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Hospitalist Medicine

As the Western New York population ages and acuity levels rise, coordination of inpatient care has become increasingly complex. BEA has developed innovative Hospitalist programs that significantly improve the quality of inpatient care while helping to keep related costs in check.

BEA, through the Exigence Hospitalist Division, has steadily grown to meet the needs of our hospital partners. Exigence Hospitalist Division provides customized solutions including rapid response, geriatrics, medical management of surgical patients, skilled nursing and medical intensive care units. We currently have programs with Mount St. Mary’s Hospital, Olean General Hospital, Mercy Hospital of Buffalo, and Erie County Medical Center, and we are exploring other partnerships throughout the country.

BEA/Exigence Hospitalist Program Features

• Hospital administrators and their medical staff have unlimited access and interaction with our medical directors and practice managers (face-to-face and daily, if necessary)
• We provide 24/7 care covering admission, management and coordination of all inpatient care, discharge and follow-up programs
• We handle rapid response, all codes, changing critical conditions, etc.
• Physicians who are currently doing hospitalist work have the opportunity to practice with us
• We will cover inpatient care for all physicians who choose to use the service; physicians may choose to use any level of service that meets their needs (e.g., vacation, holiday, and respite coverage)
• We provide service roster coverage upon request
• We maintain primary care physician (PCP) referral patterns
• We have a comprehensive communication program with PCPs (updates, change of condition and critical care notifications)
• We provide a seamless transition of care from the Emergency Department to inpatient units
• We are committed to standardization of care (adherence to national best practices)
• Our collection, analysis and reporting of metrics drive quality
• We ensure that all providers are accountable for indicators and benchmarks
• We participate in all patient safety initiatives

BEA/Exigence Results

BEA/Exigence has helped to improve the in-patient experience at every hospital with whom we partner. Our results include:

• Improved and consistent delivery of quality care by our contracted providers
• Achievement of key organizational performance benchmarks:
  • Reduced LOS, re-admissions, claims denial, surgical delays, mortality rates
  • Improved Core Measures, patient satisfaction, throughput, documentation efficiency
• Reduced risk potential
• Positive, synergistic relationships with medical staff
• Improved practice integration with the hospital
• Improved financial health of institution