Our Models — Hospital Care Connect

The NP-Hospitalist Program

Care team collaboration

The Challenge

"Recruit harder" is not a strategy

Around 200 rural hospitals have closed in the past 20 years, and more than 700 remain at risk. Rural communities have 2.4× fewer physicians per capita than urban ones — and a town under 10,000 people gains roughly one new primary-care physician every three years.

The pipeline is too small and rural towns are too far down the list. Hospital Care Connect is the smarter model: it builds on the clinicians your community already has.

0Rural hospitals closed in 20 years
0+Hospitals currently at risk
2.4×Fewer rural physicians per capita
$0MAnnual savings across 3 hospitals

A Day in the Program

The typical daily workflow

01

Morning tele-rounds

The Tele-Hospitalist rounds with the NP on all admitted patients.

02

New admissions

Evaluated during the scheduled tele-rounding block.

03

Documentation

The physician enters notes and orders directly into the EMR.

04

Bedside care

The NP manages bedside care and coordinates with the nursing team.

05

On call, day & night

A physician is available throughout for urgent consults and clinical questions.

Quality & Safety

Safety built into the model

Education & mentoring

Additional NP training plus ongoing physician mentoring, every step of the way.

Limited, defined scope

90% of admissions fall into 15 diagnoses (CHF, pneumonia, COPD…), supported by standardized NP-Hospitalist order sets.

24/7 telemedicine backup

MD-Hospitalist consultation available on demand — day or night.

Telemedicine technology

Coverage

Specialists, onboarded to your needs

Beyond the MD Hospitalist, we bring in specialists based on what your hospital actually needs — and we can cover night admissions. Your model, your specialties: we onboard the coverage that matches your hospital and scale it as needs change.

Tele-Infectious DiseaseTele-CardiologyTele-NeurologyTele-StrokeTele-ICUNight Admissions

The Payoff

What improves when patients stay local

Hospital census

More admissions kept in-house instead of transferred away.

Quality of care

Specialist-guided management, delivered on site.

Patient & family satisfaction

Care close to home, with family involved.

APP confidence

MD-Hospitalist backup available on demand.

Nurse satisfaction

More support and clearer plans of care.

Revenue & sustainability

Higher acuity and stronger margins sustain the hospital.

Economics

Better care at lower cost

Annual staffing cost across three Critical Access Hospitals.

Traditional Hospitalist Model

$3.6M

per year — 12 physicians × $300K

NP-Hospitalist Model

$1.6M

per year — 9 NPs × $113K + 2 physicians × $300K

Annual Savings

$2M

per year — and patients stay in-system rather than lost to another network

Technology, largely grant-funded

A mobile telemedicine cart with high-resolution camera, electronic stethoscope, and a secure, HIPAA-compliant platform that can integrate with your EMR — typically funded through USDA & PSC or Rural Health Transformation Program (RHTP) grants, minimizing upfront hospital cost.

A transparent billing model

Professional services bill through the physician provider; the hospital bills facility services plus a ~$29 telemedicine originating-site fee per encounter. All-in tele-hospitalist coverage: $1,200 per day — predictable and transparent.

Ready to strengthen your coverage?

Talk to our team about a customized telemedicine program for your hospital or facility.