Planning (strategic, business plans)


This is the third installment on staffing an HMG: To dig a little deeper, we can now review the daily admission cycles for the group (Figure 2): Note that the X axis represents hour of the day and the Y axis represents number of admissions over a one year period. At the top, the day is divided into three segments: 0100-0700; 0800-1800; and 1900-2400. The highest volume period for the group is during the evening, however, admission volumes are constant between noon and 2300. Based on this cycle, the group has chosen to add a physician for a swing shift between noon and midnight in addition to a nocturnist between 1900-0700, thus providing coverage during peak admitting hours. (more…)

The Return of the Soup Nazi

This is the second installment of a series on staffing your HMG: So, how do we determine the number of HOURS to cover per year, month, day, etc…? This should be left up to the individual practices. One way to determine the staffing model is based on  the threshold encounter volume concept. (more…)


The success of your program is dependent on your ability to staff to your program's needs. When you ask the C- suite for more FTEs, the situation may be similar to Jerry's and Elaine's attempts to score that delicious bowl of soup from the soup Nazi.  (more…)

Lower Salary Equals Higher Pay… Really?

Last month, we dug through a sample set of Hospitalist Compensation and Productivity data.  That column excited two people, maybe three, to get out a slide rule and some actuarial tables for the sheer joy of the experience!  Meanwhile, my partners insist that everyone else had to grab a drink and find something better to do with their time. OK, point taken!  But, I’d like to hit on some information that even non-numbers nerds found intriguing in the SHM-MGMA Survey this year.  That information is the correlation between lower base salary and higher overall productivity for hospitalists.  See the graph below. (more…)

Hospitalist Quizomercial – “Make more money! Here’s how…”

Provided below are a few compensation and productivity tables.  The data is fictitious to protect the hard work of our colleagues from those of you who are, shall we say, obsessively frugal.  Yet, it resembles the most recent MGMA-SHM Hospitalist Survey fairly closely.  Here we go… 1)      Which of the following groups most closely resembles your current compensation calculated using the formula: Compensation = Salary + Bonuses + Retirement Plan? 2)      Which of the following groups would you like to represent your compensation and productivity? 3)      Which of the following groups does your employer currently want you to emulate? 4)      Which of the following groups should your employer seek to have you emulate? (more…)