Pediatric Hospitalist Respondents With Complete Comanagement Billing Surveys, 2014

Practice Characteristicsn%
Type of hospital (n = 98)
 Free standing children’s hospital2930
 Children’s hospital within a larger hospital2828
 Community hospital3031
 More than 1 setting77
 Other description (university, tertiary)44
No. of pediatric beds in hospital (n = 98)
No. of FTE pediatric hospitalists in group (n = 98)
Zip code zone (n = 63 unique codes)15
 First digit: 0–1 (Northeast: CT, DE, MA, ME, NH, NJ, NY, PA, RI, VT)1524
 2–3 (Southeast: AL, FL, GA, MS, NC, SC, TN, VA, WV)914
 4–6 (Midwest: IL, IN, KS, KY, MT, MI, MN, MO, NE, ND, OH, SD, WI)1524
 7 (South: AR, LA, OK, TX)813
 8–9 (West/Southwest: AK, AZ, CA, CO, HI, ID, NM, NV, OR, UT, WA, WY )1625
Comanagement program characteristics
 Dedicated surgical hospitalists (n = 98)1313
 Predominant surgical partners (n = 97)
 Adult-trained surgeons2021
 Pediatric-trained surgeons7678
 Comanage/consult with pediatric residents (n = 97)4142
 Comanage/consult with surgical residents (n = 97)5456
 Automatic arrangements with surgical specialties to perform services without a specific request (n = 100)4444
 Written service agreement with surgeons (n = 100)2929
 Percent of daily hospitalist census that is surgical (n = 98)
Source of funds to support care for surgical patients (n = 87)
 General hospital funds2428
 General surgical funds22
 Surgical global fee78
 Hospitalist billing reimbursement5159
 Don’t know1923
Billing (n = 99)
 Contract with surgeons to receive portion of global fee11
 Surgeons use modified code (54) to exclude postoperative care00
 Aware of pediatric hospitalist reimbursement for care of surgical patients2323
 Aware of state/institutional guidelines for surgical comanagement/consultation billing1010
  • FTE, full-time equivalent.