disclaimer: i didn't actually start doing tele-hospitalist, only because of the tons of BS. i tried going through with it about 2.5 years ago
I agree, yet again, with drmetal. i thought teleshifts would be a cluster of patients that i could easily round on. turns out i would be rounding all over the country on a given shift. So i needed roughly 15 state licenses (not an issue with IMLC) and I needed to be credentialed at over 30 podunk hospitals (the company did a good job filling out the paperwork but it was still annoying. and that is 30 EHR related HAs to manage as well.)
some hospitals, the nurse would load up a tablet and i would virtually round with him/her. Sometimes i was on the tablet waiting like 10 mins as the nurse was walking around. Some hospitals had a high-res camera in the room that I could turn on. this setup was awesome- I could literally assess pupil size with the high quality. you usually get low acuity patients, but sometimes there is an emergency and it becomes a cluster- you dont know anyone you can message directly, you may or may not run the rapid/code, you are at the mercy of some usually garbage hospital and it's garbage resources.
i thought i would be able to round then go hang out and field calls somewhere. nope...needed to be available by video all the time. Was more annoying than in person. back then, none of the companies had phone apps, just PC login.
my comp was 50/encounter. there was more to it than that but i didn't get far enough into the prcoess to see what that entailed