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The Society of OB/GYN Hospitalists (SOGH) recently talked with OBHG site director Dr. Rhonda Williams about the simulations she has been leading at her hospital program in Baton Rouge, Louisiana.Tell us about your hospital.
RW: Baton Rouge General Medical Center is a community hospital with seven labor and delivery beds, three OB emergency room beds, and about 10 postpartum rooms. We deliver about 1,000 babies a year. The Ob Hospitalist Group program has been active for about three years.How has the OB hospitalist team made a difference at your hospital?
RW: The presence of the OB hospitalists has created a culture of safety on our unit. We have helped the unit respond better to emergencies by preparing the staff with a series of educational opportunities and education drills.
We started with skills and knowledge training so everyone was on the same page. For example, identifying and locating instruments and devices on the unit was key. We prepared postpartum hemorrhage medication kits and a tool kit for hemorrhage.
We practice skills quarterly on the unit. Now we are starting to collect data, like how much blood we transfuse, how many patients go to the ICU, and how long it takes to get a physician to the bedside.Tell us about your simulations.
RW: My favorite simulation was severe hypertension because we added an amniotic fluid embolism and a Code Blue to the simulation, but didn’t tell anyone. It turned out to be a lot of fun, and a real eye opener for our unit.
We added a Code O for OB codes to help us get the right people to the patient quickly. We identify the nurses who are responding during a code by labeling them RN 1, RN 2, and RN 3. One administers medications, one is a recorder, and one is a coordinator. Simulations have definitely improved our team skills.How did your hospital conduct effective simulations without high tech simulation equipment?
RW: You don’t have to be high tech and have a Noelle to do a simulation if you don’t have money to do that. We trained some of our nurses to be actors for some of the simulations. Our hospital’s Code Blue educators also had a male code blue simulation manikin that we were able to use. He could put up heart rhythms and responses to actions. We added a wig, and then put a MamaNatalie Birthing Simulator on him. MamaNatalie is a pregnancy belly that costs about $900 and we got a grant to buy it.
We asked the nurses to come up with names for the patient and her partner, which was a lot of fun because we have all heard of strange baby names. We also had to find a way to make a manikin “bleed.” We used “him”for our AFE. We relied on various resources like ACOG, AWHOHN and SOGH for information.
Our simulation team included our unit RN educator, RN manager, director of women’s services, OB chairperson, the hospital educator, risk management, and the hospitalists. I went to train the trainer at SOGH, and that helped me personally to guide the process. I also talked to private physicians individually about the need to participate to boost morale on the unit and our teamwork. It was key that we had administration’s strong support to implement safety drills.
I want people to know that smaller hospitals don’t need a sentinel event to make this happen. You need strong nurse management and education to partner with you as the hospitalist.What was one improvement simulations have made for your unit?
RW: After every simulation, and now every delivery at the hospital, we do a short debrief. We ask what happened briefly, what went well, what did not go well, and what systems issues happened. We collect all of the debriefings in a binder, and we respond by fixing just one thing.
Sometimes it is just a small thing like the pharmacy moved the Pitocin bags so we couldn’t find them easily. When we started fixing things after simulations, people started realizing that it can make a difference on the unit so people have really started writing down what we could do better on the debriefing forms. It really has helped us get buy-in.Why do you spend your personal time doing this?
RW: I give it my all because I want to improve the quality of care for our patients. It’s a big challenge and takes a lot of work to prepare simulations.
We know what to do in most maternal emergency situations. With practice, preparedness, and teamwork, most maternal mortality can be prevented. We just need to shorten our response and treatment times. Time is life.
This article originally appeared in the Society of OB/GYN Hospitalists January 2019 newsletter.
OBHG hospitalists at Overlake Medical Center in Bellevue, Wash. are helping to pilot a new method of reducing cesarean sections and increasing the rate of vaginal deliveries. Overlake is one of only four hospitals in the country partnering with Ariadne Labs – a joint center of Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health – on the Team Birth Project, an innovative program focused on empowering mothers and all members of the birth team to initiate communication and inspire more collaborative teamwork to achieve better outcomes for mothers and babies.
The Team Birth Project was created to empower women and couples to communicate their birth plans and to share in the decision-making process during childbirth. The project uses tools to support best practices in clinical decision-making and communication that support and empower women’s preferences using a team approach. “The hope is to see a reduction in unnecessary cesarean deliveries by improving appropriate care and avoiding overtreatment,” said Lisbeth Jordan, MD, OBHG site director of OB hospitalists at Overlake.
A key component of the 18-month initiative is a labor and birth planning board, a patient-facing whiteboard located in every labor and delivery room that serves as a shared reference for patients, families and care team members such as nurses, midwives, obstetricians, anesthesiologists, neonatologists and other specialists. In addition to serving as a central, visible place to capture a mother’s intended birth plan, the tool is meant to foster teamwork, communication, and empowerment of women and families while reducing overtreatment. Also, as part of the program “huddles” are held regularly by providers, staff and families to discuss care decisions and preferences as they align with the birth plan.
“As hospitalists, our initial involvement in the Team Birth Project involves triaging the patient in the obstetrical emergency room to prevent premature admission of laboring women,” said Dr. Jordan. “Part of the project includes an admission decision aid containing guidelines to confirm whether admission is necessary and what options can be offered to keep patients comfortable and minimize interventions if admission is deferred. From there, we are considered part of the patient’s labor team and the patient is made aware of our role as an emergency obstetrical provider."
According to Dr. Jordan, the project has been very well received. “Everything is centered around supporting and empowering patients and working together in making a positive difference in their birth experience,” said Dr. Jordan. “Not only is the program designed to make patients feel more involved in their care, but it also reinforces the team aspect of having everyone working together through the labor and delivery process.”
For more information about the Delivery Decisions Initiative and the Team Birth Project, click here.
Ob Hospitalist Group is pleased to announce that we are entering the Massachusetts market! We are excited to be partnering with Lawrence General Hospital to develop our first obstetrical emergency department in the state.
The hospital is an acute care and surgical facility that has served the Lawrence community since 1886. Delivering more than 1,600 babies each year, it is home to a level II special care nursery, private labor & delivery and maternity rooms, and is on its way to achieving Baby Friendly status.
Lawrence is just over an hour's drive from one of the oldest and most vibrant cities in the U.S. - incredible Boston! It's also 45 minutes from historic Salem and about two hours from Cape Cod, otherwise known as 'the Hamptons of New England.'
OBHG hospitalists enjoy full-time positions with competive compensation, full medical benefits, paid malpractice insurance with tail, CME allowance, 401k match, phenomenal physician support, and superior work/life balance that includes flexible scheduling and an average of 20 days off per month.
Leadership training and advancement opportunities are available - along with fewer shifts, no on-call duty (when you're off, you're off!) and minimal administrative burdens.
If you are interested in exploring a new hospitalist career in Massachusetts or would like to submit your information, please contact expert Senior Clinical Recruiter Liz Selfridge at email@example.com or 864.908.3829.
Postpartum depression (PPD) is the most common complication of pregnancy, and onset can occur at any time from pregnancy until up to 1 year post partum. Estimates of the prevalence of PPD in new mothers in the United States varied by state from 8% to 20% in 2012, with an overall average of 12%.
Dr. Jane van Dis, OBHG hospitalist and medical director of business development, wrote an editorial published in MdEdge ObGyn laying out the importance of screening for PPD and how obstetric hospitalists can play a key role.
"Obstetric hospitalists can be a bridge between inpatient and outpatient follow-up and catalysts for implementing universal inpatient PPD screening," writes van Dis. "Our role presents an opportunity to start the discussion early and often in the fourth trimester and to make a significant difference in addressing this critical unmet need in postnatal care."
Texas joins a handful of other states, including Indiana, Arizona, and Maryland in adopting maternal care designations. While the ACOG consensus statement defines five designations, ranging from Birth Center to Level I (Basic Care) to Level IV, Texas law designates four levels of maternal care. It combines Birthing Center care and Level I designation.
Dr. Marc Zepeda, OBHG site director at Baylor Scott & White Medical Center-McKinney, suggests three ways hospital leadership can prepare for the new maternal care levels.
We are pleased to welcome Baylor Scott and White Medical Center-Frisco in Frisco, TX, to the OBHG family with their full-time, Type A OBED! This our third new program to go live in 2019.
The hospitalist team at Baylor Scott and White Medical Center, Frisco includes: (from l to r) Dr. Kimberly Chessir, Dr. Xercerla Littles, Dr. Charles Jaynes, Medical Director of Operations, Dr. Sridevi Panchamukhi and Dr. Tiffany Woodus. Not pictured: Dr. Ronald Dotson (backup). Dr. Littles will serve as Site Director for the program.
Our OB hospitalist team is looking forward to serving the families in the Frisco area!
OBHG’s Ob Exchange platform serves as a one-stop shop where clinicians can connect, exchange information and access online tools. OBHG’s Elaine Stephenson and April Morris recently spoke with HIT Infrastructure about how the tool is improving clinician engagement across OBHG’s national network.
“We now have one place where physicians can collaborate and share best practices. We can talk about protocols with the hospitals and see if we can improve the quality of care and patient safety,” said Stephenson in the article.
“The connection side of the equation was out of necessity, since clinicians work disparate shifts. They see each other in passing, or maybe talk during a phone conference, but it’s extremely challenging to get people to sit down and discuss core issues for an extended period of time. We wanted to give them that communication without competing with shift schedules,” said Morris.
A new study of obstetrics liability claims between 2013 and 2017 showed that 80 percent of obstetrics claims involved high clinical severity cases. Boston-based liability insurer Coverys analyzed 472 OB claims and found that in 24 percent of these cases, either the mother, infant or both died. Additionally, according to the report, 40 percent of obstetrics claims relate to management of labor and delivery. One issue is the lack of training and standardization when it comes to monitoring fetal heart patterns.
Fetal heart rate monitoring technology has been around for several decades. Clinicians use a doppler fetal monitor on the mother’s abdomen to listen to the baby’s heart rate continuously, especially during labor. Nowadays, heart rate patterns are stored electronically, they can be viewed on monitors throughout the unit and medical staff members can log into a portal to see the tracings for each patient. Usually, the fetal heart rate is monitored in coordination with uterine activity, such as contractions, to have greater insight into labor.
Clinicians use both pieces of information – fetal heart rate and uterine activity – to interpret the heart rate monitor and determine the category of the tracing – I, II or III. In short, category I is low risk and category III is high risk. If the tracing indicates a category III, the delivery is typically expedited.
“Many tracings land in category II, which is where all kinds of management decisions have to be made,” said Dr. Mark Simon, OBHG Chief Medical Officer and OB/GYN. “You must put the tracing into the context of what else is going on with the patient and make a decision based on the bigger picture.”
In the U.S., continual fetal heart rate monitoring is the standard of care in labor due to the risk of medical malpractice. According to the Converys report, 77.3 percent of fellows of the American College of Obstetricians and Gynecologists (ACOG) report they have been sued.
OB/GYNs and OB nurses are trained to learn heart rate patterns and meanings. Analyzing these patterns should guide teams in determining whether they should intervene and if so, how. Ongoing education and training around how to evaluate fetal heart rate patterns is vital.
“There are numerous reasons why maintaining competency in interpreting fetal heart rate monitoring is incredibly important,” said Dr. Simon. “It’s important to know what those patterns are, what they mean how and what intervention to do based upon the patterns in the context of the patient as a whole.”
Understanding and interpreting the patterns is reliant upon understanding the language – being able to correctly determine the category. OB teams must go through training to ensure that everyone on the team is speaking the same language, standardized by NICHD.
“If you have physicians and nurses speaking a different language about the same thing, error is going to happen,” said Dr. Simon. “This is the number one reason you want OB teams to be routinely up to date and competent in this area.”
Not all private-practice OB/GYNs complete routine training on fetal heart rate monitoring and therefore may not speak the most up-to-date language. This presents a problem. There could be subtle changes in interpretation standards, and physicians who aren’t consistently training are setting themselves up for error.
“Every OB clinician across the country should be able to interpret a fetal heart rate tracing the same way,” said Dr. Mark Simon. “But the only way you get there is practice and routine education.”
Ob Hospitalist Group (OBHG) strongly believes that ongoing education on fetal heart rate monitoring is important. OBHG requires our team of more than 700 physicians and midwives nationwide to complete training every two years. In addition, OBHG leadership plans to create stricter standards when it comes to training test scores. According to Dr. Simon, this is not the norm across OB/GYN practices.
“Taking care of women in labor is an honor for our organization and we want to ensure that our physicians and midwives have the tools to be successful,” said Dr. Simon
Dr. Stephen Slack, hospitalist at Valley Medical Center in Renton, Wash., was honored as the medical center’s January 2019 Provider of the Month.
Valley Medical Center's Provider of the Month announcement read, "Dr. Slack's calming presence and skills are greatly appreciated by his colleagues and staff alike. Senior Vice President and Chief Medical Officer Dr. Jamie Park states, 'Dr. Slack is a rock star. He is the kind of doctor that doctors like to imagine themselves becoming!'”
Stacey M. DeMaranville, Director of Women and Children's Services, added, "The nursing staff value and appreciate Dr. Slack’s calm presence and willingness to always put the team in the best position for success. We know it’s going to be a good day when he’s on. Thank you for all that you do, Dr. Slack!!"
We are always especially proud when our clinicians receive awards from our hospital partners. Congratulations, Dr. Slack!
Earlier this month, Ob Hospitalist Group’s Chief Executive Officer Lenny Castiglione and Chief Growth Officer Marc Kerlin attended the 37th Annual J.P. Morgan Healthcare Conference in San Francisco. They met with healthcare system leaders and thought leaders from across the country and discussed trends in hospital care management. Here are five of their biggest takeaways from the event:
- Hospitals are experiencing increased competition and financial pressures.
- Health systems of every size have been looking to mergers to drive size and scale to reduce costs.
- Volume is a key area of focus to drive top-line growth.
- Hospitals are looking for more ways to standardize care.
- Healthcare organizations are considering new ways to implement or elevate digital strategies.
Hospitals are looking to volume growth and scale to drive revenue growth and alleviate competitive and financial pressures. OBHG works closely with our partner hospitals to develop and implement strategic plans to increase deliveries and revenue. The support we provide to local clinicians – allowing them to be more productive in their clinics and reducing burnout – attracts many community physicians and splitters. Our ability to support federally qualified health centers and other local clinics and midwives can also drive revenue growth for hospitals.
