Innovative Physician Staffing Solutions for Hospitals.

Financial and operational strategic advantages for your hospital are just a phone call away. Open Source M.D’s innovative physician staffing model keeps hospitalist positions filled and makes hospital workforce management easier.

 

Open Source M.D delivers physician staffing solutions that give hospitals the flexibility they want without sacrificing the cost-effective stability and quality they need.

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Hospital Physician Staffing That Really Works

 

Hospital physician staffing is perhaps more challenging than ever before. But keeping your physician services firing on all cylinders does not need to feel like an ordeal any longer.

Open Source MD presents a highly cost-effective physician staffing solution for hospitals. Founded by physicians and hospital administrators with an intimate understanding of the staffing challenges hospitals face, Open Source MD does more than just solve problems.

Our system leads to a more effective clinical workforce with better morale. Unlike typical hospital staffing agencies, we stay out of the way. We facilitate better hospitalist-to-hospital relationships.

Through collaboration with Open Source MD, partner hospitals can establish a functional and effective hospitalist service that aligns seamlessly with their needs, with minimal upfront or ongoing expenses.

Our unique approach empowers hospitals to optimize resource utilization and enhance patient care while benefiting from the expertise and support provided by Open Source MD.

  • Creates a high-performance hospitalist service tailored to patient volumes

  • Open Source MD’s model mitigates fragmentation in care

  • Hospitals pay the doctors directly and retains control over their services

  • The Physicians are strategic partners with the hospital.

  • Physicians are incentivized to improve quality, documentation, and throughput

  • No recruitment, locums, HR costs, or third-party agency headaches

Powerful partnership

The Open Source MD approach works by leveraging the collaboration of three key parties: the hospital, our affiliated physicians, and Open Source MD itself, all working together through separate contracts.

The first contract establishes a formal relationship between Open Source MD and the hospital. In this contract, the hospital commits to providing shifts to our affiliated physicians at a predetermined rate for a specified duration, typically spanning 3 to 5 years.

The hospital also enters into separate contracts with each physician’s business entity, generally an LLC or S-Corp. These contracts outline the roles and responsibilities of the physicians, their hourly rates, as well as the hospital’s expectations and obligations under the agreement.

Finally, Open Source MD establishes a contract with the physicians, solidifying the terms of their partnership. This contract governs the working relationship, responsibilities, and other aspects between Open Source MD and the physicians.

Our unique concept creates a well-coordinated collaboration between hospitals, physicians, and Open Source MD. This solves the most common problems in physician staffing. Our model also leads to a better-performing hospitalist service, higher morale, and more efficient hospital operations.

Why Independent Contractors are the Physician Staffing Solution

Open Source MD’s independent contractor arrangement offers significant advantages for hospitals versus hiring W2 physicians. Hospitals with W2 employees are bound to a fixed number of shifts they must offer each employee annually and are obligated to pay the same amount in every pay period. This limits the number of physicians a hospital can contract with.

In contrast, the Open Source MD  model establishes a physician staffing pool of hospitalists that surpasses the required number for staffing the service. This pool allows for up-staffing during periods of high patient volumes or stepping in during emergencies.

By utilizing contractors, the hospital gains the flexibility to adjust its workforce within the hospital system or across multiple hospitals, without the need for unnecessary hiring.

Open Source MD’s use of independent contractors enables hospitals to maximize their workforce efficiency, providing the ability to scale up or down as needed, ensuring optimal patient care while effectively managing resources and costs.

  • Physicians are independent contractors who are part of a flexible workforce

  • Physicians are incentivized to work towards meeting the hospital’s goals and strategies

  • Hospitals gain greater hospitalist staffing flexibility with much less turnover

How Much Does It Cost?

Open Source MD may apply a modest fee to oversee the physician staffing program for your hospital. However, our primary source of revenue comes from our affiliated physicians. Open Source MD’s objective is a long-term partnership with the hospital, underlined by a contractual agreement that ensures sufficient staffing and commitment.

  • Our goal is loyalty and well-staffed physician services, solidified by a long-term contractual agreement.

