1. OBGYN Hospitalist Program: The Increase in the Quality of Care by Adhering to Protocol-Driven Practices and Reducing Mistakes

2. Many hospitals are facing the same problems:
Emergencies happen in Labor & Delivery with no physician present – bad outcomes lead to expensive malpractice costs
Deliveries happen with no physician present, which stresses the nurses

3. Many hospitals are facing the same problems:
3. OBGYNs do not want to take call
4. There are unassigned patients
5. There may be midwives and family practitioners doing deliveries without backup
No one wants to accept the transfer of high-risk patients

4. Many hospitals are facing the same problems:
Patients wait a long time for evaluation
Maternal Fetal Medicine specialists want to do an outpatient practice only and not come to the hospital
No one wants to do vaginal births after cesarean section (VBACs)
The cesarean section rate is too high

5. An OBGYN hospitalist program can help with all those issues
Here is how it works…

6. Having a board-certified OBGYN physically present in Labor & Delivery
They are there to respond to emergencies, start the emergency C-section
They catch the baby instead of the nurse
Make private practitioners happy by taking the call responsibility

7. Having a board-certified OBGYN physically present in Labor & Delivery
Caring for the unassigned and high-risk patients
Consulting for the family practitioners and midwives
Evaluating patients promptly

8. Having a board-certified OBGYN physically present in Labor & Delivery
Working collaboratively with the MFM specialist
Encouraging VBAC by taking responsibility while the private practitioners stay in their office
Studies prove that having professional full-time OBGYN hospitalists reduces the C-section rate.

9. In addition to solving those problems they also:
Aid in retention and recruitment in both physicians and nurses
Help fill up the beds in the neonatal ICU
Increase patient satisfaction scores
Unclog long wait times
Aid in education of nurses (medical students and residents too)
Increase compliance to protocols and new initiatives

10. But there’s a cost – All OBGYN hospitalist programs lose money
So it costs about $ million dollars per year
(FILL IN YOUR PROGRAM ACTUAL COSTS HERE)

11. The direct revenue income is based on:
Volume
How many patient encounters
Do the other practitioners ask for assistance at C-section?
Do the private practitioners sign out to the hospitalists?
Does the hospitalist see GYN patients in the main ED?
Consultations from midwives and family doctors
Transfer in of high-risk patients (and antepartum care working with maternal-fetal medicine specialists

12. The indirect revenue includes:
Reduction in malpractice costs, not only to settle or pay but the cost to defend
The increased money generated by the NICU bed occupancy
The money saved by not having to do the expensive training of new Labor & Delivery nurses
The increased volume of patients in the hospital generated by recruitment of new OBGYNs because of the hospitalist program
Gaining new patients to the hospital attracted to the safety and efficiency / high patient satisfaction
Not losing patients to competing hospitals because they have a better program

13. OB ED
Potential new revenue comes from transforming outpatient Labor & Delivery triage evaluation to the OB emergency department
This results in a modest increased professional fee but a substantial increase in the facility fee:
An outpatient visit approximately $93
OB ED visit approximately $236
That could easily generate a million dollar increase in facility fee
(FILL IN WITH YOUR OWN TRIAGE NUMBERS)

14. It’s the right thing to do for women and babies
So we can’t measure an OBGYN hospitalist program by just P&L, we have to look at the wider benefits and minimize loss by doing an OB ED
It’s the right thing to do for women and babies
It makes your doctors and nurses happy and reduces their stress