focused on the different angles and aspects of how LOS and throughput can be improved
  • Began work on documentation improvement and redesign of templates for wRVU and case mix index
Medical professional discussing with a patient.

Inappropriate Consults and Admissions:

Almost entirely eliminated in just three days—positively impacting patient care and provider satisfaction

Medical professional discussing with a patient.

In under six months:

  • LOS: Reduced from 6.4 to 4.8 days
  • wRVU: Improved from 1.94 to 2.05
  • Engagement: Both physicians and patients benefited from the investment in improving culture