Differences From
Traditional Hospitalist Model

Emergency Department Flow

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Some ways in which the MDxL model differs from other hospitalist programs include the following:

  • Local community physicians are involved in creating a network- rather than new, unknown, questionably competent, hired physicians to care for the hospitalized inpatients.

  • Case-specific selected specialists are called in to coordinate emergency room and inpatient management in a manner that best fits each patient's medical needs.

  • Continuity of care may be maintained from the inpatient to the outpatient setting. In many cases, the same MDxL specialist will see the patient in the emergency department, hospital, and for initial post-acute care in the outpatient setting, and will communicate efficiently with the primary care physician. When stable, the patient is returned to the primary care physician for routine continued care. This coordination of care reduces redundancy of testing, and makes it easier to perform indicated testing as an outpatient rather than in the more expensive inpatient setting.

  • Incentives to appropriately decrease admissions and hospital days are much clearer in the case of the MDxL specialist since the MDxL physician sees the patient in both the inpatient and outpatient setting. Traditional hospitalists are only reimbursed for inpatients. If a patient is not admitted from the emergency room, he may receive no fee or a lower fee. Similarly, the traditional hospitalist incentive may mitigate against sending an inpatient home, since the hospitalist is no longer paid.

  • Traditional hospitalists are frequently an added cost; in most instances consultant specialists will likely need to see the patient anyhow. When a specialist is merely a consultant as opposed to the attending physician, he or she will have less motivation and control over getting tests done efficiently and discharging the patient.

  • Case specific specialist hospitalist physicians require fewer consults and procedures than do generalist hospitalist physicians.

  • MDxL incorporates triage nurse case managers to assist our attending specialists with disposition arrangements for patients.

MDxL's goal is to be a physician group partner with health plans, employers, hospitals, and patients in order to deliver the highest quality medical care, while effectively managing overall costs for patients ill enough to be considered for acute inpatient care. MDxL is a patient first, high quality, Specialty Physician Company that strives to serve our network partners with total medical management of potentially high-cost patients.