A Comparison of Conventional and Expanded PA Hospitalist Staffing Models

Timothy M. Capstack, MD

April 27th, 2017


Objective: To determine whether a higher than conventional physician assistant (PA)–to-physician hospitalist staffing ratio can achieve similar clinical outcomes for inpatients at a community hospital.

Methods: Retrospective cohort study comparing 2 hospitalist groups at a 384-bed community hospital, one with a high PA-to-physician ratio model (“expanded PA”), with 3 physicians/3 PAs and the PAs rounding on 14 patients a day (35.73% of all visits), and the other with a low PA-to-physician ratio model (“conventional”), with 9 physicians/2 PAs and the PAs rounding on 9 patients a day (5.89% of all visits). For 16,964 adult patients discharged by the hospitalist groups with a medical principal APR-DRG code between January 2012 and June 2013, in-hospital mortality, cost of care, readmissions, length of stay (LOS) and consultant use were analyzed using logistic regression and adjusted for age, insurance status, severity of illness, and risk of mortality.

See the full details here: http://www.jcomjournal.com/reports-from-the-field-a-comparison-of-conventional-and-expanded-physician-assistant-hospitalist-staffing-models-at-a-community-hospital/

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