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.
Leadership Innovation

All hospital-based practices want to be successful, but not all of them are. In our years of experience, we’ve noticed that the successful ones usually have two characteristics:

Leadership’s ability to envision and implement needed changes.
The doctors’ willingness to innovate.
We help leaders by offering objective perspective on what needs to change and coaching them through courageous implementation.


“My colleagues and I had always worked for a large contract management group, so when the hospital informed us that the emergency department contract was being cancelled we were quite concerned. Then when the hospital asked if we wanted to ‘bid’ on the contract, we weren’t sure how to respond.

“HPC (Robert Fielder) showed us what it would take to operate the contract but made it clear how much more would be required if we wanted to succeed. Robert’s experience and expertise were indispensable in the transition from a collection of emergency physicians to a focused and responsive emergency medicine practice. He helped us understand the needs and expectations of our client hospital and showed us how to get the support and resources we needed to meet them. We are very pleased to have a new contract with Medical Center Hospital and believe we have put in place all of the pieces necessary to be here for a long time.”

—Greg Shipkey, MD, FACEP
Emergency Department Medical Director
Basin Emergency Physicians, PLLC, Odessa, TX

Basin Emergency Physicians, PLLC, Odessa, TX

Canceling the Contract

Medical Center Hospital (MCH) had notified the contract management group that they were canceling the emergency department contract. Realizing that a change was imminent, the emergency department physicians faced the decision to either aid in the selection process or bid on the contract themselves. They preferred the latter but were unsure how to proceed. The administration, intrigued by their interest, offered the assistance of HPC to assess their options.

Evaluating the Options

Because the physicians were highly valued by the hospital administration they were given every opportunity to succeed. Robert Fielder helped the physicians develop a game plan for evaluating their options and guided them through the decision-making process. As a result they had an objective perspective on the feasibility and sustainability of an independent emergency medicine practice.

New Group Wins the Contract

With Robert’s help, the doctors developed an action plan with prioritized decision milestones. He also mentored the membership and leadership as they pursued the plan. By the end of the engagement they had a new contract and a clear vision of what was required to succeed.