Before partnering with OBHG, Willow Creek Women’s Hospital in Fayetteville, AR, was at risk of closings its doors after an OB/GYN group planned to leave and take over 50 percent of the hospital’s deliveries. After partnering with OBHG, Willow Creek was able to build its volume and now delivery number numbers are on the rise.
“When that group left, a lot of people in the community thought that Willow Creek was going to go under, and I truly believe that without OBHG’s hospitalist program, there’s a good chance that it would have,” said Harrison Kiser, former assistant chief executive officer of Willow Creek. “But it is back and strong and is still the leading facility for high-risk moms and babies in the northwest Arkansas area.”
As local market competition continues to increase, hospitals look to any competitive offerings to market to their referral network and patients. Many hospitals see the implementation of an OB emergency department (OBED) as a value-add to patients which can set up them up as leaders in the space. Even more hospitals are beginning to see 24/7 OB coverage with the implementation of an OBED as a competitive necessity to keep up with the local market. Beyond volume growth, the implementation of an OBED can also drive revenue growth to offset or even completely fund the program.
Care standardization helps to improve outcomes and reduce costs caused by variability. Within labor and delivery, when the hospital may have several different local practices with privileges, each practicing their own protocols, standardization can be difficult. OBHG has worked with hospitals to develop and implement standard protocols. Through our leadership and cohesive presence 24/7, OBHG hospitalists can be change agents to increase standardization not only of our own care but also that of the broader medical staff.
Texas Health Presbyterian Hospital-Denton sought an OBHG partnership to help standardize protocols and elevate patient safety. OBHG created a customized approach to help standardize OB triage and OB/GYN practices.
“OBHG has been a consistent standard bearer for evidence-based guidelines,” said Dr. Timothy Harris, chief medical officer at Texas Health-Denton. “Because medical staffs are self-governed, sometimes it’s difficult to move the standard of care forward. Administration has very little power in making physicians follow guidelines.”
As the largest provider of OB hospitalist programs, with more than 160 partnerships nationwide, OBHG has a duty to find solutions for our current and potential partners. The themes that arose at this year’s J.P. Morgan conference confirm that OBHG and hospital leaders across the country have an aligned vision for the future of healthcare.
Please formally welcome Lafayette General Health in Lafayette, LA, to the OBHG family! Lafayette General's new full-time, Type A OBED kicked off on January 9 as OBHG's second new program of 2019. This is the third OBHG partnership in the state of Louisiana.
"Lafayette General Health has a long history of providing excellent health care to the people of Lafayette," said Christi Acker, OBHG director of hospital operations. "We are excited to join in service to the community by providing high quality, emergent obstetrical health care to the women in the area."
The hospitalist team includes: Dr. Jimmy Skrasek, Dr. Stephen Coleman, Dr. Jessica Pullen, Dr. Russell Burlison, Dr. Uzma Porche and Dr. Latoya Walker (backup).
OBHG hospitalists are excited to serve the families in the Lafayette area!
Please help OBHG welcome our first new partnership of 2019! Novant Health Prince William Medical Center in Manassas, VA, kick-off of a full-time OB triage program in early January. The hospital plans to open a Type A OBED in mid-March.
"With this new partnership, OBHG will be collaborating with Novant Prince William Medical Center to help rebuild and strengthen relationships with the local OB/GYNs and provide them with needed assistance in caring for their growing northern Virginia community," said Dr. Nicholas Kulbida, OBHG medical director of operations.
The hospitalist team at Novant Health Prince William Medical Center includes Dr. Andrea Jackson, Dr. Carolyn Foley, Dr. Rachel Jansen and Dr. Xiaoyin Home. Dr. Denise Carnegie and Dr. DJ Croskey will join the core team in February. Dr. Jennifer Reason will provide backup support and Dr. Eugene Louis-Ng, Dr. Stacey Dehal and Dr. Chari Smith will provide Per Diem support. Dr Jackson will serve as Site Director for the program.
We are excited to celebrate this kick-off and partner with community OB/GYNs to enhance patient safety in the Manassas area!
Four years ago, the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine released a joint consensus statement on maternal level-of-care designations (MLOCD). The goal of this was to standardize levels of maternal care as a means of improving maternal and infant outcomes.
Since then, several states have adopted the new designations, ranging from basic to comprehensive care. As more states are moving toward maternal leveling, Dr. Charlie Jaynes, OBHG's senior director of medical operations, offers four ways an organization can best prepare for the change. Read article at FierceHealthcare.com.
OBHG formally welcomed HCA's Johnston Willis Hospital in Richmond, VA, to the family on Dec. 19, 2018! Johnston Willis was OBHG's 27th new partnership in 2018 and it launched as full-time triage that will later transition to a full-time, Type A program.
"We are excited about our new partnership with yet another HCA facility, Johnston Willis," said Kristen Fuentealba, director of hospital operations. "We have a very experienced hospitalist team at this program to support the L & D services. The privates physicians have been very engaged from the start and are looking forward to utilizing the OBHG service."
The hospitalist team at Johnston Willis Hospital includes back row (L to R) Dr. Charles Rollison (Medical Director of Operations), Dr. Ted Harris, Dr. John Fejes and Dr Julie Blommel. In the front row (L to R) Dr. Krystle Lappinen (Per Diem), Dr. Tracy Thompson, Dr. Francine Olds (Per Diem), Dr. Christine DiLeo and Dr. Jennifer Horton. Dr. Harris will serve as Site Director for the program.
Our team is looking forward to serving the families in the Richmond, VA area!
Each quarter, our OBHG colleagues commend their peers for going above and beyond with the You Delivered! peer-to-peer recognition program. For Q3 2018, OBHG recognizes Dr. David Lang and Sara Young with the You Delivered! award.
Dr. David Lang, Mercy Medical Center, Des Moines, Iowa
Dr. David Lang was nominated for stepping up for a teammate in need. He was nominated for being a selfless member of the Mercy Medical Center team and for an action “representative of who the man is as a husband, friend, father and a professional.”
When a fellow hospitalist broke her leg on the way to the hospital for her shift, Dr. Lang responded. He was at the Missouri County Fair watching his daughter’s prize goat take Best in Show for the state. As soon as his daughter was crowned the victor, Dr. Lang got in his car and drove four hours to relieve the hospitalist who remained until Dr. Lang arrived. He, along with the whole team, stepped up wherever possible to fill the remaining shifts.
Sara Young, Business Development Analyst
Sara Young was nominated for her leadership and impact on business development. Her nominator said, “Sara has worked tirelessly to implement the significant changes to our business development sales process that are a result of our recent solution-selling sales training course work.” Young’s work included a complete reconfiguration of a process to reflect new stages in the sales pipeline.
“She is making a significant impact on the Business Development team and challenging all of us to up our game. Many of the initiatives she has taken on with little direction or input and she is constantly trying to improve our process and growth trajectory,” wrote her nominator.
Congratulations Dr. David Lang and Sara Young!
Please formally welcome Palmetto Health Baptist in Columbia, SC, to the OBHG family with a full-time, Type A OBED! This partnership was the 26th program to start in 2018 and the sixth OBHG partnership in the state of South Carolina.
The hospitalist team at Palmetto Health Baptist includes (from L to R): Grace Pauley (OBHG Clinical HRBP), Dr. Michael Fox, Dr. Andrew Folley (OBHG Diplomat), Dr. Kathleen Heer, Dr. Anthony Koehler, Dr. Lawrence Robillard, Dr. Dianna Ravenell, Dr. Wilson (Medical Director of Operations) and Angela Rexroat (Sr. Clinical Recruiter). Dr. Robillard will serve as the Site Director for the program.
OBHG is excited to serve more families in Columbia and by partnering with Palmetto Health Baptist and local OB/GYNs!
It's a brand new year, and the ideal time to reflect and determine any changes you'd like to make in the months to come.
If you've been curious about the hospitalist lifestyle, read on! Here are a few of the most compelling reasons to join OBHG and reinvent your career:
1) You can leave burnout behind
Is it time to get a life? If you’re currently in private practice, a switch to hospitalist medicine means leaving weighty administrative burdens behind, along with worries about liability and the financial stress that comes with running a business.
OB/GYNs who maintain crazy work hours and feel that they are being pulled in a million directions at once often suffer from burnout. If your batteries are running low, a career change can help restore balance in your life.
Aside from exhaustion or burnout, one of the most common reasons doctors consider a move to hospitalist work is the chance for more time with family. If your spouse, children or friends have practically forgotten what you look like, it may be time to consider a change!
2) There are lots of opportunities to develop your leadership chops
Becoming a hospitalist does not mean giving up autonomy or influence. Many OBHG positions offer opportunities for advancement within the company, and our physicians often serve on committees at their hospitals, join community non-profit boards, or take on new roles for professional associations like SOGH or ACOOG.
Or maybe your idea of leadership involves sharing your knowledge and molding young minds?
Some of our physicians are able to introduce rotating medical students to the OB/GYN field, work closely with residents learning the ropes, or apply for faculty appointments at affiliate medical schools. If you’re interested in participating in education, let your recruiter know so the two of you can determine which program would be the best fit.
3) Your role makes care safer for pregnant women
Our founder, Dr. Chris Swain, created the original comprehensive OB/GYN hospitalist model to ensure that every pregnant woman who presented to the hospital would be seen by an experienced obstetrician.
Our hospitalists are on hand 24-7 to triage patients, support nurses and residents, and handle any obstetrical emergency that comes through the door.
While our clinicians are often able to rediscover joy in their personal lives, they are also able to lighten the load for local private practice physicians, who decide on a case-by-case basis how they wish to utilize hospitalist services.
4) You’ll enjoy a large and diverse network of support
OBHG offers an array of physician resources – for continuing education, clinical and social discussions, and peer-to-peer networking.
Our custom community site, Ob Exchange, is accessible only to our clinicians. Blog posts about what fellow hospitalists are up to, new perks, an active forum, handy administrative information and more - all included in one convenient online space.
700 exceptionally skilled OB/GYNs have already chosen OBHG as their employer, and we are adding new programs and positions all the time! You can get to know some our hospitalists by perusing the personal stories they've shared.
5) You’ll have more time to explore your non-work passions
It’s been said that medicine is an art and a science, which explains why many physicians have a wonderfully creative side. OBHG also tends to appeal to service-minded docs who feel most fulfilled when they are giving back.
Whether you’re thinking of finally writing the book you've been ruminating on for years, volunteering at a clinic in Peru, or spending real quality time with the people you love most – as a hospitalist your schedule will allow you the additional 'me' time you need.
Our clinical recruiters are always interested in talking with experienced OB/GYNs and certified nurse-midwives about what the OBHG team has to offer. We encourage you to contact your recruiter today!
OBHG is pleased to welcome our 24th new partner of 2018, United Health Services' Wilson Medical Center in Johnson City, NY!
"Our new partnership with UHS Wilson Medical Center reaffirms and strengthens OBHG's vision and mission of elevating the standard of women's healthcare one new hospital at a time," said Dr. Nicholas Kulbida, OBHG medical director of operations. "Pregnant women going on to deliver at UHS Wilson will be comforted in knowing that a dedicated OBHG physician will be immediately available to them 24/7/365 if needed. The UHS Wilson physician community will be reassured by knowing their patients are being cared for by a valued member of their Team and Hospital administrators will be relieved knowing they are working with a true partner in OBHG that will continue to assist them in overcoming the challanges of an evolving OB care delivery system."
The hospitalist team at UHS Wilson Medical Center will begin with Dr. Fred Nichols and a transitional team including Dr. Mark Spence and Dr. Paul Burke. Dr. Marianne Davis and Dr. Antoine Naim will join the team in January and we will continue to recruit and ramp up to a full time program at UHS Wilson. Dr. Fred Nichols will serve as the regional site director for the program.
OBHG is looking forward to serving the families of the Johnson City area!
We are excited to announce our new partnership with TriStar Centennial Medical Center in Nashville, TN! OBHG's OB emergency department launched at TriStar Centennial on Dec. 15 and was the 25th new program to launch in 2018.
The hospitalist team at TriStar Centennial Medical Center includes (left to right) Dr. Deepti Pruthi, Dr. Richard Presley, Dr. Kimberly Looney, Dr. Jamie Ware, Dr. Joshua Stevens, Dr. Ashley Leaphart, Dr. Andrew Churn and Dr. Renee Stany (not pictured). Dr. Anne Anderson, Dr. John Wilters and Dr. Anthony Trabue (not pictured) will serve as backups at this program. Dr. Ware will serve as site director for the program.
TriStar Centennial's Nashville-based sister hospital, TriStar Summit, joined the OBHG family in September. They are both part of the TriStar Health network and HCA Health System. OBHG's medical and operations staff are looking forward to serving more of Nashville's families!
Whether it’s delivering the first baby of the new year or attending to a patient in the middle of the night, OBHG physicians are there for patients, hospitals and community physicians. In fact, two babies delivered by OBHG hospitalists on New Year's Day were featured in local news stories about the first babies of the new year.
Meanwhile, in Chicago, Illinois, Dr. John Perch delivered Cook County’s first baby of 2019 at Amita Health St. Alexius Medical Center Hoffman Estates: CLICK TO READ ARTICLE
Thanks to Drs. Mulder and Perch and all of the healthcare professionals who cared for patients during the holidays!
By: S. Todd Bashuk, MD, Ob Hospitalist Group Medical Director of Operations based out of Fayetteville, AR
Ah, the holidays. I remember being in med school and my family celebrating Thanksgiving in Atlanta while I was in St. Louis studying for finals. I thought it was no big deal – I’d have privacy to study, and frankly, going to my brother’s house and eating turducken wasn’t exactly Disney World. I could not have been more wrong. Domino’s does not make a turkey and dressing pizza nor does Hunan Wok make General Tso’s turkey. But as much as my brother annoys me, I missed his Bill O’Reilly rant and his turducken. When it was time to celebrate the new year, I sat alone in a call room, eating cafeteria-pressed turkey while the world celebrated. I missed my dad’s collard greens and black-eyed peas.
