Surgicalists: The Cutting Edge

Surgical Hospitalist Program, Surgical Hospitalist Results, Surgicalist Programs

Local Surgeons Thrive with Surgical Hospitalist Programs

With hospitals across the nation struggling to keep pace with the growing demand for trauma and acute care surgery, local community surgeons are often forced to perform in multiple spheres of rigorous emergency call schedules and demanding elective practices – leading to high rates of stress and professional dissatisfaction. The Surgical Affiliates acute care surgery model, providing hospitals with 24/7 emergency general surgery care, gives local community surgeons the opportunity to rebalance their surgical careers based on their own individual needs with options to focus exclusively on acute care surgery, elective cases, or a combination of both.

The advantage lies in the division of labor inherent in the Surgical Affiliates acute care surgery model, which provides hospitals with a dedicated, fully staffed trauma and acute care surgery program. An experienced team of board-certified surgical partners providing 24/7 emergency general surgery care creates significant career options for local community surgeons that often lead to reduced stress, a more rewarding professional life, and greater opportunities to lead a more balanced and fulfilling lifestyle.

Providing Appealing Career Choices for Local Surgeons

Many community-based surgeons have become weary of the old surgical model of maintaining an elective practice while taking emergency calls, yet they’re uncertain about the unknown implications of a dedicated trauma and acute care surgery program. Because our focus is to establish community-based practices in the hospitals we serve, Surgical Affiliates welcomes surgeons who are a part of the local community to participate in our trauma and acute care surgery programs either as full-time surgical hospitalists or as part-time acute care surgeons while maintaining their own elective practices.

When a surgical hospitalist program is established, a primary concern for some local surgeons is that their operative volume and compensation will be reduced due to the elimination of call operations and the accompanying stipends. In reality, the data indicates that our surgical hospitalist programs allow local surgeons to maintain or increase their surgical case volume. The flexibility allows surgeons to either focus exclusively on their elective practice or they can combine their elective practice with part-time acute care shifts with the Surgical Affiliates surgical hospitalist program. These options represent the best of all worlds for most surgeons by giving them an opportunity to rebalance their surgical careers according to their individual needs and interests.

Improving Quality Standards and Patient Care – A Priority for Surgeons

At the heart of every surgeon’s professional mission is the desire to provide the highest level of care for patients. Our local surgical partners appreciate and value the high-quality standards on which our surgical hospitalist programs are built, leading to significant, improved outcomes for patients such as reduced complication rates and length of stay (LOS). And because we handle the details of managing the practice, our surgical partners have more time to focus on patient care.

What’s more – whether serving as full-time surgicalists or part-time acute care surgeons – our surgical partners are supported by a team of experienced healthcare professionals who comply with evidence-based medical protocols and treatment algorithms to improve standardization of care and accurate handoff. To further facilitate improved patient care and increased hospital efficiencies, a dedicated medical director serves as an engaged “boots on the ground” surgeon in each of our community-based practices.

Improving Professional Satisfaction and Opening Opportunities for Engagement

Many surgeons adhering to the old surgical model of balancing on-call and elective cases are chronically exhausted from the strain of performing in several different areas with unpredictable schedules, hindering their ability to focus their time and efforts in any one area for an extended time. In providing hospitals with a 24/7, fully staffed trauma and acute care surgery program, Surgical Affiliates supports a division of labor that allows surgeons to focus their efforts where they choose and helps to optimize the efficiencies of both the elective and acute care surgical teams.

Surgeons who choose to continue caring for trauma and acute care patients while maintaining elective practices can do so within predictable, manageable part-time shifts supported by a team of board-certified surgeons and other healthcare professionals. And because trauma and acute care surgery patients are managed by the surgeon on duty, surgeons who maintain elective practices no longer worry that the needs of their elective and acute care surgery patients will conflict. The end result for local surgeons who partner with us – the chance to rebalance their surgical careers with reduced stress and more manageable schedules, opening new avenues for a more rewarding professional life and engagement within the hospital and community.

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Surgical Hospitalist Program, Surgical Hospitalist Results, Surgicalist Programs

What is a Surgicalist?

