Strengthening Trauma Hospitals for The Future

Trauma centers bring a broad 24/7 surgical presence that can provide exceptional value to hospitals but staffing the trauma center can also be expensive and challenging.

The American College of Surgeons requires 23+ surgical and medical specialties in Level I and Level II trauma centers. Trauma centers often face major challenges in sustaining physician specialty coverage and receiving appropriate value in return for support costs, which makes trauma centers a ripe environment for medical staff problems. Strengthening the Trauma and Acute Care Surgery (TACS) program can add major value to the hospital, can lead to improved care in other departments, and often results in a positive halo effect on other hospital services.

B+A has had exceptional success in working with hospital management and surgical specialties. We can work with your hospital to establish state-of-the-art, cost-effective medical staff structures for both trauma and emergency call. Having worked with surgeons across the country, we enjoy a high degree of credibility with even the most skeptical or divided medical staff. Our hands-on approach to medical staff optimization goes well beyond consulting norms. B+A will assist you in working with your physicians to arrive at an optimal structure that avoids contentious relations between the hospital and its providers. We work to bring out the best a medical staff has to offer.

Components of the Project

The components of a typical medical staff solutions project may include the following:

• Cultivation of effective medical staff leadership within trauma and other surgical specialties

• Establishment of a strong TACS service to serve as the nucleus of your trauma center.

• Assessment and development of effective call structures for key surgical and medical specialties.

• Identification of enhanced ways for the TACS service to support inpatient care and ancillary support services (e.g., OR, ICU).

• Creation of pathways for attracting new surgeons and staff.

• Design of a compensation system that generates the best value from call payments.

• Preparation of compliance letters regarding call arrangements with trauma medical staff reflecting call payment norms and appropriate staffing arrangements.

• Proposal for a Surgical Center of Excellence that unites and escalates surgical services at your hospital.

We’ve Got Your Back for the Long Term

B+A traditionally provides strong support to former clients. Our clients will tell you they feel supported by us as long as needed, rarely at added cost. We know that hospitals often need months or even years to fully digest the project results and make the decision to proceed with the recommendations. If circumstances change, we are equipped to reevaluate the recommendations. We stand by our work.