One of my big goals has been the addition of a mid level 24 hour a day additional provider to the ICU team at my hospital. We have come a long way in that we have secured the FTEs to hire into the position. We have a reporting structure and have decided to hire a lead mid level provider. We have made steps in posting the positions. I am currently working on the educational piece to help bring these new mid level provider to the knowledge point we feel they will need to be at to truly function at the top of their license. I expect this process to take the better part of a year of training. To help I am in the process of creating more standardied guidelines and protocols.
The piece that I have a diffixult time conceptualizing is the integration of this new work force into the existing work flow of the high functioning physician lead structure. It will, absolutely, be a culture change and I want to create a structure that will ensure success.
my current ideas revolve around changing the current structure of rounds and responsibilities so that the two groups grow together into a “new” system that is built around the core things we do well. I use “new” in quotations because we have residents physicians and the model is similar to how we incorporate them but I want the mid levels to also have unique responsibilities that are theirs alone.
i am hoping that some of you have ideas or have gone through the incorporation of mudlevels into a high functioning practice and how you made it successful or what pitfalls you wished you were able to bypass.
the second portion of my question is how to incorporate the mid levels into current physician billing to catch missed billing opportunities.