A surgicalist is a highly trained, board-certified surgeon who provides emergency surgical care within a dedicated hospital setting – the foundation of a surgical hospitalist program. A surgicalist career path affords talented surgeons the chance to design
the life they want.

The surgical hospitalist movement has ushered in a new and exciting era for surgeons – one that gives them the choice to leave behind the stress of juggling on-call duties and elective cases in favor of a career as a surgicalist, achieving greater professional satisfaction and a more rewarding quality of life as a result.

Surgical Affiliates’ surgicalists work as part of a team of board-certified surgical partners in providing 24/7 emergency general surgery care to patients. Our surgicalists provide acute care surgery with no elective practice, which means that emergency patients at surgical-staffed hospitals undergo surgery without delays. This leads to better outcomes for patients and improved performance for hospitals.

And for talented surgeons who want to spend more time focused on their passion of surgery – without the burdensome demands of on-call duties and an elective practice – the surgicalist career path provides professional and personal benefits that are unsurpassed in the surgical field.

A Predictable, Manageable Schedule Reduces Burnout and Improves Work/Life Balance.

For many surgeons, years of maintaining an elective practice with the demands of on-call duties have led to high rates of burnout and career dissatisfaction. While taking a toll on physical health and well-being, the long hours and prolonged stress of this lifestyle also leave little time for personal and leisure activities.

Our surgicalists, focused exclusively on acute care surgery, reduce the risk of burnout and achieve a more rewarding work/life balance with predictable, manageable schedules that allow for generous time off. A more balanced schedule allows the time and energy they previously lacked to pursue personal and leisure activities as well as to participate in the life of the hospital community and surgical team. It’s a rewarding work/life balance that the old surgical model of balancing on-call duties and elective cases simply doesn’t provide.

A Focus on Surgery and Patient Care Increases Professional Satisfaction.

Most surgeons want to spend more time doing what they love – surgery – while reducing time spent on the administrative duties associated with an elective practice. The surgicalists who join one of our community-based practices have the freedom to focus on performing surgery and taking care of patients, while we handle the details of managing the practice. For most surgeons who sign on to the surgicalist model, the opportunity to focus exclusively on surgery and patient care is a game-changing benefit that boosts professional satisfaction by getting surgeons back to their passion.

What’s more, our surgicalists value the opportunity to be part of an innovative, leading-edge acute care surgery model centered on patient care, as demonstrated by Surgical Affiliates’ surgeon retention rates that are among the highest in the nation at 97.9% year over year retention.

Our surgicalists enjoy other key benefits related to professional satisfaction, including:

  • Industry-leading, competitive compensation and benefits packages.
  • The local autonomy of a small physician group with the support of a large organization.
  • A challenging career at the forefront of acute care surgery that affords a variety and complexity of cases.

Our Surgicalists are Part of a Highly Professional Team Focused on Quality Standards.

With quality at the core of our mission, Surgical Affiliates’ surgicalists are fully vetted, highly skilled and dedicated board-certified or board-eligible surgeons motivated to make a significant professional contribution in one of our community-based practices. Our surgicalists serve on and are supported by teams of other highly qualified professionals comprised of experienced surgeons, nurse practitioners, and physician assistants providing 24/7 services according to evidence-based medical protocols to ensure accurate handoff and the highest quality of surgical care. These teams are surgeon-led and surgeon-driven, fostering a surgeon culture that is valued within our organization – and one that is further supported by the surgical experience of our corporate leadership team. The high-quality surgical programs we establish offer surgeons an exciting and rewarding career path with the freedom to pursue their professional passion and achieve a more fulfilling lifestyle.

If you’re a surgeon interested in joining the Surgical Affiliates team of talented, high quality surgicalists, please email us today at or call us at (877) 440-9693.

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Acute Care Surgery, Surgical Hospitalist Program

The Acute Care Surgery Program Impact Calculator Provides a Preview of Potential ROI Impact for Your Hospital

As hospitals nationwide face the ongoing challenge of managing costs while achieving improved quality outcomes, those best positioned for success in this competitive healthcare environment will give increased focus to patient safety, quality, and cost in providing value-based care. The Surgical Affiliates Surgical Hospitalist Program provides hospitals with a powerful acute care surgery model with published, peer-reviewed quality outcomes that raises the level of hospital performance and achieves cost savings that are proven and sustained.