What’s a holiday? Thanksgiving, Christmas, and New Year’s come to mind first, then Fourth of July, Labor Day, Easter, and Memorial Day. But everyone is different. Some folks consider their birthday, Cinco de Mayo, or their son’s baseball game as times of celebration. During the holiday season, there is no greater gift to give a colleague than a day with their family instead of Christmas in a call room.
I became an OB hospitalist two and a half years ago. I had been in private practice for 15 years, and during that time, I missed everything important to me. After years of suffering from burnout and depression, I decided to make a change. With my wife’s support and blessing, we decided to blindly jump into the volcano, and I became a hospitalist for Ob Hospitalist Group (OBHG).
I have met so many great people during my time at OBHG, including some wonderful OB/GYNs still in private practice. My closest friend has been in practice for 60 years – let’s call him Dr. Mike. This man takes care of everyone else in the world and has the biggest heart of anyone I know. When I started working at Willow Creek Women’s Hospital (Johnson, AR), he was tired, burnt out, and honestly irritable. Dr. Mike was so far from the man he really is. Since OBHG has implemented a program at Willow Creek, he has slept in his own bed every night and he celebrates Christmas with his family. He was even able to attend his granddaughter’s kindergarten graduation. Because of the partnership between OBHG and Dr. Mike’s practice, he doesn’t have to miss important life events anymore. The few times I’ve had to call him back, he comes quickly and willingly without complaint. He is my super-secret back up and comes even if he is not on call.
Amidst this holiday season, I’d like to highlight the service OBHG can provide to the community. Providing coverage for our community physician partners gives them the freedom to do what they love. Whether it’s a major holiday like Christmas or a special event like a child’s dance recital, our hospitalists can make the biggest difference. At OBHG, we are giving some of the best gifts that can be given: time with family and safe deliveries.
We are pleased to welcome Saint Mary's Hospital in Waterbury, CT to the OBHG family as a part-time weekend program. The program will transition to a full-time program by February 2019. This is OBHG's 23rd program to start in 2018.
The hospitalist team that will start the part-time program at Saint Mary’s Hospital will include: Dr. Fred Nichols, Dr. Abraham Yaari and Dr. Gabriel Hakim. Dr. Marc Hochler, Dr. Dale LaCroix and Dr. Sara Lebovitz will join the team as we move to the full time program. Dr. Andrew Farkas will provide backup. Dr. Nichols will be the Regional Site Director for this program.
OBHG is looking forward to partnering with Saint Mary's Hospital and community OB/GYNs to serve families in the Waterbury area!
Community OB physicians, nurses, hospital staff and OBHG team members recently celebrated the 10-year anniversary of OBHG’s OB hospitalist program at Memorial Hospital Jacksonville, in Jacksonville, Florida. An inscribed plaque, cake and food were part of the commemorative event.
Before OBHG’s partnership began with Memorial Hospital Jacksonville, community OB physicians were exhausted from always being on call and making constant trips to the hospital. “We had to do something to provide relief to our physicians,” said Jill Bodden, director of women’s services at Memorial Hospital Jacksonville. “Bringing in OBHG was a game changer for our community physicians and our hospital. The value the (OBHG) hospitalists bring to our hospital is amazing. You can’t put a value on the life of a baby.”
Thank you to the team at Memorial Hospital Jacksonsville for your ongoing partnership!
Illinois recently released its Maternal Morbidity and Mortality Report. The report recommends, among other things, the establishment of maternal levels of care and clear policies within emergency departments to ensure pregnant and postpartum women consult with an obstetrical provider.
OBHG’s Chief Medical Officer, Dr. Mark Simon, and OBHG Illinois-based hospitalist, Dr. Nicolai Hinds, weighed in on this important topic in an article in Illinois’ The State Journal-Register. OBHG clinicians and leadership continue to take a special interest in the discussion on maternal mortality. To read the article by Drs. Simon and Hinds click here.
Even during the holidays, hospitals never close and newborns never take a day off. Yet OB/GYNs often struggle to strike the right balance between their professional responsibility to care for patients over the holidays and spending time with family.
There are actions that hospital administrators can take to help lessen the pressure on OB/GYNs by minimizing onsite duties, especially at the holidays. OBHG’s Dr. Jane van Dis recently shared her perspective with Becker’s Hospital Review on preventing hospital OB burnout at the holidays.
Every day, OBHG’s clinical and operational leadership teams support our hospitalists in their programs. The medical director of operations, regional vice president of operations, and director of hospital operations work to help ensure that programs run smoothly and facilitate hospitalists’ success.
Our MDOs focus on clinical leadership, hospital relationships, new program starts and business development support. They help ensure the clinical teams are delivering quality programs that achieve both OBHG’s and the hospital’s clinical and operational objectives.
Dr. Amy VanBlaricom is the MDO for OBHG's Region 1, which includes Alaska, Arizona, California, Colorado, Oregon and Washington.
How long have you worked with OBHG and how have you seen the organization evolve?
I was on the committee at Hoag Hospital [in California] that brought OBHG to that hospital around 2009. This was during the time when the Swain brothers were giving the program presentations themselves. I was in private practice and a few years later, I opted to drop OB from my private practice and become a hospitalist in 2014. I was a hospitalist at Hoag for about a year.
I later made the decision to go all-in as a hospitalist and became a site director at the new OBHG program at Rancho Springs Medical Center. That was a very busy program and our services were necessary! In 2015, my husband was recruited to a great job in Seattle and I contacted OBHG, asking if there was anything I could do outside of California. I learned about the MDO position, and said, “Yes, please.”
I feel I have come full circle because Hoag Hospital was very early on in the OBHG company life. When I sat on the committee and the Swains came out to speak, the concept made so much sense. I saw where things were going in the field. I was so busy as a private practitioner and it took such a toll on me. It was very stressful: going to the hospital, constantly late at the office, and back to the hospital.
I saw the future of obstetrics: it was going to be a doctor in the hospital and a doctor in the office. And there was no reason why these two people couldn’t work together as a team and make it a near-seamless process for the patient. I feel like I’ve been with OBHG from the beginning even though I didn’t actually work for them back then. I saw the vision, that’s for sure; I drank the proverbial Kool-Aid. I was such a believer and didn’t want to give up obstetrics, but I needed a change in how my career was going.
What lessons has working in your current field taught you?
I have learned how to be a much better diplomat in communication - working with strong personalities and strong opinions. The communication style in this [MDO] position is different and you have to leave your ego at the door, which at times can be difficult. Now I’ve learned how to leave my ego behind and make the right thing happen for the patient, for the private physician, for the hospital, and for the nursing staff—considering all of the personalities involved in the sphere of the patient.
What are important ways that you can support our clinicians on the ground?
I can support them by being their advocate with the hospital administration and with the OBHG “mothership.” We need to make sure that we as a company don’t lose sight of how critical our clinicians are to our success. I can also help to build the leadership acumen of the site director so that they can function day-to-day as the advocate for our hospitalists. I am also available to assist when the site director needs that extra help with the hospital, communication with the private practice community, or any site-specific negotiations.
What do you love the most about what you do?
I really have grown to enjoy my post as an MDO. I have a strong background in academic medicine, which involves administration. I didn’t realize that I missed that aspect until I came into the MDO role.
As an MDO, I feel like I can influence the quality of care and quality of physician engagement so much more than I imagined. I feel like I can make a broader impact, not only in the direction of women’s healthcare, but also with the quality of women’s healthcare we provide. I can make a difference through the influence I have over my programs, the education of my site directors, and the leadership development of site directors. All of those things that we do as MDOs make such a big difference in quality and engagement.
For me it’s extremely professionally fulfilling, much more than I imagined.
What is a challenge for you in your work?
One of the biggest challenges is working remotely. I must be very organized in how I approach my day because there are so many things going on: the pull of a clinical shift, OBHG corporate responsibilities, and my individual program responsibilities. Keeping all of those organized so I can maintain a high level of communication can be challenging.
If you don’t go into an office, arriving in the morning and checking out in the afternoon, it becomes very easy for your job to take over your entire world. Keeping organized, doing everything I need to do, and maintaining my relationships while keeping the work-life balance is a constant battle.
Please tell us about your background.
I was born in Minnesota and moved to Florida when I was seven years old. I grew up in Florida and went to college in the Southeast and to University of Florida Medical School. I majored in math as an undergraduate, which is not a typical course of study for physicians. When I wanted to become an OB/GYN, I wanted to explore other areas of the country and moved to Seattle for residency at the University of Washington. I’ve been a West Coaster ever since.
After residency, I stayed on as faculty at University of Washington for 10 years. I was associate residency program director, director of women’s clinic, and directed the residency OB/GYN clinic. I was involved in education and simulation and helped create the simulation program at the university. I had both of my children while I was pushing for promotion in academics. In the end, I did get the promotion, but I had a two-year-old and a four-year-old and was working much more than I wanted. I was traveling, giving lectures, giving grand rounds, and demonstrating a simulation program across the country. It was brutal.
A friend from residency had always offered me the opportunity to join her in private practice. So, I took her up on the offer and the whole family moved to California. That is where I first encountered OBHG at Hoag Hospital. This is the third phase of my career after 10 years in academics and 10 years in private practice.
It’s so great that as a woman in OB/GYN, a busy clinical field, you can reinvent yourself and mold your career in such a way that it fits your life. Each of those periods in my life have made such a big difference in the next one.
As hospitalists, we can also fulfill the need to help others that we all have when we come out of medical school—without letting your career swallow you whole.
What are your hobbies outside of work?
I like just about anything that involves being outdoors: hiking, trail running, and skiing. I’ve been a runner my whole life and usually run one or two half-marathons a year.
I love the sun and because of the long, gray Pacific Northwest winters, we plan sunny winter vacations. I envision my husband and I retiring to a cabin in the mountains—except it must have online access because he’s so connected.
What did you want to be when you grew up?
I’ve known that I wanted to be a doctor since I was 10 years old. My parents were doubtful, but I never wavered.
What would be your second career?
A host of a Travel Channel show. I love to travel and think those hosts are very lucky to have the chance to experience all the people, cultures, and food.
What is something that people might not know about you?
I was in a TV reality show. Back in 2001, I was filmed for several weeks at work and home for several episodes of a Lifetime series called “Women Docs.”
The tragedy of the U.S. maternal mortality rate is unacceptable, and steps must be taken to end preventable maternal death in the U.S. OBHG supports H.R. 1318/S. 1112, bipartisan legislation that helps states establish or improve their maternal mortality review committees to examine maternal death cases and identify locally-relevant ways to prevent future deaths.
OBHG is asking Congress to bring this important bipartisan legislation to a vote before Congress adjourns for the year. We believe that Congress can be part of the solution in improving outcomes and health of women and babies.
Dr. Robert Southwick, an OB Hospitalist Group clinician at Aurora West Allis Medical Center in Wisconsin, was recently featured in an Inside Edition story about a patient who gave birth to her daughter on the way to the hospital.
The patient delivered her baby in the middle of a parking lot when it became clear she wouldn’t make it to the hospital in time. When paramedics brought the patient, her husband and her baby to the hospital, Dr. Southwick was there to provide after birth medical care.
“With unassisted births, there are always complication risks,” said Dr. Southwick. “Fortunately, this story had a great outcome. Even though this delivery didn’t go as planned, I was glad to be at the hospital when they arrived to enjoy the moment with them once we knew both the mom and the baby were fine.”
“Childbirth is unpredictable,” said Dr. Stephen Bashuk, OBHG medical director of operations. “Having an OB hospitalist onsite 24/7 enables hospitals to respond to OB emergencies when there is an immediate need. Thankfully, in this case, there was a great result. However, because Dr. Southwick was already at the hospital he was able to quickly respond, evaluate the patient and baby and administer any emergency treatment that may have been needed.”
You could step into an exciting, stable, and highly rewarding career right out of residency! Ob Hospitalist Group is pleased to announce that many of our positions are now open to board eligible OB/GYNs.
Life as a hospitalist
OBHG hospitalists work in close partnership with local obstetricians, and provide a crucial safety net for physicians, hospitals and patients. Our goal is to ensure that every pregnant woman who presents to the hospital is seen by a highly skilled physician, every time.
On an ordinary day, our hospitalists may triage patients in the obstetric emergency department, handle OB emergencies, manage labor, deliver babies, perform gynecological surgeries or surgery assists, and care for unassigned patients.
But that's not all - many serve on hospital committees, volunteer at free clinics, write articles for national publications, design quality improvement initiatives, do research, advance to leadership positions within the company, and ultimately drive positive change for women's health.
When you're off, you're off!
As an OB hospitalist, you can work 7-9 shifts per month and earn as much as you would in private practice. But you'll focus on patients, not paperwork, and you'll never be on call.
If you have children or are looking to start a family in the future, you know the value of time - for loved ones and for yourself.
Work/life balance is a notoriously elusive goal for obstetricians, but a predictable, flexible schedule can go a long way toward achieving it.
Our programs are (nearly) everywhere
Right now, OBHG has 160 active programs across 32 states - but new locations are added all the time. (We send out a job alert email every two weeks, which makes it easier to keep up.)
If you join our team but decide to relocate later on, you'll have the option to transfer to another program. Peace of mind!
The nitty gritty
Here's what we offer our full-time physicians:
- Competitive compensation
- Leadership development opportunities
- Continuing medical education allowance
- Paid medical malpractice insurance with tail
- Reimbursement for state licensure
- Medical, dental, vision, and 401k match
- The freedom to create your own schedule
- Simulation training experience
- Society of OB/GYN Hospitalists (SOGH) membership
- Access to CARE – our unique peer support program
- The ability to network with colleagues from all over the country via our private Ob Exchange app
Interested in joining the OB revolution? You can send us your information now, explore our current opportunities, or talk with one of our clinical recruiters to determine if hospitalist work is right for you.
OBHG has launched its 22nd new partnership of 2018! The full-time, Type A OBED opened earlier this month at The Hospitals of Providence East Campus in El Paso, TX.
The hospitalist team at The Hospitals of Providence East Campus includes: Dr. Luis Castellanos and Dr. Michael Schaffer. Dr. Schaffer will serve as Site Director for the program. The interim team consists of: Dr. Patience Miller, Dr. Nkechi Ezirim, Dr. Angela Houghton, Dr. Preetpal Grewal and Dr. Woo Suhn. Physicians from The Hospitals of Providence Memorial Campus include: Dr. Jose Aun, Dr. Shayla Nesbitt, Dr. Qurana Vedoy, Dr. Anila Ricks-Cord and Dr. Kathryn Randall.
