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August 01.2025
3 Minutes Read

Rethinking Specialist Coverage: Why Virtual and Fractional Models Are Key for Financial Sustainability

Becker's Hospital Review logo on blue with skyline, related to virtual and fractional models in healthcare staffing.

Understanding the Shift in Healthcare Staffing

In the fast-evolving world of healthcare, the way specialists are covered is undergoing a significant transformation. With a staggering 85% of hospitals now relying on locum tenens as a key staffing solution, the trend raises an urgent question: Are these temporary fixes truly sustainable long-term? The problems associated with a heavy reliance on locums are abundant. While they serve a critical role for short-term needs, the high costs and frequent onboarding processes can lead to operational disruptions. As hospitals wrestle with budget constraints and specialist shortages, a smarter strategy emerges—leaning into virtual and fractional models that promise lasting benefits.

Rethinking Staffing: Virtual and Fractional Coverage

Imagine a model where hospitals can address patient needs without the burden of full-time salaries or relocation hurdles. This is the premise behind fractional virtual coverage. Instead of committing to a full-time employee, hospitals can engage specialists on a per-consult basis, significantly lowering their overhead costs. This flexible model enables healthcare facilities to respond more dynamically to patient demand. A prime example of this efficiency is demonstrated by a community hospital that successfully integrated virtual infectious disease and hematology/oncology consultations into its services. The result? An impressive 81% of consultation patients avoided transfers, and the hospital recorded a remarkable 14x return on investment.

Maximizing Resources with a Hub-and-Spoke Approach

The second strategy involves consolidating provider panels across multiple locations. Instead of independently staffing each facility, health systems can create a centralized consultative service that pools resources and distributes coverage effectively across their network. This hub-and-spoke approach not only optimizes the use of high-value specialists but also generates consistency in care delivery and mitigates redundant hiring practices. With virtual assistance for consults, procedural specialists can dedicate more time to surgeries and less to administrative tasks, freeing them up for over $300,000 in potential annual revenue simply through improved scheduling practices.

The Economic Reality: Costs vs. Benefits

While the shift towards virtual staffing models poses certain challenges, the potential financial benefits are hard to ignore. Hospitals can experience drastic clinic cost savings by transitioning away from traditional staffing approaches. More than just a temporary solution, this strategy paves the way for growth and smarter resource allocation, making it a compelling case for healthcare administrators. Factors like medical billing recovery and insurance underpayments underscore the need for practices to adjust their models to meet the current economic landscape.

Embracing Technology: The Future of Healthcare Staffing

As the healthcare industry adapts to the needs of patients and providers in the digital age, embracing automation and technology is essential. Tools like voice AI agents and healthcare automation streamline processes, enhance patient engagement, and enable effective medical office workflow. Not only do these innovations help with provider onboarding and retention, but they also serve to bolster telehealth revenue, especially crucial as the demand for remote consultations grows.

Patient Engagement Tools and Compliance

To further ensure a successful transition into these new models, practices must also consider the incorporation of patient engagement tools that facilitate ongoing communication and commitment to care. Such tools not only streamline administrative tasks but are pivotal in maintaining compliance with HIPAA regulations. They enhance the patient experience while addressing vital healthcare business tools that that lead to better outcomes.

The Shift is Here: Taking Action

The healthcare landscape is changing faster than many realize. Moving towards virtual and fractional staffing models isn’t just a trend; it’s a necessary evolution towards sustainable practice revenue optimization. For independent practitioners, rural health clinics, and community pharmacists, embracing these changes will lead to significant benefits—not just in costs, but also in patient satisfaction and engagement. The opportunity for independent pharmacy growth is vast, particularly as services evolve to focus on a more integrated, patient-centered approach.

As we move deeper into this new era of healthcare, those who adapt will not only survive but thrive. Reach out to colleagues to share insights about fractional and virtual services. Secure your future, streamline your processes, and elevate the standard of care you provide.