Generating a Program of Savings Based on Documented, Peer-Reviewed Quality Outcomes

Although hospitals make an initial investment when implementing a surgical hospitalist program, the return on investment (ROI) can be substantial and typically offsets the cost of the program. We’re pleased to offer the Acute Care Surgery Program Impact Calculator, an easy-to-use tool designed to allow hospitals to quickly determine the potential ROI impact that can be achieved by implementing our acute care or trauma surgical hospitalist programs. Based on a few specific data points entered by the user, the Acute Care Surgery (ACS) Program Impact Calculator utilizes documented, peer-reviewed quality outcome data to immediately generate an estimated program of savings in three key metrics – emergency surgical case volume, length of stay (LOS), and case mix index (CMI).

Specifically, the ACS Program Impact Calculator generates a concise, one-page summary that provides an overall projection of the cost savings your hospital could achieve by implementing our surgical hospitalist programs. Also, the report provides a comparison of current and expected data points for emergency surgical case volume, length of stay (LOS), and case mix index (CMI) as well as a projected ROI impact figure for each of the three metrics. The projected savings generated with implementation of our surgical hospitalist programs are achieved while maintaining superior quality metrics, including Center for Medicare and Medicaid Services (CMS) performance in the 92nd percentile for quality of care at a mean cost. The data and calculations utilized on the ACS Program Impact Calculator are based on industry standards, past Surgical Affiliates case study results, and published information.

Achieving a Robust ROI with Improvements in Key Metrics

The robust ROI achieved with our surgical hospitalist programs is derived from improvements in three key cost-related metrics, namely emergency surgical case volume, length of stay (LOS), and case mix index (CMI). While the expected improvements in these areas are well documented and significant, the financial impact often extends far beyond these in providing hospitals a competitive advantage in improved performance and efficiencies throughout the organization.

Emergency Surgical Case Volume

In providing hospitals with a dedicated team of board-certified surgical partners providing 24/7 emergency general surgery care, our surgical hospitalist programs experienced an increase in surgical volume. With a highly qualified team in place to provide emergency surgical support, operations are performed more quickly and are no longer deferred until elective cases or clinic patients are completed. Also, the accessible, high quality trauma and acute care surgery programs we establish enable hospitals to create a culture of “yes,” typically increasing the number of patients transferred into the hospital for emergency surgeries and reducing the need for local patients to be transferred to other facilities to receive treatment for serious conditions requiring prompt surgery.

Length of Stay

Decreased length of stay is a key improvement directly related to the availability of 24/7 acute surgical care that is the cornerstone of our surgical hospitalist programs. Because emergency patients undergo surgery without delays, throughput within the hospital is typically improved and the availability of beds increases. Inherent in the improved length of stay metric is increased quality of care, as eliminating surgical delays reduces complication rates and improves outcomes for patients.  Improvement in the length of stay metric is well documented in peer-reviewed data from a five-year study of a Surgical Affiliates Surgical Hospitalist program with Sutter Memorial Medical Center published in the Journal of the American College of Surgeons (JACS).

Case Mix Index (CMI)

A core benefit of our surgical hospitalist programs is that we provide highly qualified surgeons who manage patients as a team in accordance with evidence-based guidelines, reducing variations in care and helping to standardize best practices across our programs. This standardization of care, in concert with the requirement that our surgeons provide documentation that supports the resources patients require, typically leads to significant improvement in CMI. Most of our programs achieve an improved CMI to 2.09, which is demonstrated in the peer-reviewed JACS study and also represents the average CMI of our current surgical hospitalist programs.

If you have questions about the results generated by the Acute Care Surgery Program Impact Calculator, or you’d like to learn more about our acute care surgery model and how it can help your hospital achieve improved quality outcomes and sustained cost savings, contact us today for a free program analysis consultation.

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