The OBHG team is looking forward to partnering with The Hospitals of Providence East Campus to serve the families in the El Paso area!
Please formally welcome Carroll Hospital Center in Westminster, MD, to the OBHG family! This partnership is the 21st OBHG program to start in 2018 and the first partnership in Maryland.
OBHG will support Carroll Hospital Center by providing a full-time OB triage. The hospitalist team includes from left to right: Dr. Hal Hindman, Dr. Daniel Kirsch, Dr. Candace Wilson, Dr. Martha Ann Thomas, Dr. Antonio Bertumen and Medical Director of Operations Dr. Nicholas Kulbida. Dr. Kirsch will serve as team lead for the program.
We are looking forward to partnering with Caroll Hospital Center to serve the families in the Westminster area!
What role does the OB hospitalist play in the critical care team? How can medical teams achieve high levels of efficiency in working together?
With the all of the appropriate attention on maternal health, what are some of the actions we can take to improve patient safety? OBHG Chief Medical Officer Dr. Mark Simon weighs in on “Rethinking the Delivery of Maternal Care.”
Click here to read Dr. Simon’s thoughts on improving outcomes for expectant mothers presenting in labor.
OBHG’s new OB hospitalist program at Phoebe Putney Memorial Hospital in Albany, Georgia proved its worth on the first day. Hours after the program launched, an expectant mother arrived in distress. She was immediately seen by Dr. Davis Sullivan, OBHG hospitalist and site medical director at Phoebe Putney.
Within a short time of the patient’s arrival, Dr. Sullivan completed the high-risk delivery and mother and baby are now doing well.
“There has been a big focus on patient safety over the last three or four years (in obstetrics),” said Sullivan. “This is about patient welfare. This is not a marketing tool. This is about patient safety.”
To read more about the immediate impact of OBHG’s partnership with Phoebe Putney as featured in the Albany News, click here.
Cherise gained expertise in clinical recruitment by holding multiple positions with one of the nation’s largest multi-specialty groups. Born and raised in the South, she holds a bachelor's degree in kinesiology and a Master of Business Administration.
In her free time, Cherise enjoys running, traveling and keeping up with college sports.
Contact Cherise to explore OB hospitalist career opportunities in Alabama, Indiana, Kentucky, Michigan, Mississippi, and Tennessee.
Kellie is our newest addition to the OBHG team.
She is an experienced physician recruiter with a wealth of knowledge in the hospital and healthcare industry. Skilled in physician relations, customer service, and healthcare information technology, Kellie holds a Bachelor of Science in Health Information Management from the University of Louisiana at Lafayette.
Contact Kellie for information about all of our current positions in Arkansas, Louisiana, along with some of our openings in Texas.
Looking for an OB/GYN position in a different area? View our entire clinical recruiting team.
A special thank you for all who have served our country. We especially would like to recognize the OBHG clinicians and team members who gave their time and talent for their country. We feature some of our veterans who are now OBHG clinicians below.
Dr. Lynda Gilliam, OBHG hospitalist at Sacred Heart Hospital of Pensacola, Florida
Dr. Gilliam was a Major in the U.S. Army and served as an OB/GYN in Army Medical Corps from 1988 to 2000. She received the Meritorious Service Medal twice and also served as OB/GYN consultant to the Surgeon General for U.S. Southeast Region. Dr. Gilliam has served as Department Chair OB/GYN at Eisenhower Army Medical Center in Augusta, Ga., and Department Chair OB/GYN and Assistant Chair of the Department of Surgery at Martin Army Hospital in Fort Benning, Ga.
Dr. Jeffrey Hermann, OBHG hospitalist at Baylor Scott & White Medical Center – McKinney and Medical City Plano, Texas
Dr. Hermann served in the U.S. Army Medical Corps from Aug. 1992 to Oct. 2004 and attained the rank of Major. He was a Meritorious Service Medal recipient and bears the distinction of being the "first OB/GYN to 'crack a chest' on the battlefield during Operation Iraqi Freedom." Dr. Hermann also published in Military Medicine, 170, 4:268, 2005. "Operation Iraqi Freedom: Surgical Experience of the 212th Mobile Army Surgical Hospital."
Dr. George Kingsley, OBHG hospitalist at Kingwood Medical Center, Texas
Dr. Kingsley served in the U.S. Army Medical Service Corps and Medical Corps from July 1988 to Oct. 1996. He was commissioned through Health Professions Scholarship Program in 1988 and completed internship and residency at William Beaumont Army Medical Center in El Paso, Texas (1990-1994). Dr. Kingsley supported U.S. efforts in Desert Shield/Storm. He was also assigned to 95th Combat Support Hospital in Heidelberg, Germany (1994-1996). The group provided support to humanitarian efforts in Sudan and Darfur, along with the Bosnian conflict. Dr. Kingsley remained on reserve status until 2006.
Siobhan Kubesh, CNM, OBHG certified nurse midwife at St. David’s North Austin Medical Center, Texas
After beginning her career as a civilian nurse, Siobhan Kubesh served as a Captain in the U.S. Air Force Nurse Corps from 1995 to 1998. She was stationed at Lackland Air Force in San Antonio, Texas, and worked as a maternal child nurse at Wilford Hall Medical Center. “It was a fulfilling chapter of my life both personally and professionally and I only left the Air Force to pursue my midwifery career,” she said.
Dr. David Lang, OBHG hospitalist at Mercy Medical Center, Iowa
Dr. Lang served during both Gulf Wars. He originally trained as an Air Force Navigator and became a B-52 Electronic Warfare Officer. He served in that role at Andersen Air Force Base in Guam and served a total of six years in the Air Force, leaving in 1991. Dr. Lang also served as an Instructor for Low Level Navigation and Electronic Warfare at Mather AFB, Sacramento, CA. He logged nearly 1,000 hours of flight time in a B-52 and joined the U.S. Navy after completing his medical residency. He served three years as an OB/GYN at Cherry Point Marine Corps Air Station in Havelock, N.C.
Dr. Charles Rollison, OBH Medical Director of Operations and hospitalist at Allegiance Health, Michigan
Dr. Rollison attended medical school as a recipient of the Health Professional Scholarship Program and entered service in the U.S. Navy in 1991 as an Ensign. He left service in 2004 as a Lieutenant Commander. He served in the reserves and also served three years active duty at Halyburton Naval Hospital at Marine Corps Air Station Cherry Point in Cherry Point, N.C., where he served as a staff OB/GYN from 1999 to 2002. During that time, he also served as Department Chair. Dr. Rollison also served as a staff surgeon on Fleet Hospital Camp LeJeune, a deployable, operational unit.
Dr. Christopher Murphy, OBHG hospitalist at Chandler Regional Medical Center & Mercy Gilbert Medical Center, Arizona
Dr. Murphy served 14 years in the Army beginning as a PFC Military Intelligence Analyst. He later earned commission through Officer’s Candidate School and became an Artillery Officer. He served as a Battery Commander for the 101st Airborne/Air Assault Division, finally attending Uniformed Services University of the Health Sciences medical school and finished as a Captain, OB/GYN. Dr. Murphy served during both Gulf Wars and was deployed to Panama, Haiti, Kuwait, and Iraq. He earned the Ranger Tab, Airborne, Air Assault, Expert Field Medical Badges (EFMB), and German Troop Proficiency Badge – Gold.
Dr. John Nordeen, OBHG hospitalist at St. Francis Eastside, South Carolina
Dr. Nordeen served active duty in the Navy from 1981 to 1994 and then in the U.S. Naval Reserves. He spent years with the 1st Marine division at Camp Pendleton, Calif., and on various deployments where he was the Battalion Aid Station physician. He was later assigned to Naval Hospital Camp Pendleton as a staff OB/GYN physician and left active duty with the rank of Commander.
Dr. Tracy T. Thompson, OBHG hospitalist at Memorial Regional Medical Center, Virginia
Dr. Thompson served in the U.S. Navy from 1990-2018 and retired as a Captain. She served as a Radiation Health Officer aboard the USS Frank Cable, AS-40 and attended medical school at the Uniformed Services University of the Health Sciences in Bethesda, Md. Dr. Thompson worked in the Naval Hospital Beaufort in Beaufort, S.C., and the Expeditionary Medical Facility Kuwait, Camp Arifjan, Kuwait. She served as Officer in Charge of the Fleet Surgical Team Six, including the USS Bataan and Kearsarge. In addition, Dr. Thompson served as Labor and Delivery Medical Director at the Naval Medical Center Portsmouth in Portsmouth, Va., and Force Surgeon with the Commander Naval Surface Force Atlantic in Norfolk, Va.
Ob Hospitalist Group (OBHG), the nation’s leading provider of customized OB/GYN hospitalist programs, today announced it has moved into new corporate offices at 777 Lowndes Hill Road, Building 1 in Greenville, South Carolina to accommodate continued company growth, expanding from four disparate office buildings to 43,805 square feet at the new location.
“This is an exciting milestone for our company,” said OBHG CEO Lenny Castiglione. “For way too long, we’ve been spread across multiple offices in Greenville. Our new location will provide us with a single workspace that will allow us to enhance collaboration amongst our OBHG team for the benefit of supporting our clinicians and customers across the country and continuing to deliver on our mission of increasing the standard of care for women and babies.”
Located off I-385 in the Harbinger building complex, the new OBHG headquarters are freshly renovated featuring an open, collaborative space for current and future staff. Nearly 180 employees will occupy both floors of the new office. OBHG’s employee base includes more than 700 clinicians and 200 support team members located throughout the United States.
We are pleased to announce that our 20th partnership of 2018 began in October. WakeMed Hospital North in Raleigh, NC is the newest addition to the OBHG family!
"We are very excited to be expanding our partnership with WakeMed by welcoming WakeMed North to the OBHG family," said Donna Lindsay, OBHG regional vice president of operations. "By entering into our third program with WakeMed, it’s clear that they understand and value our commitment to elevate the standard of women’s healthcare. We look forward to helping them maintain their excellence as a respected institution to the community they serve through two managed services agreements and one standard program."
OBHG is looking forward to serving more women in the greather Raleigh area!
Obstetrics is a highly-charged environment. Under the traditional “call model” of hospital obstetrics, siloed care can create an atmosphere ripe for error.
OBHG Chief Medical Director Mark Simon writes about how OB Emergency Departments can help reduce perinatal adverse events in the Journal of Health Management Policy and Innovation.
Like many hospital departments, when it comes to the L&D unit, each physician makes his or her own clinical decisions based on their training and experience. Hospital leadership trusts that OB/GYNs are practicing the most up-to-date, evidence-based medicine from The American College of Obstetricians and Gynecologists (ACOG). But what happens if they aren’t using the most current best practices? Patient safety can suffer, and as a result, medical malpractice risk increases. Read about why Texas Health Presbyterian Hospital-Denton sought out Ob Hospitalist Group's partnership to help standardize protocols and elevate patient safety.
We are pleased to announce our 19th new partnerhip of 2018! OBHG worked with WakeMed Cary Hospital in Cary, NC to launch a full-time, Type A obstetric emergency department earlier this month.
This is the third WakeMed hospital to join the OBHG family in addition to WakeMed North Family Health & Women's Hospital and WakeMed Raleigh Campus. The hospitalist team at WakeMed Cary includes (from L to R): Dr. Susan Wilson, Medical Director of Operations, Dr. David Ryan, Dr. Robert Thiele, Dr. Samira Tahtawi, Dr. Mena Shaker and Dr. Michael March. Dr. Tahtawi will serve as the program's site director.
Our hospitalist team is looking forward to partnering with WakeMed to elevate the standard of women's healthcare in Cary!
As part of Healthcare Quality Week, OBHG is focusing on the importance of quality, risk reduction and regulatory compliance in maximizing the quality of care delivered to patients throughout our network of OB hospitalist programs.
"Quality is ensuring that we deliver the best possible care to each and every patient in a timely, reproducible fashion,” said OBHG Chief Medical Director Dr. Mark Simon. “That is why we work so hard to disseminate best practices to our team of clinicians across the country and measure the impact of our care on the communities that we serve."
A focus on risk reduction, quality improvement and regulatory compliance
SAFE is the comprehensive clinical risk management program OBHG uses to manage provider and hospital partner risk. The program takes an enterprise approach to traditional risk management as well as uses national quality trends and outcomes data to identify opportunities for risk mitigation and system improvements.
All of OBHG’s partner hospitals have access to the SAFE platform in conjunction with 24/7 on-site physician coverage.
Key components of OBHG’s SAFE program include:
• A SAFE hotline providing immediate engagement with our clinical risk management team. Through this system, we’ve developed the largest OB hospitalist data set in the industry, used to track trends and identify quality improvement opportunities.
• A patient safety evaluation system which supports our peer review, clinical advisory and patient advocacy committees.
• Continuing education to our clinicians and hospital partners.
• Our unique CARE (Clinician Assistance, Recovery & Encouragement) peer support network.
• Quality data and outcomes efforts. We track and analyze NQF and CMS core quality metrics as part of collaborative efforts to improve patient safety and quality. Our quarterly reports provide trend analyses as well as benchmarks comparisons. We also engage in risk-sharing contracts with partner hospitals for quality metric achievement and alignment.
• Adherence to key regulations impacting healthcare organizations, including federal privacy and security rules, through our compliance program. In addition, we maintain comprehensive insurance coverage for cyber and regulatory risk.
Interested in learning more about our approach to quality? Schedule a consultation today!
Today, OBHG Chief Medical Officer Dr. Mark Simon sent a letter to the House Ways and Means Committee raising concerns about the country’s maternal mortality rate. In his letter, Dr. Simon warned that one of the primary challenges to improving U.S. maternal-fetal outcomes is clinical discrepancies in how care is delivered for pregnant women.
OB hospitalist programs are part of the solution, according to Dr. Simon.
“We believe one of the primary challenges to improving maternal-fetal outcomes is that in many American hospitals, there are clinical discrepancies in how care is delivered for pregnant women. When emergent pregnant women present to the hospital and are sent to a Labor and Delivery unit without a physician to see them, they receive a lower standard of care than other patients presenting to the Emergency Department, all of whom are seen by a physician, physician’s assistant or nurse practitioner. OBHG’s on-site solution elevates the standard of care for emergent pregnant women to that expected and given to all other patient populations,” wrote Dr. Simon in the letter.
