Hospital Practitioner
Practice Evaluation
Performance Assessment and Benchmarking
Documentation, Coding,
and Billing Analysis
Productivity-Based Compensation Plans
Practice Selection
Leadership Development
Leadership Skills Development
Leadership Innovation
Leadership Mentoring
Change Management
Mission Statement Development
Strategic Planning
Time Management
Contract Negotiation and Mediation

Result Hospital Physician Group

“I consider HPC the experts in the realm of Hospital Based Physician Groups and related issues...Without hesitation I recommend HPC for such engagements.”

—William (Bill) Webster, CEO
Medical Center Hospital
Odessa, TX



Dr. Hellstern's article Popping Up Like Weeds was the #3 Article of 2015 on ACEP Now. Ron is on the EDBA faculty.
Performance Benchmarking

In today’s healthcare market, hospital-based clinical services are being challenged to increase performance quality and efficiency. Status quo is not an option. But for administrators, it’s hard to know what help to provide, or what assistance physicians will accept.

Hospital Turnarounds

Hospital Practice Consultants (HPC) has a proven track record in hospital-based clinical service “turnarounds.” We understand that physicians in these practices want to succeed but may not have the broader market awareness to effectively make the necessary changes.

Our performance benchmarking services show strengths and opportunities for improvement. The result is an action plan to improve communication skills, business management tactics, and measurable results.

Renewal vs Replacement

Re-focusing and preserving a long-term contractual relationship is almost always preferable to making a wholesale change. But all hospital-based practices must continually improve to meet the hospital’s needs. We deliver the motivation for change and insight on how to achieve it. With our help your hospital-based practice can reach the next level of performance quality and efficiency.


“Robert, Ron, and Sally confirmed our operational concerns and identified others in short order. It was especially helpful to know that our performance expectations weren’t unreasonable or our goals unattainable. We value our emergency physician group and knew that they were also frustrated that we weren't achieving the goals we had both established. I believe everyone from the ED unit clerks to the hospital board members are pleased with the plan of action HPC helped our physician group and department personnel create. We are well on our way to securing our targeted performance gains.”

—Phyllis Cowling, United Regional President & CEO

United Regional Wichita Falls, Texas

System Challenges

United Regional’s emergency department was experiencing lengthy throughput times and poor patient satisfaction scores complicated by an EMR not specifically designed for the ED. Physicians and nurses were not communicating effectively and the independent physician group was struggling to recruit sufficient manpower. Something clearly needed to be done, but what and how?

Insight and Clarity

Robert Fielder and Dr. Hellstern, along with HPC’s nursing consultant, benchmarked all aspects of the ED’s performance from the EMR’s functionality to the way the providers were being paid; from the nursing leadership’s structure to the triage criteria. HPC's insights and perspective provided clarity about what wasn’t working in the department and that provided the foundation for change.

Action Plan

Plans for corrective action were formulated and implemented with the active input and participation of the physician group, ED nursing and staff, as well as hospital administration. With realistic, objectively measurable goals and timelines in place, HPC personnel provided direction and coaching until the team took the lead. Already the measurable results are improving.