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.

 “Conflict is inevitable—your anticipation and preparation for dealing with it determines whether your performance and productivity are damaged or enhanced.”

Robert Fielder, Principal
Robert Fielder has worked with hospital-based physicians for more than three decades. His career began with two of the large national emergency department contract management services. He has since been recognized as one of the foremost advocates of the “Independent Practice Model.”

In 1985, he founded Physician Staffing Resources, Inc., (PSR). Over the next ten years, he organized (or reorganized) more than thirty emergency medicine and anesthesia practices. The resilience and responsiveness of these Practices was fostered by Robert’s innovations in organizational governance and collective decision-making.

When hospital clients began requiring that their emergency department physician practices accept greater financial risk, PSR took the lead in facilitating that transition. By 2000, the company had become the leading provider of practice management and business management services to independent hospital-based practices.

He continues to advise healthcare executives and physicians on practice formation and operation. In addition to his considerable experience in preparing for and resolving conflicts involving physicians and hospitals, Robert also holds a Masters of Arts degree in dispute resolution. This designation makes him qualified to assist hospitals and their physician vendors with contract negotiation and mediation.

Robert answers questions about emergency department staffing issues at Emergency Physician Staffing.

 “Everyone wants to succeed. It's leadership's job to convince them that they can and then provide whatever they need to win.”

Ronald A. Hellstern, MD, Principal
Ron Hellstern received both his undergraduate and medical degrees with honors from the University of Missouri-Columbia where he was also elected to membership in the medical honor society Alpha Omega Alpha.

He has had a highly entrepreneurial career founding the Dallas-Fort Worth CareFlight air ambulance service, the Primacare Medical Center network of physician-owned urgent care centers in DFW, a regional emergency medicine contract ED staffing company, billing and transcription companies, and a large multi-specialty group practice management firm, also based in Dallas-Fort Worth.

Dr. Hellstern has had extensive practice management, coding, billing, and medical leadership development experience. He is a charter faculty member of the American College of Emergency Physicians' Emergency Department Director's Academy and currently represents emergency medicine on the Emergency Nurses' Association Nurse Staffing Guidelines Task Force.

Ron helps physicians manage their emergency medicine practices at his blog Emergency Physician Groups.