Recently, the Congressional House Committee on Ways and Means mailed letters to 15 of the country’s largest hospital systems that operate more than 900 hospitals and together delivered more than one in five babies in 2015. The committee is requesting that leaders answer questions and provide investigators with copies of their childbirth safety protocols and data on mothers’ deaths and injuries. Hospitals have until November 15 to respond.
Dr. Simon noted that evidence-based practices are the foundation of OBHG’s work with its 160 hospital partners.
“Every clinician submits clinical information into our national database, which captures data used to track quality and outcome metrics. Clinicians at every partner hospital then draw on this network of evidence-based best practices to improve outcomes at the local level,” wrote Dr. Simon.
Dr. Simon also highlighted OBHG’s successes in hospitals with OB hospitalist programs, including improved VBAC attempts and decreased c-section rates; reductions in errors in high-risk or emergency situations; reductions in post-partum complications; and standardized processes that reduce variation and improve overall quality of care.
To learn more about the letter sent to the House Ways and Means Committee click here. Or feel free to contact us if you would like additional insights on how OB hospitalist programs can play a key role in addressing the nation’s unacceptable maternal mortality rate.
Every day, OBHG’s clinical and operational leadership teams support our hospitalists in their programs. The medical director of operations, regional vice president of operations, and director of hospital operations work to help ensure that programs run smoothly and facilitate hospitalists’ success.
Dr. Alissa Erogbogbo, medical director of operations for the region that includes Northern California and Nevada, has been with OBHG since 2015.
The medical director of operations focuses on clinical operations, including clinical leadership, hospital relationships, new program starts, clinical strategic leadership, and business development support. Our MDOs help ensure the clinical teams are delivering quality programs that achieve both OBHG’s and the hospital’s clinical and operational objectives.
What lessons has working in your current field taught you?
I’ve learned how to be creative and strategic when developing a solution for a potential problem. Also, communicating effectively and clarifying in communication while being compassionate to and understanding of my providers.
When I do my shifts, I am compassionate to my patients and give them my best when they interact with me or need to talk with me. To establish patient rapport quickly, I’ve learned how to read the room and quickly identify with the patient and their family. This allows me to communicate effectively, understand what their needs are, and how I can meet them.
What do you see on the horizon in the field of OB/GYN hospitalist medicine?
I think the field is changing because we are doing more obstetrical emergencies, and being available for the hospital and community providers to lend a helping hand and help them through a tough situation. It’s no longer the “doc in a box,” it’s the doctor who can put their finger on the pulse of what’s going on and come up with a strategy to solve it.
Hospitalists work collaboratively with the nurses and community providers while helping to answer questions—and if they can’t answer the questions, they know where to look for the answers. We’re not just taking care of patients and labor management; we’re helping to solve issues versus just waiting for a delivery. We are the champions for women’s health and we have the highest quality of care and safety standards.
What are important ways that you think you can support our clinicians on the ground?
Maintaining communication and transparency are essential with my site medical directors. It allows for feedback to flow in both directions: working together to review the day-to-day issues and developing solutions, and hopefully building trust and a good working relationship. I am also approachable, so they can initiate the difficult conversations with me.
What do you love the most about what you do?
I love the flexibility. The biggest joy is leaving the hospital and not going directly to the office to see 25 to 30 patients and answer emails. The flexibility and independence that comes with being an OB hospitalist gives you the opportunity to explore and tap into your creativity.
What is a challenge for you in your work?
The challenges we face in our arena of OB hospitalist medicine/MDO are balancing leadership and medicine. I want to build relationships with our clinicians to empower them to be their best and encourage active participation in the organization, along with the hospitals they staff. I want to help our clinicians attain the next level, whether it’s in leadership, participating in hospital initiatives, policy writing, or other areas. I want us to be a driving force and the champions in our field of medicine.
Please tell us about your background.
I grew up in Detroit with my mom, stepdad, and brother, along with a very supportive extended family. It was never a question of whether I was going to college, it was where—and then what else I was going to do after college. I was pretty good at math and once I got into high school, I opted to pursue engineering. I did multiple summer engineering internships as a high school student. I knew I wanted to attend engineering school, so when I was accepted to a dual degree program, engineering undergrad and medical school at the same time, my fate was set.
I started out as a chemical engineer in undergrad and worked for two years in validation and process engineering while I figured out if I wanted to attend medical school. Once I started on my path of attending medical school, I then had to decide what field of medicine would be best suited for me. When I did my rotation at the former Cook County Hospital in Chicago, I decided there was nothing better than surgery or OB and I went on to residency at Summa Health System in Akron, Ohio.
I’ve been married to my husband, Boladale, for more than 20 years. I have a 13-year-old son, Boladale (whose name means “all thoughts about blessings”), 10-year-old son, Moyosola (“all thoughts about God and his blessing”), and 3-year-old daughter, Shayosola (“God bless me with joy”). Our last name, Erogbogbo, means “all thoughts about money.”
What are your hobbies outside of work?
I love to read historical fiction and non-fiction, going to see SCARY movies, and yoga. I also enjoy spending as much time as I can with my family and hanging out with my kids during their afterschool activities like basketball and track. I take an annual spa vacation with my friend of more than 15 years, which helps me to recharge and decompress for a few days.
OBHG actively works to support and cultivate our clinician leaders. To reinforce that commitment, OBHG sponsored its National Clinical Leadership Meeting in San Antonio, Texas, on Oct. 11-12, 2018. Nearly 90 clinical leaders gathered for education, connection and discussion at the annual meeting.
Our on-site clinical leaders participated in group sessions covering topics ranging from leadership to clinician engagement. Our leaders also held a clinical group session addressing maternal mortality.
“The National Clinical Leadership Meeting is arguably our most important meeting of the year,” said OBHG Chief Medical Officer Dr. Mark Simon. “Our clinical leaders are able to gain important skills that will help them in their day-to-day roles at their program. This meeting also serves as a reminder that each of them is supported by peers across our diverse network and our OBHG support team. These days reenergize our entire clinical management team on our ultimate goal of improving healthcare for women all across the country.”
In addition to educational and collaboration sessions, OBHG clinical leaders participated in multiple networking events, connecting with colleagues from across 32 states. Several standout OBHG Site Directors were honored with Excellence in Clinical Leadership Awards. These included:
Dr. Renee Lockey – OBHG Site Director, Memorial Hospital Central & North, Colorado Springs, CO
Dr. Shana Yeager – OBHG Site Director, Rancho Springs Medical Center, Murrieta, CA
Dr. Michelle Mulder – OBHG Site Director, CHRISTUS Spohn Hospital Corpus Christi – South, Corpus Christi, TX
Dr. Jim Hardy – OBHG Site Director, UNC Rex Hospital, Raleigh, NC
Dr. Lisa Bukovac – OBHG Site Director, Winchester Medical Center, Staunton VA
Pictured left to right: Dr. Mark Simon (OBHG Chief Medical Officer), Dr. Renee Lockey, (OBHG Site Director), Dr. Shana Yeager (OBHG Site Director), Dr. Michelle Mulder (OBHG Site Director), Dr. Jim Hardy (OBHG Site Director), Dr. Lisa Bukovac (OBHG Site Director), Dr. Chris Swain (OBHG Founder)
We’ve all heard the shocking statistic by now: the U.S. has the highest maternal death rate of any developed country – 26.4 per 100,000 births. USA TODAY has been investigating this issue in its “Deadly Deliveries” series since July, when they repeatedly contacted 75 hospitals in 13 states to find out if they were following best practice safety protocols. Half wouldn’t answer the questions.
As a result, the seemingly inconsistent maternal delivery practices have attracted the attention of U.S. Congress members. Last week, the Congressional House Committee on Ways and Means mailed letters to 15 of the country’s largest hospital systems* that operate more than 900 hospitals and together delivered more than one in five babies in 2015. The committee is requesting that leaders answer questions and provide investigators with copies of their childbirth safety protocols and data on mothers’ deaths and injuries. Hospitals have until November 15 to respond.
So, what can hospitals do to keep women safer during childbirth?
Ob Hospitalist Group (OBHG) team members talk to hospital leaders on a weekly basis about their labor and delivery department’s safety protocols. A primary reason why hospital leaders reach out to OBHG is to enhance patient safety for all pregnant women who come to their hospitals emergently. OBHG’s partners, including CHRISTUS Spohn Hospital-South in Corpus Christi, TX, reap the benefits of OBHG’s safety protocols:
“There is a physician here, ready to handle any emergency that arises in our labor and delivery unit,” said Lenora Sevcik, director of women’s services. “They also stand in if there’s an imminent delivery…they are a second opinion for our nursing staff. So, it is a tremendous safety net of having OBHG at our facility.”
As the pioneers of OB hospitalist medicine, OBHG has 12 years of singularly focused experience and currently has 160 hospital partners across 32 states. We believe that OB hospitalist programs are one of the solutions to the growing rate of maternal deaths. Here are some reasons why:
Standardized protocols: OBHG has developed a standard set of protocols for delivery complications such as preeclampsia and postpartum hemorrhage. We have also recently developed a C-section reduction toolkit to combat medically unnecessary C-sections. We track the data within each of our partner hospitals for benchmarking purposes. When a partner falls below a target, OBHG leaders assess the situation and develop an action plan to bring them back up to the standard; when a hospital demonstrates differentiated performance, OBHG leaders access what led to the strong performance and identify opportunities to bring those results to other programs. Because our partner hospitals are part of a 160-hospital network, each hospitalist team has access to others across the country. Clinicians can share scenarios and best practices to educate their peers and further enhance quality of care.
Continual coverage and triage: No matter the day or time, there is an experienced OBHG-employed hospitalist on-site, ready to perform triage and tackle any emergency that may come through the door. Community OB/GYNs can rest assured knowing that their patients will receive the best care if he/she cannot make it to the hospital. Nurses are not expected to lead deliveries. OBHG hospitalists give care to all, regardless of insurance type or prenatal care.
“OBHG hospitalists are there, waiting on emergencies to walk in, so they can have immediate access to medical intervention and to surgical intervention. They are the frontline defense of the life-saving measures that a hospital implements,” said Annette Stier, director of women’s & children’s services at Providence St. Peter Hospital in Olympia, WA.
At a time when the public, and now Congress, is focused on maternal safety, hospitals cannot afford not to implement the measures necessary to reduce malpractice risk and improve patient safety. There is no time like the present to consider an OB hospitalist program; every day delayed is another day mothers are put at risk and hospitals are exposed to potential liability.
If you are interested in find out how an OBHG partnership can benefit your hospital and community, schedule a consultation to find out more.
*List of 15 hospital systems that received letter from Congress:
Adventist Health System, based in Altamonte Springs, Florida; Advocate Aurora Health, Downers Grove, Illinois; Ascension Healthcare, St. Louis, Missouri; Catholic Health Initiatives, Englewood, Colorado; Cleveland Clinic Health System, Cleveland, Ohio; Community Health Systems, Franklin, Tennessee; Dignity Health, San Francisco, California; HCA Healthcare, Nashville, Tennessee; Northwell Health, New Hyde Park, New York; Providence St. Joseph Health, Renton, Washington; Sutter Health, Sacramento, California; Tenet Healthcare Corporation, Dallas, Texas; Trinity Health, Livonia, Michigan; Universal Health Services, King of Prussia, Pennsylvania; University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
OBHG is now hiring exceptional OB/GYNs for highly desirable new positions and programs in the Lone Star State!
We are seeking candidates for two programs in one of our newest additions to the Texas market - family-friendly El Paso.
Opportunities for outdoor adventures abound in the area - explore the Guadalope mountains, desert terrain, fantastic camping, and the famous Rio Grande.
Named one of the safest big city in the country, it’s also highly walkable, culturally diverse, and boasts a low cost of living, beautiful long range views, numerous festivals, the largest urban park in the U.S., and 305 days of sunshine a year.
Physicians who join this program are getting in on the ground floor in a market with enormous growth potential, and will have privileges at both hospitals.
This position also offers a generous sign on bonus/relocation assistance.
Lubbock offers a low cost of living, excellent school systems, and nearby Texas Tech University along with pleasant, mild weather and an abundance of sunshine.
Popular outdoor activities include hiking, biking, mountain climbing, and wonderful camping in addition to numerous golf courses, lakes and parks to explore.
The city has many arts and cultural attractions to visit, and has been named the “Napa Valley of the South” as it is home to five unique wineries. The region produces 80 percent of the state’s wine grapes and hosts an annual Wines and Vines Festival.
The hospital offers a level III C NICU, a maternal-fetal medicine center, antepartum high-risk suites, and private labor, delivery, surgical birthing, recovery and mother-baby suites, as well as ongoing educational programs for new families.
We are currently hiring hospitalists for several new programs in the dynamic Houston area.
These positions offer lucrative compensation and the chance to work in a growing region with a high density of OBHG programs and cross-privileging opportunities.
Houston is the most diverse and populous city in Texas, and the fourth most populous city in the country. It's home to the Texas Medical Center—the world's largest concentration of healthcare and research institutions—and NASA's Johnson Space Center, where the Mission Control Center is located.
The city boasts 160 golf courses, the Houston Bay area for water sports, and literally hundreds of parks and green spaces. Houstonites love the amazing award-winning cuisine, thriving arts scene, and metropolitan yet down-home vibe.
In an era of widespread physician burnout, OBHG understands the importance of work/life balance for our valued clinicians. Our full-time roles come with responsibility, influence, excitement, and autonomy, but also allow enough time off for a fulfilling personal and family life.
OBHG certified midwives Aspen Green and Natalie Martina recently coauthored an article for Midwifery Today titled “Smooth Transitions: Making Hospital Transfers Better.”
The article, aimed at hospital providers and home or birth center-based providers, provides tips for improving transfers from a home or birth center to a hospital setting. As hospitalist nurse midwives who assume the care of women transferring from a home or birth center to the hospital, Green and Martina are focused on making hospital transfers as smooth as possible for all involved, especially the mother. Read the full article here.
Please join us in congratulating Drs. Rakhi Dimino and Jane Van Dis on their recent appointments to the 2018/2019 Society of OB/GYN Hospitalists (SOGH) board of directors.
