• Health Center is located 59 miles east of the Kansas City suburbs, serving west-central Missouri since 1930. It is accredited by the Joint Commission and is top ranked in Value Based Purchasing (#1 in the state in 2014).
  
• 9 bed open ICU; 16 bed Progressive Care Unit; 24 bed Medical; 9 bed Surgical/Orthopedic/and observation short stay (can also house peds admissions)
• Average Census for the program is about 15-16 per physician; additional physicians assist when the census is high; APP’s share this volume
• MRI, CT, x ray, Nuclear Med, Cath Lab, ultra sound (weekend CT available)
• 2 physician coverage per day
• 7/on-7/off shifts; Monday-Sunday; hospitalist switch responsibility for 1st call and admissions
• Hosp 1 is on long call for late afternoon admissions and takes second call at night (backing up the APP by phone; rarely comes back to the hospital after 6pm); Hosp 2 can leave when done with rounds if there are no new admissions; the next day they switch
• CMO assists with coverage when census is high
• Physicians take patients during the day and are on second call at night
• 2 advance practice providers (Nurse Practitioner) covering 7on/7off night shift
• APP hours are 7pm to 7am. They are first call at night
• APPs assist with morning rounds and have been seeing any new admissions that arrived at night
• 12-15 patients per physician, on average per physician; 10 per APP; 25 patients total on busy shifts
• Service is growing and because of anticipation of more patients, service is hiring more physicians
• Daily admissions average about 8 total; Evening/nighttime admissions average about 5 of those;
• Physician may leave once patients are all seen and tucked in – when census is lower, this could be early afternoon
• Not all primary care physicians admit to the hospitalist. Several practices who are involved in teaching the family medicine residents, follow their own patients through admission
• At night, physician must be within 30 minutes response time; ER will write comprehensive holding orders and call physician during the night; it is up to the hospitalists discretion as to whether the patients must been seen at night or wait until morning
• ER runs all codes; surgeons and ER will place lines; pulmonology and CRT manage vents. Hospitalist may call specialists to perform most procedures. Hospitalist who desire to perform procedures may seek privileges for central line placement, vent management and other general medicine in-patient procedures.
• EMR: Meditech 6.1
• Teaching available with the Rural Track Training program and Family Medicine Residency program through the University of Missouri-Columbia School of Medicine

• Guaranteed for two years on a three year contract
• wRVU Bonus begins immediately and threshold is set according to the salary
• Health, Dental, Vision
• Long Term disability and life insurance provided by employer with option to purchase additional
• Paid Malpractice and Tail at 2m/6m limits
• 403b Retirement matching to 4%
• Paid time off of 256 hours annually for physicians
• CME: $4000 annual allowance $1500 Professional dues/affiliations/organizations
• $15K for relocation
• Loan Repayment: hospital will provide a monthly award to be used for student loan repayment; This site is also NHSC approved so candidates can apply for additional loan repayment; HPSA (as of 9/2021): 17 (primary care)

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