  • Hospitals parter with Open Source MD rather than paying third parties for staffing, recruitment, or administrative services.

  • Our model creates a mutually beneficial relationship, and a more efficient and performative hospitalist service.

Building a Better Hospitalist Service

Building a successful hospitalist or specialty group begins with policies and procedures that optimize service efficiency. Hospital revenues depend on quality documentation, resource utilization, and patient throughput.

Open Source MD collaborates closely with hospitals to build service line agreements, standardize admission and discharge processes, conduct case management rounds, and develop effective marketing materials.

Our physicians work hand-in-hand with a hospital’s clinical documentation improvement program and utilization review team to drive revenue growth. This is just one example of the collaborative power of the Open Source MD model.

The Open Source MD Physician Staffing Model in Action

 

The graphs below, based on data from CMS for specific diagnoses, illustrate the significant impact Open Source MD had on hospital revenues at TJ Samson Hospital since January 2018.

The results demonstrate a decrease in length of stay, lower average cost per patient, an increase in the number of inpatient cases, and higher average payment per case for certain diagnoses. Particularly striking is the considerable rise in heart failure cases with multiple chronic conditions (“MCC”), indicating improved documentation capturing, leading to higher average payments for those cases. The trend has continued to improve over time, though data from 2020 and 2021 may be affected by the COVID-19 pandemic.

The evidence is clear: Open Source MD offers hospitals a valuable opportunity to significantly boost their revenues. Our partnership model ensures an impressive return on investment for our hospital partners.

Results Delivered 

DRG 193- SIMPLE PNEUMONIA AND PLEURISY WITH MCC

*2021 data was omitted as it was skewed due to Covid

Starting in 2018, OSMD increased the annual profit for Pneumonia admissions by an average of $140,000 through improved documentation.

** 2020 numbers are skewed due to COVID-19

AVERAGE PAYMENT / COST

Beginning 2018, OSMD increased the average annual revenue for patients admitted with pneumonia from a net loss of $40K to a net gain of $90K.

Beginning in 2018, average annual revenue for pneumonia and pleurisy increased from Net Loss of $40k per year to a Net Gain of $90K per year.

** 2020 numbers are skewed due to COVID-19

ANNUAL PROFIT PER YEAR

Beginning in 2018, OSMD decreased the average LOS for patients admitted with pneumonia an average of 1.31 days.

LOS for Patients Admitted with Pneumonia Decreased an Average of 1.31 days.

** 2020 numbers are skewed due to COVID-19

AVERAGE LENGTH OF STAY

DRG 871 – SEPSIS with MCC

*2021 data was omitted as it was skewed due to Covid

After starting in 2018, OSMD increased the average annual profit from patients admitted with Sepsis/MCC by $400,000

** 2020 numbers are skewed due to COVID-19

ANNUAL PROFIT PER YEAR

After starting in 2018, OSMD increased the Average Revenue per Case of Sepsis/MCC by 29% .

** 2020 numbers are skewed due to COVID-19

AVERAGE PAYMENT / COST

Beginning in 2018, the LOS for patients admitted with Sepsis/MCC decreased on average by 0.49 days

AVERAGE LENGTH OF STAY

DRG Data 291 – Heart Failure and Shock with MCC

*2021 data was omitted as it was skewed due to Covid

Beginning in 2018, OSMD captured more heart failure patients with MCCs as reflected in the higher number of cases because of more effective documentation. This resulted in higher hospital revenues.

** 2020 numbers are skewed due to COVID-19

ANNUAL PROFIT PER YEAR

Beginning in 2018, OSMD increased the average annual payment to the hospital by $269,261 because more cases with MCCs were captured.

** 2020 numbers are skewed due to COVID-19

AVERAGE PAYMENT / COST

DRG – 292 Heart Failure and Shock with CC

*2021 data was omitted as it was skewed due to Covid

Number of Patients Decreased and Revenues increased as More Patients Appropriately Documented with Heart Failure/MCC.

Beginning in 2018, the number of heart failure cases with comorbid conditions declined because more patients with MCCs were captured through quality documentation.