Founded in 2011, the Society of OB/GYN Hospitalists (SOGH) is a rapidly growing group of physicians, midwives, nurses and other individuals in the healthcare field who support the OB/GYN Hospitalist model.
Dr. Dimino joined OBHG in 2013. She works as an OB hospitalist in Houston, TX and serves as a Medical Director of Operations for OBHG. Dr. Van Dis joined OBHG in 2013. She serves as an OB hospitalist in Bakersfield, CA and also as OBHG's Medical Director for Business Development.
The 2018/2019 SOGH election of board members was held at the Annual SOGH Business Meeting on September 29.
We are proud to announce our new partnership with Plantation General Hospital in Plantation, FL! OBHG kicked off our 18th program of 2018 in mid-September as a full-time Type A obstetric emergency department. Plantation General Hospital is part of the HCA East Florida Division.
“We are very excited to be expanding our partnership with the HCA East Florida division by welcoming Plantation General Hospital to the OBHG family," said Ryan Vaughan, director of hospital operations. "By entering into our fourth program with HCA here in South Florida, it’s clear that they understand and value our commitment to elevate the standard of women’s healthcare. We look forward to helping them maintain their excellence as a respected institution to the community they serve."
The hospitalist team for the new program includes (From L to R): Ryan Vaughan (DHO), Dr. David Mateo, Dr. Melvin Seid (backup), Dr. Isidro Martinez, Dr. Shelby Wilbourn, Dr. Jason Swineford, Madeline Nava, CEO, Dr. Lisa Sanches (locum) and Dr. Sue Smith (MDO). Dr. Martinez will serve as Team Lead for the program.
Thank you to Plantation General Hospital for your partnership, and we look forward to serving the women in your community together!
Later this week, our team will be heading to the American Society for Healthcare Risk Management (ASHRM) 2018 Annual Conference. This year’s event will be held October 7 – 10 in Nashville, Tennessee.
ASHRM serves a well-educated and engaged membership of more than 6,000 health care risk management and patient safety professionals and we are a proud supporter of ASHRM.
If you are attending ASHRM2018, be sure to stop by our booth in the Solution Center, #228. Our risk, quality and compliance team will be on hand to talk with risk management and patient safety professionals about our programs and how we understand the regulatory environment and OB-specific scoring required to optimize facility fee revenue. Our team can also share information about our best practices in areas such as pre-term evaluation, C-section reduction, collaboration with MFMs and emergent delivery management.
We look forward to seeing you soon. Be sure to mark your calendar for Sunday, October 7th from 5:15 – 7 p.m. when champagne will be served at our booth. See you in Nashville!
The U.S. has the worst rate of maternal deaths in the developed world and it continues to increase. OBHG Chief Medical Director Dr. Mark Simon and Medical Director of Operations, Dr. Rakhi Dimino recently co-authored an article that was published by The Hill about the need for a new approach to labor and delivery to protect pregnant mothers and babies.
According to Drs. Simon and Dimino, there are many factors behind the maternal mortality tragedy, with too little emphasis on maternal/fetal safety and an obstetric model in which delays in care are inevitable being high on the list.
To lower the dismal maternal mortality rate, Drs. Simon and Dimino recommend the implementation of safety protocols developed through the Alliance Innovation on Maternal Health (AIM) as well as the adoption of new care models such as OB hospitalist programs. There are other important changes that must be made to improve health outcomes for women and babies, but Drs. Simon and Dimino believe that improving the traditional labor and delivery and postpartum model must be a priority.
OBHG is celebrating National Midwifery Week, which runs from September 30 to October 6, 2018.
National Midwifery Week was created by the American College of Nurse-Midwives to honor midwives and midwife-led care.
Follow the hashtags #NMW2018 #MidwivesMakeaDifference on social media for articles, materials and tips to share.
OBHG currently employs about 40 certified nurse-midwives, and we expect that number to increase in the future. Many of our physicians also work alongside CNMs within their hospital programs.
Read more about how one of our Colorado hospitalists is collaborating with community midwives.
We'd like to welcome our latest partner to the OBHG family! Phoebe Putney Memorial Hospital, located in Albany, GA, kicked off their full-time Type A OBED earlier this month, making this OBHG's 17th new program of 2018.
The hospitalist team at Phoebe Putney Memorial Hospital includes (L to R) Dr. Tyndal Jones, Dr. Davis Sullivan, Dr. Michael Bowman and Dr. Betty Koukis. Dr. Kiesha Callins (not pictured) will provide part-time and back-up coverage. Dr. Sullivan will serve as Team Lead for the program.
Our OB hospitalist team looks forward to partnering with Phoebe Putney and community OB/GYNs to elevate women's healthcare in the Albany area!
Each quarter, our Ob Hospitalist Group (OBHG) colleagues commend their peers for going above and beyond with the OBHG You Delivered! peer-to-peer recognition program.
OBHG's leadership team selects one clinician and one support staff member to receive the You Delivered! award for their outstanding performance.
Dr. Theresa Castillo, hospitalist at Cypress Fairbanks Medical Center in Houston, Texas, is our clinical winner this quarter.
Dr. Castillo was commended for serving as “an excellent leader, always going above and beyond for the members of her team.” Dr. Castillo “has a genuine heart and works positively together to get the job done in the best way possible. The Cy-Fair team is very appreciative to have someone with her character, working alongside them, in effort to improve women's healthcare and patient safety.”
Jaquie Gilbert, Supervisor of Credentialing, is our Support Team winner this quarter. Jaquie was praised for ensuring that a co-worker's transition to a new role went smoothly. “From the time she started to teach me how to perform my role, she has been nothing but patient. On numerous occasions, she has stopped what she was doing to show me (or sometimes show me again) how to perform a task. I couldn't even begin to count the number of times I have had to ask for clarification to ensure I was completing a task correctly. Each time, she exhibited grace,” wrote Jaquie’s nominator. “There are some people who naturally emulate our core values. Jaquie Gilbert is certainly one of them.”
Congratulations to Dr. Castillo and Jaquie!
Ob Hospitalist Group is celebrating the long-serving clinicians who carry out our mission and transform care for mothers and babies every day.
Dr. Charrell Thomas, one of the first physicians to join the OBHG team, has worked as a hospitalist since 2008 and now serves as team lead at Memorial Hospital – Jacksonville in Jacksonville, Florida.
Dr. Thomas says the OB hospitalist concept was very new when she first started with OBHG.
“I spent a significant amount of time explaining my role - both to the patients and to the other providers here in the hospital."
"Private physicians were often reticent in the beginning, not sure how their patients would be managed. Over time, the OB hospitalists have become integral to the running of our OBED and every private utilizes our services, without exception.”
Dr. Thomas came to work with OBHG after hearing a talk by founder Dr. Chris Swain at a departmental meeting.
“I had entered the private practice arena and was nearing the end of a two-year contract when Dr. Swain came to Memorial and presented the concept at the OB Department meeting," she says.
"I spoke with him and indicated that if the program ever came to fruition at Memorial, I was interested.
“My contract came to an end and I had accepted a position in Houston, Texas. Two days before we were to fly out to house hunt in Texas, Dr. Swain contacted me to let me know that a program would be starting at Memorial in the next few months. When I explained that I was scheduled to fly out and start my new position in several weeks, he made a few phone calls and called me back to offer me a job. The rest is history!”
Medical Director of Operations Dr. Sue Smith says Dr. Thomas has been an incredible asset to the Memorial Hospital program.
“Dr. Thomas has been a loyal, dedicated, and committed physician to OBHG for 10 years. She has devoted herself to intervening in countless emergencies and providing other valuable services that have increased the standard and quality of care to thousands of women in the Jacksonville area.
“In addition to her clinical responsibilities, Dr. Thomas’ leadership as team lead and her interactions with hospital leadership during the 10 years of our partnership have played a crucial role in the success of our program," says Dr. Smith.
"It has been a pleasure to work with her over the past several years and I look forward to continuing to do so in the future."
Dr. Charrell Thomas attended Norfolk State University in Norfolk, Va., and received her medical degree from University of Virginia School of Medicine in Charlottesville, Va. She completed residency at Eastern Virginia Medical School in Norfolk. She also serves as OB consultant for the Duval County Health Department. Thank you for your service, Dr. Thomas!
In health care, the term "second victim," is an increasingly recognized phenomenon following an unexpected adverse patient event, medical error and/or patient related injury. Patients and their loved ones are the first victims, but a health care professional can experience emotional aftershock and feel traumatized following an adverse patient event.
More OB/GYN programs are recognizing the need for "second victim" support. OBHG's Dr. Charlie Jaynes recently spoke with MdEdge ObGyn about the second victim phenomenon and OBHG's unique CARE (Clinician Assistance, Recovery & Encouragement) program, the nation's first large scale obstetrics peer-support program for second victims. Read the full article here.
We’re just days away from the Society of OB/GYN Hospitalists (SOGH) Annual Clinical Meeting, scheduled this year for September 27-30 in downtown Cleveland, Ohio. This event brings together physicians, midwives, nurses and others who support the OB/GYN hospitalist model.
We couldn’t be more excited for this year’s meeting, which is packed with workshops, speaking sessions addressing important issues in obstetrics and OB hospitalist care and opportunities to network.
Our partnership with SOGH is important to our organization. We’re proud that so many of our clinicians are leading the OB/GYN hospitalist profession by serving on SOGH committees, serving as SOGH officers and helping to develop the SOGH core competencies.
We look forward to seeing our friends and colleagues at this year’s annual meeting.
Curious to discover what makes the Ob Hospitalist Group so unique? Visit us in the HOPE E hall in the Hilton Cleveland Downtown to talk directly with our clinicians and team members or catch one of our hospitalists in one of the sessions.
SOGH 8th Annual Clinical Meeting
September 27-30, 2018
The Hilton Cleveland Downtown
We are pleased to announce our 16th new hospital partner of 2018, TriStar Summit Medical Center in Hermitage, located just outside of Nashville, TN.
The program at TriStar is a full-time obstetrics emergency department. The hospitalist team includes (from L to R) Dr. Jory Burroughs, Dr. Darrington Altenburn, Dr. Heather Moss, Dr. Elosha Eiland, Dr. Andrew Chern, and Dr. John Wilters. Dr. Alisa Bowersock (not pictured) will serve as back-ups at this program. Dr. Wilters will serve as Team Lead for the program.
"We are excited to partner with TriStar Summit, our first hospital in the HCA TriStar division," said OBHG Director of Hospital Operations Kristen Fuentealba. "They clearly see the vision of the need to elevate health care for women by providing the opportunity for every women presenting to labor and delivery to be seen by an OB/GYN. We look forward to helping them grow their women’s health care service line."
OBHG is proud to be a part of TriStar Summit and our team is looking forward to serving the women of the Nashville, TN, area!
OBHG’s CARE (Clinician Assistance, Recovery & Encouragement) peer support program is getting industry attention. Recently, Patient Safety & Quality Healthcare highlighted how CARE supports clinicians who may suffer from the psychological/emotional impacts of an adverse patient event.
Through the OBHG CARE (Clinician Assistance, Recovery & Encouragement) Program, trained peers support OBHG colleagues in an atmosphere of confidentiality, empathy, trust, and respect in the immediate aftermath of a negative patient care-related event.
It is believed to be the first large-scale obstetrics peer-support program in the country, available to more than 600 OBHG clinicians at over 120 hospitals in the U.S.
The CARE program is designed to address the well-documented concept of the “second victim.” A wide body of research has found that when healthcare providers are involved in an unanticipated patient event, a medical error and/or a patient-related injury, they often feel as though they have failed the patient, second guessing their clinical skills and knowledge base.
Read the Patient Safety & Quality Healthcare article here.
OBHG is proud to announce our 15th new partnership of 2018! In August, we launched our OB hospitalist program at The Hospitals of Providence Memorial Campus in El Paso, TX. The program is a full-time, Type A obstetrics emergency department.
"I am truly excited about our newest partnership with The Hospitals of Providence Memorial campus," said OBHG Regional Vice President of Operations Will McDonald. "This system has been faithfully serving El Paso since 1902. Generations of families have chosen The Hospital of Providence for their healthcare needs. Within the first two hours the program starting on August 29, one of our physicians, Dr. Jose Aun, had a life save, which reinforced the need to ensure that every expectant mother receives care by an experienced physician."
The hospitalist team includes (from L to R) Dr. Jose Aun, Dr. Kathryn Randall, Dr. Anila Ricks-Cord, Dr. Shayla Nesbitt and Dr. Todd Bashuk; Medical Director of Operations. Dr. Aun will serve as Team Lead for the program. Not pictured: Dr. Michael Schaffer and Interim team; Dr. Nkechi Ezirim and Dr. Patience Miller.
We look forward to serving the women of El Paso as we partner with the hospital and community OB/GYNs!
They are the ones who care for the most vulnerable newborns, those born prematurely and with low birthweight, birth defects, infection, and other medical challenges. Neonatal nurses not only need the knowledge to negotiate around tubes and precise IV dosages and monitors and incubators, but they also must have the gentlest touch to nurture and comfort both babies and their families during a difficult time. It takes a very special person to work in this field, and this week we honor neonatal nurses for their commitment, professionalism, and caring.
National Neonatal Nurses Week is celebrated every year beginning with Neonatal Nurses Day on September 15. The observance was established in 2000 by the National Association of Neonatal Nurses (NANN) as a way to celebrate all the women (and men) in their profession who provide aid and comfort every day to vulnerable newborns and their families.
Neonatal nursing is a relatively young profession that began in the 1960s after the tragic death of President John F. Kennedy’s newborn son, Patrick, from respiratory distress and under-developed lungs. Patrick was born just three weeks’ prematurely — a circumstance that is hardly life-threatening by today’s standards. Yet the baby succumbed to respiratory distress syndrome (RDS), because his premature lungs did not produce an important protein- based coating that prevents the collapse of small air sacs in the lung. The March of Dimes estimates that more than 16,000 premature infants suffer from RDS in the United States each year. Today, 95% of these preemies survive RDS. Patrick’s death put the national spotlight on saving premature babies and led to the development of the modern Neonatal Intensive Care Unit (NICU).
