The previous discussion about hospitals in the Inland Empire was locked to further contact, so I had to create a new thread:
Spring, 2021 Update:
Riverside:
As predicted, Envision made an absolute disaster of Riverside Community Hospital, and is being kicked out June, 2021. Envision took over a 35-physician group and almost immediately turned it into a 7-physician/20+ locum group, and within a year they had to rely on CRNAs. It's now it's a care team model.
HCA is now bringing the department "in house." This has been HCA's trend elsewhere--and, in fact, may have been the reason Envision was given the contract in the first place. It's easier for me to believe that HCA knew Envision would fail and RCH would have no choice but to hire CRNAs, than it is for me to believe that anybody at HCA thought Envision could do a better job of running an anesthesia department than on-the-ground anesthesiologists who had been there for years and years. HCA recently kicked TeamHealth out of all their Florida hospitals, and are expected to do the same to their Envision sites in the state. Envision is losing contracts throughout Texas and Tennessee. Some of this pain may have been thanks to Covid, but most of it is just pure, raw, unadulterated greed and incompetence. Good riddance.
(I don't know if there are anesthesiology residents at HCA's Riverside Community Hospital, or not. They were supposed to start the residency in July, 2020. After a simple Google search, the closest that I can find to confirmation that it launched is that Envision is still running an ad for a residency director for a class of CA-1s to start 7/21. Who knows how old that ad is, but since Envision won't be around RCH come 7/21, it's an interesting proposition.)
Riverside Kaiser continues to advertise PRN positions for $150/hour. That is such an insult to me that I have never found out more than that.
Parkview hasn't yet kicked out Envision. As awful as Envision is, Parkview must be even worse if they don't dare show Envision the door.
In roughly the same neighborhood, Landmark (formerly of St. Vincent in LA) continues to run numerous ads asking for help in Murrieta, Pomona, and Chino Hills, presumably into Prime Healthcare facilities where IAMG has worn out its nepotistic welcome. Here's to hoping that IAMG bites the dust and Landmark inherits all the Prime Hospitals in Fullerton, Anaheim, and the Inland Empire. No matter what, Landmark has to be an improvement over IAMG.
Redlands Community Hospital
Redlands got beat up a little bit over in the "Anesthesia Positions" sub-forum a while back. Now I note that Optum is running an ad for an anesthesiologist to cross-cover Redlands Community Hospital and San Gorgonio Hospital (in Banning). There were rumors that United Healthcare was going to buy Beaver Medical Group (and its bloated physician management subsidiary, Epic). Since Optum is a subsidiary of United Healthcare and has taken over recruiting for RCH/BMG/Epic, it seems logical to presume that the merger is closer than ever...though, years later, not yet consummated.
More questions than answers about the job, to be sure, but what isn't up for debate is that real estate is much cheaper in Redlands. And, hey, now you get to visit Banning on the regular.
Arrowhead Regional Medical Center
This trauma center (known locally as Crackhead Medical Center) employs CRNAs and trains SRNAs. If the words "trauma," "crackhead," "CRNA, and "SRNA" haven't scared you away, I should mention that the department has a reputation as being led by a strong, no-nonsense anesthesiologist who won't be bullied by surgeons or administrators. I'm not here to say that is true or not, only that I'm impressed that he has cultivated such a reputation.
TL/DR: Envision was even worse for Riverside Community than I pessimistically predicted. Stay far, far away from the resultant mess.
Spring, 2021 Update:
Riverside:
As predicted, Envision made an absolute disaster of Riverside Community Hospital, and is being kicked out June, 2021. Envision took over a 35-physician group and almost immediately turned it into a 7-physician/20+ locum group, and within a year they had to rely on CRNAs. It's now it's a care team model.
HCA is now bringing the department "in house." This has been HCA's trend elsewhere--and, in fact, may have been the reason Envision was given the contract in the first place. It's easier for me to believe that HCA knew Envision would fail and RCH would have no choice but to hire CRNAs, than it is for me to believe that anybody at HCA thought Envision could do a better job of running an anesthesia department than on-the-ground anesthesiologists who had been there for years and years. HCA recently kicked TeamHealth out of all their Florida hospitals, and are expected to do the same to their Envision sites in the state. Envision is losing contracts throughout Texas and Tennessee. Some of this pain may have been thanks to Covid, but most of it is just pure, raw, unadulterated greed and incompetence. Good riddance.
(I don't know if there are anesthesiology residents at HCA's Riverside Community Hospital, or not. They were supposed to start the residency in July, 2020. After a simple Google search, the closest that I can find to confirmation that it launched is that Envision is still running an ad for a residency director for a class of CA-1s to start 7/21. Who knows how old that ad is, but since Envision won't be around RCH come 7/21, it's an interesting proposition.)
Riverside Kaiser continues to advertise PRN positions for $150/hour. That is such an insult to me that I have never found out more than that.
Parkview hasn't yet kicked out Envision. As awful as Envision is, Parkview must be even worse if they don't dare show Envision the door.
In roughly the same neighborhood, Landmark (formerly of St. Vincent in LA) continues to run numerous ads asking for help in Murrieta, Pomona, and Chino Hills, presumably into Prime Healthcare facilities where IAMG has worn out its nepotistic welcome. Here's to hoping that IAMG bites the dust and Landmark inherits all the Prime Hospitals in Fullerton, Anaheim, and the Inland Empire. No matter what, Landmark has to be an improvement over IAMG.
Redlands Community Hospital
Redlands got beat up a little bit over in the "Anesthesia Positions" sub-forum a while back. Now I note that Optum is running an ad for an anesthesiologist to cross-cover Redlands Community Hospital and San Gorgonio Hospital (in Banning). There were rumors that United Healthcare was going to buy Beaver Medical Group (and its bloated physician management subsidiary, Epic). Since Optum is a subsidiary of United Healthcare and has taken over recruiting for RCH/BMG/Epic, it seems logical to presume that the merger is closer than ever...though, years later, not yet consummated.
More questions than answers about the job, to be sure, but what isn't up for debate is that real estate is much cheaper in Redlands. And, hey, now you get to visit Banning on the regular.
Arrowhead Regional Medical Center
This trauma center (known locally as Crackhead Medical Center) employs CRNAs and trains SRNAs. If the words "trauma," "crackhead," "CRNA, and "SRNA" haven't scared you away, I should mention that the department has a reputation as being led by a strong, no-nonsense anesthesiologist who won't be bullied by surgeons or administrators. I'm not here to say that is true or not, only that I'm impressed that he has cultivated such a reputation.
TL/DR: Envision was even worse for Riverside Community than I pessimistically predicted. Stay far, far away from the resultant mess.
