Trying to reason increase in stipend to hospital...

[aneftp]

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Update: We connected with EHC consultants and have presented our proposal to our hospital. We are still waiting to hear what they have to say but found out its likely that we are competing against Sound anesthesia AMC i guess and one of the rumored proposals is to go with them and switch over to all CRNA model. It seems far fetched but we have some questionable leadership as well. Considering we do all the labor epidurals and all the regional blocks, they would have to bring in alot of new CRNAs even if they managed to hire some from our existing group.

It’s gonna to be messy. The crnas aren’t stupid either. They all want the 1099 money and it’s gonna to cost sound anesthesia either $700-800k per crna locums full time (the militant 1099 crnas) who want the cash or $400k 1099 per crna per 40 hours with no calls and no weekends

At that point there is zero cost savings for sound anesthesia either.

 

[FatKid]

It will be a rough 2 years to transition, but the hospital administration doesn’t care. They never want to be seen as “losing” a negotiation against a private MD group. The move is to go 1099 and watch the chaos ensue.

 

[aneftp]

It will be a rough 2 years to transition, but the hospital administration doesn’t care. They never want to be seen as “losing” a negotiation against a private MD group. The move is to go 1099 and watch the chaos ensue.

Sound anesthesia or whatever amc hospital admin wants to use will not lose a penny.

Hospital really doesn’t lose money either with all their federal subsidies. I don’t want to get too political (on this certain post). But see what trump did work yanking education stipends from universities. They immediately cut staff.

That will happen to many hospitals if any federal funding is taken away. Thad’s the only way hospitals will feel the pinch.

 

[Drwine]

Met crna from broward health (ft Lauderdale Florida ) some of you may have gotten bombarded with emails from locums companies. who worked for the previous anesthesia private practice.

It’s pretty much a crap show broward health and Envison. So she left to do locums.

But it’s south Florida so they are finding takers for lower locums rates from both crna and docs.

People just don’t want to move or commute far. So take what they can get.

Lots of cheap nonstop flights to cities in the northeast. Many are doing locums for a lot more money there instead of getting ripped off in Florida.

 

[Maverikk]

Keep the ASC...go hospital employed (no overhead, not in charge of hiring), get all stipulations for hourly coverage in your contract, this is the most important part...it's easiest as one FTE covers X number of hours, but it has to be OR coverage so if a room isn't filled but someone is 'available' then that counts towards the hours. I talked with one of my previous groups leaders who worked with the consultant we had and this was the most contentious part. Hospital wants endless flexibility to open/shut down rooms but doesn't want to pay for your availability

 

[deleted1130227]

Keep the ASC...go hospital employed (no overhead, not in charge of hiring), get all stipulations for hourly coverage in your contract, this is the most important part...it's easiest as one FTE covers X number of hours, but it has to be OR coverage so if a room isn't filled but someone is 'available' then that counts towards the hours. I talked with one of my previous groups leaders who worked with the consultant we had and this was the most contentious part. Hospital wants endless flexibility to open/shut down rooms but doesn't want to pay for your availability

They want Uber Anesthesia. Actually, Uber everything. We ain't using you. We ain't paying for you. I get it. I would want the same if I sat in their chair.

 

[aneftp]

They want Uber Anesthesia. Actually, Uber everything. We ain't using you. We ain't paying for you. I get it. I would want the same if I sat in their chair.

Hourly is the best and fairest rate even at $300-hr (which is low these days). U want 24 hrs coverage. Gonna to cost u all 24 hrs even with me sitting around at home.

 

[amyl]

Is this an opt out state? So sound can switch to CRNA’s only? Or will the surgeons “supervise”

 

[addoncase]

You're not in business to lose money. The ASC is an entirely separate issue and should not be considered as part of the hospital stipend problem. Someone's gonna have to be the hard-ass and say "this is the deal, this is what it costs, this is when we're available and how many staff will be available to cover it". Even before we became hospital employed (and even now) we work closely with the OR scheduling office. We have a "grid" telling them what is available each day. They want to open more rooms at hospital #2 that day? Fine - close rooms at hospital #1. We limit the number of rooms after 3pm, 5pm, and 7pm. We have people in-house 24-7 but we will not keep an excess of people around after hours. Our shift people go home when their shift is done. They do not start more cases than what can be finished by a certain time. If the limit is 2 rooms after 7pm, including emergencies, they do not start a case at 6:30 that will run until 7:30. It will have to follow.

This sounds exactly like the small community hospital I work at