A NICU nurse spends more time at the baby’s bedside than most of the healthcare team and cares for the tiny patient usually until discharge. Today infants born as early as 25 weeks are surviving more often because of technological and medical advances and because of the acute skills and expertise of NICU nurses and physicians.
This year's Neonatal Nurses Day theme, "We save babies," aptly describes the attributes of today’s neonatal nurses.
It may seem like the pinprick heard round the world. If your newborn screams, don’t be dismayed. Your baby is more startled by the prick than anything else. The pain is gone almost before it begins. And you’re doing the right thing by letting hospital staff draw a few drops of blood from your newborn’s heel.
September is Newborn Screening Awareness Month. Parents must be advocates for their children by ensuring that their hospital completes a full health screening of their newborn. There are several types of newborn screening, including basic physical exam, hearing screening, blood spot testing, and pulse oximetry testing for heart defects.
These screenings are critical in identifying diseases or abnormalities long before a child experiences symptoms. Early detection and treatment can prevent disability, permanent damage, or even death. These screenings usually are routine in the hospital, but if for any reason a baby is not properly screened at the hospital, or if a baby is born outside of a hospital, they should be screened within a few days of birth at an appropriate medical facility.
The first screening your newborn should receive is a routine physical examination (often by a pediatrician) to measure weight, length, and head circumference. The doctor then examines the baby’s skin, head and neck, heart and lungs, and abdomen and genitals. In addition, the baby’s nervous system and reflexes are checked.
Newborns also should have their hearing checked. Newborn screenings for hearing are quick and painless. Experts recommend they be conducted no later than 1 month of age and preferably before leaving the hospital. These screenings are so subtle that they often can be conducted while the baby is asleep. If hearing loss is detected, an audiologist and otolaryngologist (ear, nose, and throat physician) will determine the level of loss and whether treatment is warranted. If the hearing loss is permanent, hearing aids and speech/language services usually are recommended.
The newborn blood screening can detect such disorders as sickle cell disease, cystic fibrosis, and phenylketonuria (PKU, a condition that can cause nervous system problems, brain damage, and mental disability). Every state has its own newborn screening program and may test for different conditions. Some states have more comprehensive screening lists than others.
Many hospitals routinely screen newborns for Critical Congenital Heart Defects (CCHDs) using a method called pulse oximetry, which gauges the amount of oxygen in the blood and measures pulse rate. Pulse oximetry can detect CCHDs in some infants before they have any symptoms. If a defect is found, the infant can be evaluated by a cardiologist and receive special care to prevent disability or premature death. Some hospitals routinely administer pulse oximetry screening, but it is not routinely conducted in all states, so parents might wish to inquire about it.
Meet Dr. Michael White, our lead hospitalist at St. Mary’s Medical Center in Grand Junction, CO. Dr. White recently performed surgery to deliver a baby and remove a uterus at the same time (to decrease the patient’s cancer risk).
A feature story about Dr. White was recently published in the Grand Junction Daily Sentinel. Get to know more about Dr. White’s role as a hospitalist at St. Mary’s, what a typical day is like, and the passion he has for the patients he cares for. Read the full story here.
The journey starts here! Ob Hospitalist Group has announced a new option for talented OB/GYNs interested in practicing hospitalist medicine - the Diplomat program.
The popular program offers physicians the opportunity to improve patient outcomes and gain professional and clinical experience in a variety of hospital facilities and settings while earning a highly competitive salary. Obstetricians with a passion for patient care, a flexible nature, and an intrepid spirit are encouraged to explore the program's many rewards.
In addition to attractive compensation, our full-time traveling hospitalists enjoy medical benefits, a CME allowance, medical malpractice insurance, comprehensive leadership training, access to a supportive internal network of nearly 700 OB/GYN colleagues, a wide array of unique clinician resources, and satisfying work/ life balance.
Because OBHG manages obstetric emergency departments across 32 states, and our national footprint is constantly growing, Diplomat OBs never wonder when or if they'll get another position. The work is guaranteed, and clinicians are notified of their next assignment months in advance. We also handle privileging and credentialing, and cover housing and travel expenses.
OBHG welcomes our 14th new hospital partnership of 2018, St. Mary's Hospital in Athens, GA. The program began on Aug. 8 as a Type A obstetrics emergency department.
The hospitalist team at Saint Mary’s Hospital includes (From L to R) Dr. Samit Patel, Dr. Jocelyn Rogers, Dr. Tressa Scineaux and Dr. Karen Hamilton. Dr. Patel will serve as Team Lead for the program.
We are excited to have a partnership in the Athens community and look forward to serving the families and OB/GYNs in the area!
The following OBHG partner hospitals were recently recognized as top-ranked regional hospitals in U.S. News & World Report’s 2018-2019 annual review of its best hospitals.
We congratulate our hospital partners for earning this prestigious distinction. We are proud to be your partner in elevating the standard of women’s healthcare in your community!
OBHG hospital partners recognized as best regional hospitals based on performance in delivering complex and common care:
Alta Bates Summit Medical Center/Alta Bates campus - Berkeley, CA
Baptist Hospital – Miami, FL
Chandler Regional Medical Center - Chandler, AZ
Christus Mother Frances Hospital – Tyler, TX
Community Hospital of the Monterey Peninsula - Monterey, CA
El Camino Hospital/Mountain View campus – Mountain View, CA
Houston Methodist Willowbrook Hospital – Houston, TX
Huntington Memorial Hospital – Pasadena, CA
Inova Women’s Hospital – Falls Church, VA
Mary Washington Hospital – Fredericksburg, VA
Mease Countryside Hospital – Safety Harbor, FL
Memorial Medical Center - Springfield, IL
Memorial Regional Medical Center – Mechanicsville, VA
Mercy Medical Center - Des Moines, IA
Mississippi Baptist Medical Center – Jackson, MS
Morton Plant Hospital – Clearwater, FL
North Mississippi Medical Center – Tupelo, MS
Norton Hospital/Downtown – Louisville, KY
Orange Coast Memorial Medical Center – Fountain Valley, CA
Providence St. Joseph Medical Center – Burbank, CA
Providence St. Peter Hospital – Olympia, WA
Sarasota Memorial Hospital – Sarasota, FL
Sharp Grossman Hospital – La Mesa, CA
Spartanburg Medical Center – Spartanburg, SC
St. David’s Medical Center – Austin, TX
St. Francis Eastside – Greenville, SC
St. Francis Medical Center – Midlothian, VA
St. John Medical Center – Tulsa, OK
St. Joseph Medical Center – Tacoma, WA
St. Mary’s Hospital & Regional Medical Center – Grand Junction, CO
St. Mary’s Hospital – Richmond, VA
St. Vincent Evansville - Evansville, IN
Ob Hospitalist Group is excited to announce that we have partnered with three South Carolina hospitals to develop three new obstetric emergency departments:
Charleston - Bon Secours St. Francis
Columbia - Palmetto Health Baptist
Florence - McLeod Regional Medical Center
OBHG’s presence improves patient safety and satisfaction, makes life easier for local OB/GYNs, and ensures that every pregnant woman who presents to the hospital is seen by an experienced physician.
We are currently seeking exceptionally skilled obstetricians to join our new SC teams!
Our hospitalist and leadership positions offer:
- Competitive compensation
- Full benefits
- CME allowance
- Medmal with tail
- Unparalleled clinician support and resources
- Superior work/life balance
OBHG is excited to announce its 13th new partnership of 2018! We began a new OB hospitalist program with UCHealth's Memorial Hospital North in Colorado Springs, CO, in early August.
The hospitalist team includes (from left to right) Dr. Eileen Coelus, Dr. James Steigerwald, Dr. Stephanie Ring, Dr. Renee Lockey, Dr. Tamara Willis-Buckley, and Dr. Caroline Hedges. Dr. Lockey will serve as Team Lead for the program.
The OBHG team is looking forward to its new partnership with the hospital as well as community OB/GYNs in helping to elevate the standard of women's healthcare in Colorado Springs!
OBHG has been named to Inc. 5000’s Hall of Fame for being named one of the fastest-growing private companies in America for six consecutive years.
Released annually, the Inc. 5000 is widely considered a standard of excellence for organizational growth and financial success. The 2018 Inc. 5000 is ranked according to verified percentage revenue growth when comparing 2014 to 2017.
OBHG is ranked 3,582 in 2018 in part due to a 105% growth in revenue over the last three years. Of the tens of thousands of companies that have applied to the Inc. 5000 over the years, only a fraction has made the list more than once.
Founded in 2006, OBHG’s national network has grown to include nearly 700 dedicated OB clinicians in more than
in 130 hospitals across 32 states. This growth means more expectant mothers have access to immediate care when presenting to the hospital with obstetrical complaints regardless of time, location, complication, or circumstance.
“We are honored to be named among the nation’s fastest growing companies for six years in a row,” said OBHG CEO Lenny Castiglione. “It’s an accomplishment we attribute to the partnerships we’ve formed with our hospital partners, community physicians and the dedication of our clinicians and team members. OBHG’s growth is a clear indication that we are filling a need in obstetrics and that our services are valued by patients, hospitals and community physicians alike.”
Complete results of the Inc. 5000, including company profiles and an interactive database that can be sorted by industry, region, and other criteria, can be found here.
OBHG recently celebrated the 10-year anniversary of its successful partnership with St. David’s North Austin Medical Center. Since July 2008, OBHG clinicians have provided 24/7 coverage for St. David’s Labor and Delivery unit, Obstetric Emergency Department and most recently, management of maternal-fetal transports.
“Our partnership with OBHG is amazing,” said Tammy Phares, perinatal services manager at St. David’s North Austin. “I never knew how important an OB hospitalist program was until I worked here. It’s such a sense of security having an OB hospitalist here. They (OBHG hospitalists) are always here and ready to help all of us, including our private physicians whenever they need help in the OR or on the unit. Not only are they (OBGH hospitalists) highly skilled but they are also kind-hearted. I wouldn’t hesitate to have any of them take care of my family.”
“OBHG is proud to have partnered with St. David’s North Austin Medical Center for the past 10 years,” said Will McDonald, OBHG regional vice president of operations. “The strong clinical capabilities of our clinicians coupled with the collaboration our clinicians have with the private OBs is why our partnership with St. David’s North has been so successful. We look forward to continuing our partnership for years to come.”
To mark the occasion, an anniversary celebration event was held, which included a presentation of a 10-year plaque from Lenny Castiglione, OBHG chief executive officer to Tom Jackson, CEO of St. David’s North Austin Medical Center.
Thank you to the team at St. David’s North Austin Medical Center for your ongoing partnership and dedication to elevating the standard of women’s healthcare in your community!
In 2016, OBHG and one of our system partners undertook a study to analyze the key risk mitigation strategies that resulted in favorable loss trends/claim reduction for the system in recent years. The study found that a 31 percent reduction in perinatal serious-harm events at hospitals was attributable to one factor: implementation of an OB hospitalist program at those facilities.
Ob Hospitalist Group's Heather Moore, Director of Risk Management, Quality, and Compliance, recently wrote a piece for Risk & Insurance about how companies can strategically minimize, rather than manage, risk.
Read the full article here.
Dr. Elliott Roberts, an OBHG team lead at Jackson-Madison County General Hospital in Jackson, TN, discusses why the OB hospitalist lifestyle works so well for him.
In the article, Dr. Simon offers his perspective on how physician leaders can communicate with fellow care team members in order to improve operations and ensure patient safety. Read the full article here.
OBHG is happy to announce our 12th new partnership of 2018! In July, we began our obstetrics hospitalist program at Norman Regional Hospital in Norman, OK, as a Type A OB emergency department. This is our second partnerhsip in Oklahoma, along with St. John Medical Center in Tulsa.
"Our implementation of services at Norman Regional Health System has been a very rewarding experience," said OBHG Director of Hospital Operations Christi Acker. "Through education, dedication, and persistence OBHG and NRHS partnered to achieve the first OBED approved by the Oklahoma State Department of Health. We are excited to bring an elevated level of service and safety to the women of Norman and their babies."
The hospitalist team at Norman Regional Hospital includes: front row, left to right: Dr. Becky Graham and Dr. Karen Sargent. Back row, left to right: Dr. Kinde Aguilar, Dr. Trent Fogleman (backup) and Dr. Michael Collins. Not pictured: Dr. Tiffany Weathers (backup). Dr. Graham will serve as Team Lead for the program.
A national physician shortage is looming and OB/GYNs are one of the top specialties at risk. An OB/GYN shortage represents both patient and organizational risk.
Healthcare executives who are proactive in their workaround strategies will be best prepared if and/or when OB shortages threaten their organizations. OBHG Medical Director of Operations, Dr. Donald Toatley, recently shared four ways that hospitals and health system administrators can protect their organizations from the projected exodus with Becker’s Hospital Review.
To read Dr. Toatley’s recommendations for health leaders click here.
Ob Hospitalist Group CEO, Lenny Castiglione, was quoted in a recent article in Chief Executive on the role of a private equity CEO.
Excerpt from the Chief Executive article:
“It always sounds so enticing when someone says we have this company, and we just invested and it’s going to be three years of growth and a great payout—it all sounds great,” says Lenny Castiglione, CEO of PE-owned OB Hospitalist Group. To evaluate the deal, he adds, “You have to take emotion out of it.”
Read the whole article here.
The new Ob Hospitalist Group CARE (Clinician Assistance, Recovery & Encouragement) peer support program was recently featured in the "Hospitalist movers and shakers" section of the Society of Hospital Medicine site The Hospitalist.
CARE is a unique initiative designed to support clinicians who are suffering from the psychological/emotional impact of an unexpected and adverse obstetrical event.
The program is available to nearly 700 clinicians employed by OBHG at partner hospitals across the U.S.
"We have created an environment that our patients have come to expect and enjoy a higher level of care," said Rene Tovar, executive director of speciality care services at LLUMC – Murrieta. "Our priority is to take care of the patient first and ensure their needs are met during the most critical times."
OBHG has published its inaugural Progress Notes, which details our perspective on industry trends, investments we've made, and successes we've had over the past year.
Bringing together a network of physicians with disparate shifts and geographic locations isn’t easy. Yet it’s important for clinicians to have an effective way to collaborate and network.
Just one of the many benefits Ob Hospitalist Group offers to its clinicians is its “Ob Exchange” online community.
