Des moines group change?

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amyl

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1. Why are they doing Epic Go Live in 2025?

2. Sounds like a billing/documentation integration issue. Epic is great once it’s set up but it requires a ton of work/IT investment to get it right at Go Live. Maybe the hospital and the anesthesia group had a disagreement about who would do the work and/or pay for startup costs. The Epic launch at our 5 hospital system was reportedly close to $1bil almost 10 years ago and we had 2 years of workgroup meetings before the launch. Each of our hospital anesthesia departments still has a formal paid “epic liaison” to monitor and provide anesthesia input on updates.

3. Good luck getting 40+ anesthesiologists to move to Des Moines. Likely the existing doctors will transition to hospital employment.
 
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Members don't see this ad :)
Iowa CRNA Opportunity – $300/hr | Quick Credentialing | Weekly Pay

We're seeking experienced CRNAs for an unsupervised role at a Level 2 trauma center in Iowa.

Position Details:

• Start Date: May 12, 2025

• Schedule: 20 shifts/month

◦ Weekdays: 7:00 AM – 5:00 PM

◦ Weeknight Call: 5:00 PM – 7:00 AM

◦ Weekends: 24-hour shifts (7:00 AM – 7:00 AM)

• Duration: Through September with the option to extend if mutually agreed upon

Compensation & Benefits:

• Rate: $300 per hour

• Malpractice Insurance: Provided

• Travel & Lodging: Covered

• Payment: Weekly via Curative

Case Mix & Support:

• 60% Medicare

• 85% Adult/Geriatric, 15% Peds/Adolescent

• General Anesthesia, Blocks, Epidurals, etc.

• Full OR/PACU support

• EMR: Cerner

Requirements:

• Minimum 24 months of experience

• Active Iowa license (no exceptions)

• ACLS & PALS certifications

If you're interested or would like more information, please reach out with your name:

[email protected]
469.658.7038
 
That crna rates for Iowa Folks. $300/hr plus travel.

Trauma Care Facility MercyOne Des Moines Medical Center - Level II. Location Address 1111 6th Avenue Des Moines, IA 50314.
 
Usually 3 Months to get credential as we all know. And magically the hospital system will grant crnas and docs temp privileges in one week. Which shows it’s all a scam this healthcare system

Money talks. And hospital losing money due shutting down of or means shorts cuts can be taken to bring in anesthesiologists and crna
 
aneftp said:
Usually 3 Months to get credential as we all know. And magically the hospital system will grant crnas and docs temp privileges in one week. Which shows it’s all a scam this healthcare system

Money talks. And hospital losing money due shutting down of or means shorts cuts can be taken to bring in anesthesiologists and crna
Click to expand...


How does licensing work for CRNAs? Is it state by state? How long does it take?
 
nimbus said:
How does licensing work for CRNAs? Is it state by state? How long does it take?
Click to expand...
Iowa is a compact state. Can get license extremely quickly. Like one week if pushed through

Temp Credentials can take a week in a big hospital system.

Which tells u agencies and hospitals don’t give a f about docs & quality care.
 
aneftp said:
Iowa is a compact state. Can get license extremely quickly. Like one week if pushed through

Temp Credentials can take a week in a big hospital system.

Which tells u agencies and hospitals don’t give a f about docs & quality care.
Click to expand...
Yeah, credentialinf departments at every hospital in the country. Incredible that these leeches still have jobs in the Information Age where literally all this information is easily public and available.

Like who is able to pull off faking a medical degree at this point?
 
PainInTheAnes said:
Yeah, credentialinf departments at every hospital in the country. Incredible that these leeches still have jobs in the Information Age where literally all this information is easily public and available.

Like who is able to pull off faking a medical degree at this point?
Click to expand...
Read the crna ad I posted closely. They are letting crna get super quick credentials plus work unsupervised (Iowa is opt out state). You don’t need any medical degree is what recruiters or hospitals admin is saying to get a job at that hospital and u can get on staff super quickly.
 
Members don't see this ad :)
I hope the anesthesia group stays unified and doesn’t join the hospital. 40 anesthetists is a mid sized group, and in a less desirable part of the country, the hospital might hurt without their services.

Yes, I will preface this by saying the requisite “obviously we don’t want patients to suffer”….but I hope that the hospital suffers big time.
 
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nimbus said:
1. Why are they doing Epic Go Live in 2025?

2. Sounds like a billing/documentation integration issue. Epic is great once it’s set up but it requires a ton of work/IT investment to get it right at Go Live. Maybe the hospital and the anesthesia group had a disagreement about who would do the work and/or pay for startup costs. The Epic launch at our 5 hospital system was reportedly close to $1bil almost 10 years ago and we had 2 years of workgroup meetings before the launch. Each of our hospital anesthesia departments still has a formal paid “epic liaison” to monitor and provide anesthesia input on updates.

3. Good luck getting 40+ anesthesiologists to move to Des Moines. Likely the existing doctors will transition to hospital employment.
Click to expand...
Still unclear as to the purported reason of severing this relationship- blaming it on epic integration?! Whatever it is, it is obviously a convenient excuse- “we welcome MCA clinicians to continue to provide services through a new relationship” is code for “we want control over you and we want to create our own department and employ you. And we will do this by soliciting your people and helping them violate noncompetes, in clear violation and breach of contract.”