** 2020 numbers are skewed due to COVID-19

ANNUAL PROFIT PER YEAR

Average Costs Decreased as More Patients appropriately coded to Heart Failure with MCC

Average cost per heart failure patient with CC remain flat.

** 2020 numbers are skewed due to COVID-19

AVERAGE PAYMENT / COST

180017 – T. J. Samson Community Hospital
MS-DRG 193 – SIMPLE PNEUMONIA AND PLEURISY WITH MCC
MedPAR FY IPPS Cases ALOS Average Changes Average Payment Average Cost
2021 41 4.4390 $21,259 $8,568 $8,322
2020 57 3.8246 $20,723 $8,875 $7,270
2019 47 3.7021 $20,923 $8,622 $6,834
2018 56 3.7679 $22,703 $8,208 $6,424
2017 23 5.0000 $22,703 $8,197 $8,545
2016 35 4.0857 $20,660 $8,146 $7,692
2015 49 4.8776 $21,987 $8,411 $9,423
2014 30 6.3333 $27,133 $8,817 $12,661
2013 34 5.1417 $18,487 $8,869 $10,249
2012 53 5.0377 $17,800 $8,802 $10,470
2011 42 4.9524 $19,638 $8,735 $10,433
2010 71 6.3944 $20,606 $9,178 $11,233
2009 48 5.8750 $17,827 $8,301 $10,171
2008 64 7.2969 $19,392 $7,564 $10,993
T. J. Samson Community Hospital
MS-DRG 871 – SEPSIS WITH MCC
MedPAR FY IPPS Cases ALOS Average Changes Average Payment Average Cost
2021 116 5.7672 $30,948 $13,292 $11,093
2020 150 4.5600 $26,505 $12,380 $8.,915
2019 195 4.3436 $20,923 $8,622 $6,834
2018 203 4.8621 $22,702 $10,765 $8,635
2017 190 4.9211 $26,544 $10,286 $9,134
2016 224 4.8482 $25,123 $10,224 $9,095
2015 175 5.2629 $24,926 $10,597 $10,242
2014 145 5.2690 $25,382 $11,250 $10,770
2013 138 5.2464 $23,081 $11,898 $10,857
2012 229 4.9258 $19,649 $11,506 $10,103
2011 170 4.9258 $19,610 $11,272 $10,313
2010 134 6.4104 $21,753 $11,304 $11,864
2009 56 6.0714 $19,440 $11,155 $10,816
2008 48 7.5417 $20,454 $9,512 $11,761

 

T. J. Samson Community Hospital
MS-DRG 291 – HEART FAILURE AND SHOCK WITH MCC

MedPAR FY IPPS Cases ALOS Average Changes Average Payment Average Cost
2021 64 3.7969 $17,037 $8,929 $6,863
2020 95 4.2316 $20,444 $8,972 $7,530
2019 112 3.5000 $17,601 $8,633 $6,083
2018 85 3.7294 $19,714 $8,859 $6,295
2017 69 4.0290 $18,379 $8,524 $6,965
MS-DRG 292 – HEART FAILURE AND SHOCK WITH CC
MedPAR FY IPPS Cases ALOS Average Changes Average Payment Average Cost
2021 18 3.2778 $15,264 $6,062 $6,201
2020 27 3.7407 $15,777 $6,266 $6,179
2019 27 3.0000 $14,103 $6,018 $5,068
2018 17 3.4118 $16,320 $6,131 $5,728
2017 19 3.0526 $13,109 $5,878 $5,054
2016 38 3.4737 $14,490 $5,842 $6,175
2015 63 3.3333 $12,556 $6,059 $6,196
2014 51 3.9608 $14,405 $6,092 $7,284
2013 54 3.4630 $11,667 $6,158 $6,413
2012 54 3.3704 $11,386 $6,164 $6,780
2011 51 3.7451 $11,934 $6,286 $6,623
2010 50 4.8600 $13,331 $5,800 $7,726
2009 48 4.8750 $13,026 $6,103 $7,690