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12.16.2025

AI Model Enhances Prediction of Late Recurrence Risk in Breast Cancer

Update Revolutionizing Breast Cancer Treatment with AI The recent developments presented at the San Antonio Breast Cancer Symposium shed light on a remarkable stride in oncology—artificial intelligence (AI) is transforming how we predict late recurrence risks in hormone receptor (HR)-positive breast cancer. The Clarity BCR model, a deep-learning algorithm designed to assess recurrence risk, aims to enhance treatment personalization and ultimately improve outcomes for patients. Understanding the Clarity BCR Model Developed from the Phase 3 NSABP B-42 trial, the Clarity BCR model integrates multiple data sources to stratify patients based on their risk of late distant recurrence. By using histological imaging data, clinical information, and even bone mineral density metrics, this multimodal multitask model excels in identifying patients who would benefit the most from extended endocrine therapy. Eleftherios P. Mamounas, MD, MPH, from the Orlando Health Cancer Institute, emphasized that this AI-driven approach is not only innovative but necessary. Traditional methods, while useful, often fall short in providing precise predictions beyond the five-year mark, a critical window where many relapses occur. With AI, predictive accuracy is enhanced, marking a significant leap towards individualized patient care. Clinical Validation and Implications Integral to the model's development was its validation against the TAILORx clinical trial data, which included a diverse cohort of node-negative and node-positive patients. The model demonstrated superior discrimination capabilities, effectively identifying high-risk patients with a hazard ratio of approximately 1.8%. This offers profound implications: by recognizing those at higher risk, healthcare providers can tailor treatment strategies more precisely, potentially doubling the absolute benefit seen from extended therapy. The Future of AI and Cancer Care As we embark on this new era of oncology, the future of AI in cancer care looks exceptionally promising. The integration of AI tools in clinical settings could lessen the burden on healthcare systems by minimizing unnecessary treatments for low-risk patients, thereby optimizing resource utilization. Additionally, AI's potential for early and accurate risk assessment contributes to a more informed decision-making process concerning treatment pathways, strengthening value-based care initiatives. Barriers to Implementation Despite the positive outlook, several challenges remain. Ensuring widespread accessibility to AI technologies in diverse healthcare environments is crucial. It's essential to address disparities in access to advanced diagnostics and ensure that all patients benefit equitably from such innovations. Training for providers on interpreting and applying AI-generated insights will also be fundamental. Enhancing Patient Outcomes Through Continuous Research The evolution of breast cancer treatment via AI accentuates the importance of ongoing clinical research and innovation. As highlighted by experts, technologies like the Clarity BCR model serve as a potential template for developing advanced prognostic tools across various cancer types. The continuous pursuit of enhancing patient outcomes should remain at the forefront of healthcare policy discussions and funding allocations. Engaging in the Conversation: What Can You Do? As professionals driven to improve patient care, it's essential to stay informed about the latest medical news and advancements in clinical research like those being made with AI. Consider attending workshops, participating in forums, and engaging in further education related to AI tools and their application in treatment plans. Together, we can harness the power of innovation to revolutionize breast cancer care. To explore more about how AI models are transforming healthcare, delve into additional resources, attend upcoming conferences, or connect with fellow healthcare professionals to share insights and practices. Let’s be part of this exciting journey toward precision medicine and better patient outcomes!

12.15.2025

Is Nursing Weighing You Down? Exploring Obesity Among Nurses

Update Why Nurses Struggle with Weight: The Job's Hidden TollThe demanding nature of nursing is well-documented. With long shifts, short staffing, and the constant pressure to care for patients, it's understandable that many nurses might turn to food for comfort. This reality is echoed in a recent article highlighting that more than half of nurses fall into the overweight or obese categories according to the American Nurses Association's HealthyNurse Survey. Yet, the stigma around obesity often leads to misconceptions that place blame on personal choices rather than the inherent challenges of the occupational environment.The Vending Machine Trap: A Nurse's DilemmaPicture this: another 12-hour shift has left you exhausted. The break room options? A vending machine filled with sugary snacks and processed foods. In an environment where time is scarce, nurses often lack access to nutritious meals. As one cited source states, shift work, especially night shifts, can upend normal eating patterns, making the prospect of a balanced diet feel impossible. Instead of fresh salads, we might find ourselves devastated by the lack of healthy options and succumbing to fatigue with a hurried fast-food meal or sugary snack.Addressing Invisible Stigmas: Obesity in HealthcareLinking nursing and obesity is often fraught with discomfort. Many in the profession have experienced, either firsthand or indirectly, how stigmas can influence treatment and support. Understanding obesity as a chronic disease rather than a personal failure can empower nurses to seek help without fear of judgment. The nursing field itself often profits from the idea that healthy living is easy — but with irregular hours and the demands of patient care, this becomes a Herculean task.Support Systems: Key to Healthier OutcomesThe discussion around nursing and obesity is also one about support systems. Just as nurses provide care for their patients, they need encouragement from workplace environments that prioritize wellness. Innovative workplace strategies like healthy food options and structured breaks can significantly impact a nurse's overall health. Hospitals and organizations that recognize this and implement supportive measures help pave the way for healthier lifestyles. Simple steps, like introducing healthier snacks in break rooms and ensuring available time to eat properly, can lead to significant changes in a nurse’s health.Long-term Solutions: Strategies for Nursing HealthFor those navigating these challenges, creating realistic, achievable health goals is essential. Nurses should consult healthcare professionals who understand the complexities of obesity. This could mean working with dietitians for personalized meal plans or utilizing wellness programs offered in healthcare settings. Engaging in frequent discussions about food choices and physical activity during team meetings can also foster a supportive culture. It is vital for nursing leaders to lead by example by promoting their wellness journeys and emphasizing self-care.Conclusion: Redefining Our Role as Healthcare ProvidersUltimately, the responsibility of maintaining health falls on both individual nurses and their healthcare institutions. A crucial question arises: Can an overweight nurse still serve as an effective health role model? The answer should be a resounding yes. Every nurse's experience is valuable in understanding the challenges of weight management, which means we must approach the topic with empathy and support. It’s time to foster a culture within healthcare that prioritizes wellness for all, creating environments where healthcare providers can thrive both physically and mentally.As the nursing field continues to evolve, addressing weight and health should be a shared priority. Hospitals and healthcare professionals must assess their systems to ensure that all staff members have access to the resources they need to care for themselves, just as they care for their patients. Together, we can shift the narrative surrounding nursing and weight, creating a healthier future for all healthcare providers.

12.14.2025

Understanding the Safety of Menopausal Hormone Therapy for BRCA Carriers

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