Stay firm and united mca!
 
it’s my understanding that they are not being pushed to be hospital employees they are being forced to sign with an amc.
 
Lecithin5 said:
Still unclear as to the purported reason of severing this relationship- blaming it on epic integration?! Whatever it is, it is obviously a convenient excuse- “we welcome MCA clinicians to continue to provide services through a new relationship” is code for “we want control over you and we want to create our own department and employ you. And we will do this by soliciting your people and helping them violate noncompetes, in clear violation and breach of contract.”

Stay firm and united mca!
Click to expand...
Nah.
1. Hospitals can force non compete out the window “for the benefit of the community” and judges will side with hospitals. Judges have favored community over individual rights over the years.

2. This is about money. This is likely not about epic going live.

3. In the end it will cost the hospital tons of money doing locums. (See Memphis 18-20 months ago)
 
amyl said:
it’s my understanding that they are not being pushed to be hospital employees they are being forced to sign with an amc.
Click to expand...
Abandon the 2 hospitals make 1099 money off the hospitals

Keep the surgery center

That’s why my residency classmate did with her practice 4 years ago. She was the president the last 15 years.

Most members of Group made around 600k (md only) with super busy ob in house , usual busy practice peds, gen,ortho thoracic etc)

AMC comes in
Now my friend. Make 750k 1099. No stress and doubled her vacation from 8 to 16 weeks and doesn’t have to worry about the billing.

That Hospital ceo been let go (as usual , he got another hospital admin job). Lives on same street as my sister.

These docs will make more money not dealing with the hospital in this environment

And of course the crnas stands to gain the most as they will likely double their income with 1099 with the amc
 
aneftp said:
Abandon the 2 hospitals make 1099 money off the hospitals

Keep the surgery center

That’s why my residency classmate did with her practice 4 years ago. She was the president the last 15 years.

Most members of Group made around 600k (md only) with super busy ob in house , usual busy practice peds, gen,ortho thoracic etc)

AMC comes in
Now my friend. Make 750k 1099. No stress and doubled her vacation from 8 to 16 weeks and doesn’t have to worry about the billing.

That Hospital ceo been let go (as usual , he got another hospital admin job). Lives on same street as my sister.

These docs will make more money not dealing with the hospital in this environment

And of course the crnas stands to gain the most as they will likely double their income with 1099 with the amc
Click to expand...
Well, this would be a dream for a group like mca- getting paid 1099 to service a poorly insured, money-sink hospital, but keeping the profitable surgery centers. But a lot of times, hospitals won’t allow this to happen.

Hospitals always say it is about money. But it’s ultimately about control. Because hospitals will pay way more in securing 1099 services thru medicus or whatnot, then they would have paid a PP group in stipends.
 
aneftp said:
Nah.
1. Hospitals can force non compete out the window “for the benefit of the community” and judges will side with hospitals. Judges have favored community over individual rights over the years.

2. This is about money. This is likely not about epic going live.

3. In the end it will cost the hospital tons of money doing locums. (See Memphis 18-20 months ago)
Click to expand...
Agree – “community need” is the most beautiful and convenient excuse that a hospital can use. It’s a load of crock. But hospitals unfortunately usually win out in the end.
 
Hospitals think they have control in this environment but especially with the crnas there is no control if it’s a heavy act model. Paying crnas $300-hr plus like 40% agency markup due to uber surge emergency pricing makes a the crna is costing them close to $500/hr. Or close to 1 million per crna based on 46 weeks at 40 hrs a week and no call and no weekends. The numbers are staggering to try to get this under control quickly.
Lecithin5 said:
Well, this would be a dream for a group like mca- getting paid 1099 to service a poorly insured, money-sink hospital, but keeping the profitable surgery centers. But a lot of times, hospitals won’t allow this to happen.

Hospitals always say it is about money. But it’s ultimately about control. Because hospitals will pay way more in securing 1099 services thru medicus or whatnot, then they would have paid a PP group in stipends.
Click to expand...
 
staple said:
And the hospital wonders why the PP group needed financial support...
Click to expand...
The previously true private practice with some subsidies made 500-550k on good years. Team health stole the contract. Good for them.

Coming back Locums to the same hospital our former president made 900k working less. That’s a win!

Let the hospital take the hit.

I’m about to come back 5.5 years later for a cameo in late August. Easy 40k-45k for the week for me. Beeper call. Crna will cover ob while I get to bill by the hour with epidural running.

That’s how these Iowa docs need to think.
Time to rape the hospital for making poor decisions.

Go in as mercenaries. Provide quality care. Take the cash.
 
They were mostly Md only with few CRNAs I believe? Getting strong armed to sign with Vituity. The new kid on the block. “physician owned” but by a group of physicians who want to be PE and really focus on internal medicine and ED as these are what really makes a hospital work. They are agreeing to staff anesthesia without knowing what they are doing so the hospital gets a one solution vendor. Both smart and dumb by vituity at same time.

Biggest lesson here is that CRNAs will replace MDs, Md only anesthesia is so easy to replace
 
Yup. Either let the crnas roll independently or push you to high ratio firefighter models. Properly done it’s hard to do 4:1 - forget more without cutting serious corners
 
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