This platform allows clinicians the opportunity to work together to solve medical problems and share knowledge through improved communication and collaboration across all aspects of patient care.
We recently published an article detailing how we built the platform and how it has allowed our clinicians to come together and exchange information. Not only has Ob Exchange become the primary location for professional connections, collaboration and community support, but it has also allowed our support teams to develop and grow with each other.
Read the article
Since OBHG's inception in 2006, we have celebrated many new partnerships. But this month we get to celebrate a first! Baycare's Winter Haven Hospital in Winter Haven, FL, is the first of our partners to hit their 10-year anniversary with us. They began their OBHG partnership in July 2008, and our team there continues to thrive.
"Winter Haven Women’s Hospital has been in partnership with OBHG for 10 years now – it has been a great partnership and has served our community extremely well over the years," said Jennifer Richards, director of patient care services at Winter Haven Hospital. "Our mothers and newborns receive compassionate, competent care from the hospitalists, and this consistently translates into them receiving top quartile patient satisfaction scores."
"OBHG is proud to have partnered with Winterhaven Hospital for the past 10 years. As part of our partnership with the Baycare Health System on the West Coast of Florida, we look forward to expanding our services as the hospital transitions to a new OBED," said Donna Lindsey, OBHG regional vice president of operations.
Thank you to the team at Winter Haven for your ongoing partnership and dedication to elevating the standard of women's healthcare in your community!
Dr. Marc Zepeda, an OBHG hospitalist at Baylor Scott & White Medical Center-McKinney in McKinney, TX, recently wrote an op-ed published in D CEO Healthcare magazine outlining three things obstetricians and healthcare workers can do to help reduce maternal mortality in Texas and across the U.S. Read the article here.
The maternal mortality rate is astonishingly high across the U.S., and the Council on Patient Safety in Women’s Health Care is doing something about it. In 2015, the Council developed the Alliance for Innovation on Maternal Health (AIM) to "eliminate preventable maternal mortality and severe morbidity across the United States." Currently, there 22 participating states, including Texas, which announced earlier this year that 166 hospitals were enrolled.
Ob Hospitalist Group is pleased to announce that we are entering the Maryland market! We are excited to be partnering with Carroll Hospital in Westminster to develop a brand new obstetric emergency department and hospitalist program.
Carroll Hospital is an acute care and surgical facility that has served the Westminster community for more than 55 years. It is home to a level II neonatal intensive care unit (NICU), private birthing suites, a maternal-fetal medicine program for high-risk pregnancies, and educational classes for new parents.
Westminster boasts a robust arts and culture scene, a charming downtown, and lots of outdoor recreation options. It's an easily commutable distance from Baltimore, Gettysburg (Pennsylvania), and the Washington, D.C. area.
OBHG hospitalists enjoy full-time positions with competive compensation, full benefits, paid medical malpractice insurance with tail, phenomenal physician support, and greater work/life balance. Part-time and travel positions, depending on the location and program, are available as well.
Leadership and advancement opportunities abound - along with predictable schedules, fewer shifts, minimal administrative burdens, and the fulfillment that comes with caring for the moms and babies who need your expertise the most.
If you are interested in exploring our new Maryland openings or would like to apply, please contact our Senior Clinical Recruiter Liz Selfridge for more information.
OBHG hospitalists are highly skilled clinicians who are in our partner hospitals 24/7/365. We asked our partners and a family who recently welcomed a new baby at CHRISTUS Spohn Hospital-South in Corpus Christi, TX, what would happen if OBHG weren't there during an emergency. Watch the video to find out what they said.
Good Samaritan Hospital's partnership with OBHG was recently featured in the news. The Suffern, NY hospital began its partnership with OBHG in 2017 on a part-time basis as an obstetrics triage, but it has recently transitioned to the only full-time obstetrics emergency department in the Hudson Valley.
OBHG is proud to partner with Good Samaritan to help elevate the standard of women's care across the community. Read the article here.
OBHG is proud to announce its 11th new hospital partnership of 2018! Earlier this month, we launched a full-time OB triage at Loma Linda University Medical Center in Murrieta, CA.
"LLU Murietta is committed to becoming the premier women’s center in the area, one which is growing faster than any other region in the state," said Kristina Mangia, director of hospital operations. "With the addition of the OBHG program, they are now able to provide the level of care and clinical excellence that the community has come to expect. We are looking forward to the growth that the woman’s services service line can now expect to see with the addition of the laborist program. LLU Murietta administration is very supportive of the program, and we have Dr. Le, a fantastic team lead at the helm."
The hospitalist team includes (pictured L to R) Dr. Donald Toatley, medical director of operations; Dr. Tam Le; Dr. Mylinda Bielman; Dr. Maryanne Hannaney; Dr. Leopoldo Valdivia; and Kristina Mangia, director of hospital operations.
Ob Hospitalist Group, the nation's largest dedicated employer of OB hospitalists and the most experienced company in the industry, is seeking board-certified OB/GYNs for several open positions in desirable locations across the U.S.
If you're a highly skilled, passionate, and service-minded obstetrician ready to practice the medicine you love while enjoying an average of 21 days off per month, we would like to talk with you!
A few of our current open positions:
OBHG is excited to be entering the Connecticut market! We are partnering with a facility in Waterbury to develop a new hospitalist program.
Waterbury is the ninth-largest city in New England and part of the Central Naugatuck Valley Region. It's an easily commutable distance from several cities in New York such as Poughkeepsie and Yonkers.
The town boasts the Waterbury Symphony Orchestra, several museums and theaters, two amusement parks, an artisan marketplace and a charming downtown. Residents also enjoy a variety of outdoor activities, such as golf, hiking, biking and running at Mattatuck State Forest.
Our hospital program in Lafayette, Louisiana is nestled in the heart of exuberant Cajun & Creole country. Lafayette was named the ‘Happiest City in America’ in 2016! It's located near Baton Rouge and the LSU campus, and is less than three hours from New Orleans.
We are seeking candidates for two programs in one of our newest additions to the Texas market - family-friendly El Paso. Opportunities for outdoor adventures abound in the local area - explore mountains, desert terrain, and the Rio Grande!
Named one of the safest big city in the country, it’s also highly walkable, and boasts a low cost of living, beautiful mountain views, numerous festivals, the largest urban park in the U.S. and 305 days of sunshine a year.
Contact our Senior Clinical Recruiter Jason Fyler for more information.
We are seeking an experienced physician to fill one of our most prestigious roles - Site Medical Director for our hospital program in the San Francisco Bay Area - one of the most diverse, influential, and dynamic cities in the world.
The ideal candidate will be a natural leader able to effectively guide a large medical team.
Contact our Senior Clinical Recruiter Jason Tafoya for more information.
One of our newest hospital programs in Plantation, Florida is mere minutes from some of the most exciting coastal destinations in the country - including Ft. Lauderdale, Hollywood, and Miami!
In an era of widespread physician burnout, OBHG understands the importance of work/life balance for our valued clinicians. Our full-time roles come with responsibility, influence, excitement, and autonomy, but also allow enough time off for a fulfilling personal and family life. Read some of our physicians' personal stories.
Intrigued? For more information about the positions highlighted here along with all our current job opportunities, contact the clinical recruiter seeking candidates in your region.
Our expert recruiters, all skilled in health care and physician placement, will answer your questions about the hospitalist lifestyle, discuss how our programs work, and explain what you can expect from the hiring process.
Most of us recognize quality when we see it. But having good data increases our confidence in the quality of care we provide.
That’s why Ob Hospitalist Group is committed to providing robust and comprehensive data reporting on all elements of performance by our partner programs, including quality. OBHG collects, audits, and analyzes our partner hospital data on a quarterly basis to monitor performance and identify areas of opportunity.
We regularly provide customized data reports to our partner hospitals so they can see, in straightforward terms, exactly how we’re performing for them. These reports may include utilization performance, quality metric trending, facility and professional fee performance, and more, depending on the needs of our partners. It’s a way to hold us accountable for the value we deliver our partner hospitals in terms of obstetric unit operations and OB/GYN hospitalist care.
Established in 2006, OBHG today operates more OB hospitalist programs than all of our competitors across the nation combined. Our standards are so high, we consistently have outperformed our promises on safety metrics. In fact, OBHG outperforms the national average on all National Quality Forum (NQF) metrics that we track.
But we don’t stop there.
If we don’t achieve (or exceed) mutually agreed-upon quality goals, our partner hospitals will not pay for a percentage of their contract assigned to quality metric achievement. Guaranteed. No questions asked.
We understand the multi-faceted and complex nature of healthcare delivery in today’s environment. Our partners put their trust in us, and we feel it’s only fair to reciprocate by sharing some of the contract risk. In fact, most of our OBHG programs now include shared financial risk that is customized to the hospital’s goals and perinatal areas of quality improvement.
As healthcare in the United States moves toward risk-sharing, pay-for-performance, and other value-based payment models, OBHG recognizes the continued need to focus on quality metrics and outcomes to optimize the hospital’s revenue potential under the value-based system.
At OBHG, we are committed to quality improvement and transparent reporting on quality performance as a cornerstone of our programs. As such, we stand firmly behind our pledge to deliver on a hospital’s desired quality metrics.
No excuses. Just performance.
OBHG has launched a hospitalist program at Aurora West Allis Medical Center in West Allis, Wisconsin, as a Type A OBED. The new partnership began in late May and is OBHG's 10th program to start in 2018.
"We have worked in great detail with Aurora West Allis Medical Center to form a lasting partnership," said Jami Walker
The hospitalist team at Aurora West Allis Medical Center includes: front row, left to right: Dr. Robert Southwick and Dr. Andrea Valeri. Back row, left to right: Dr. Jennifer Brenton, Dr. Steven Bush (backups), Dr. Stephen Bashuk, and Dr. Holly Ray. Not pictured: Dr. David Dielenthies and Dr. Jason Foil. Dr. Ray will serve as Team Lead for the program.
Dr. Elliott Roberts went from private-practice OB/GYN to OBHG hospitalist at Jackson-Madison County General Hospital. Hear what he has to say about his new career path and the partnership that has grown between Ob Hospitalist Group and community OB/GYNs in western Tennessee.
The vast majority of births and deliveries are joyful ones. Families celebrate the wonder of the new addition to their families, and clinicians go home at the end of the day with a sense of pride, deriving meaning from their professional lives. This is one of the reasons that many of us chose obstetrics in the first place.
But unfortunately, that is not always the case.
As an obstetrician, I know firsthand that there is virtually nothing as emotionally wrenching as a baby or mother suffering an injurious complication or dying during childbirth. Unanticipated, bad, even horrific outcomes sometimes happen — even when all precautions have been taken. Even when things are progressing as planned. And even when the team does everything right to manage complications as they arise.
One of the most common questions we get from potential hospital partners is: How will OBHG hospitalists collaborate with our private-practice OB/GYNs? Dr. Kathleen Rasmussen, Regional Medical Director of Women's Services for CHRISTUS Health, answers this question.
Dr. Meredith Davenport, OBHG hospitalist at St. David's Medical Center in Austin, Texas, recently wrote a piece for a LinkedIn series called Hard Cases. In this series, doctors and medical professionals share the toughest challenges they've faced in their careers.
Dr. Davenport was instrumental in the development of OBHG's CARE program, a first-of-its-kind peer support initiative designed to support clinicians who are suffering from the psychological/emotional impact of an unexpected and adverse obstetrical event.
Each June, OBHG and thousands of organizations across the country recognize National Safety Month in an effort to save lives, prevent injuries and raise public awareness.
The observance was founded by the National Safety Council, a 501c3 non-profit that works to eliminate preventable deaths at work, in homes and communities, and on the road through leadership, research, education, and advocacy.
Throughout the month the NSC will highlight four crucial aspects of safe living:
Week 1: Emergency Preparedness
Week 2: Wellness
Week 3: Falls
Week 4: Driving
OBHG’s strong commitment to safety is reflected in every aspect of our life-saving enterprise, whether it's our passion for providing the highest standard of care for every patient, or our dedication to ensuring a consistently safe work environment for our clincial and support teams.
"Our goal is to ensure safe, equitable care to all and to support a culture of safety with our hospital partners," says Manager of Patient Safety and Quality Libby Gardner.
"This commitment is reflected in the caliber of our clinicians, our participation in national organizations, and our leadership in the industry.”
The OBHG program at Metropolitan Methodist Hospital in San Antonio, Texas started May 15 as a Type A OBED. This is OBHG's 9th program to start in 2018.
“I am excited about the new partnership that we now have with Metropolitan Methodist," said OBHG Regional Vice President of Operations Will McDonald. "Having great hospital partners remain critical to OBHG. Our goal is to work with hospitals with whom we have similar strategic goals, similar core values and have the basic fundamental goal to elevate the healthcare of women in the communities we serve”.
The hospitalist team at Metropolitan Methodist Hospital includes Dr. Qurana Vedoy Barajas, Dr. Michael Garcia, Dr. Amelia Cleveland- Traylor, and Dr. Leticia Vargas. The backup hospitalists are Dr. Michael Karagas, Dr. John Kellum, and Dr. Marc Zepeda. Dr. Vargas will serve as Team Lead for the program.
Ob Hospitalist Group invites all OB/GYN physicians to join us for a special roundtable discussion about the future of women’s healthcare.
Network with colleagues, enjoy a complimentary dinner at innovative local eatery Mesh, and find out what the hospitalist lifestyle is really like.
Spouses, partners and guests are welcome to attend.
This event will be hosted by Dr. Charles Rollison and Dr. Keehn Hosier.
Tuesday, June 26th
6:30 - 8:00 pm
3608 Brownsboro Road
An independent OB/GYN group planned to leave Willow Creek Women’s Hospital in northwest Arkansas, taking over 50 percent of the hospital’s deliveries with them. Hospital leadership knew they needed to make a change or else the hospital was at risk of closing. They enlisted the help of Ob Hospitalist Group to take over the obstetric emergency room coverage and to grow and retain volume.
Find out how OBHG helped Willow Creek retain solid footing in the community - read full case study.
Do you want to know what it's really like to be an OBHG partner? Deena Kail shines some light on the seven-year partnership at Jackson-Madison County General Hospital in Jackson, TN. Deena is the executive director of West Tennessee Women's Center and the Ayers Children's Medical Center and was instrumental in building this flourishing partnership.