Peterson Regional Medical Center

• 124-bed facility
• Named for local businessman Sid Peterson, this private hospital was named one of the “Top 20” Rural Community Hospitals in the nation—the only hospital in Texas on the list
• Serves a primary service area of 45,000+ people
• Hospitalists admit 85% of patients from the Emergency Department
• Stroke patients who receive fibrinolytic or who meet criteria for arterial thrombectomy are transferred to San Antonio after consultation with a Tele-Neurologist
• Specialty backup includes cardiology, ENT, OB/GYN

Medical professionals in Kerrville enjoy a lifestyle that blends all the best aspects of rural, suburban, and urban life. With excellent housing, real estate costs, and state- and nationally-distinguished schools, Kerrville is the perfect hometown for families. Outdoor recreational activities such as flying, hunting, fishing, hiking, biking, kayaking, triathlons, and photography abound in this beautiful area of the Texas Hill Country. Since both San Antonio and Austin are within a one- to two-hour drive, Kerrville is a perfect choice for physicians who want to practice in a smaller community with metropolitan amenities nearby.

• Trauma Designation: Level IV
• ED Volume: 35,000
• ED Beds: 20
• ED Admission Rate: 21%
• ED Transfer Rate: 4%
• Staffing Model:
  • 27-33 hours of daily physician coverage
  • 9-12 hour physician shifts plus two overlapping APP shifts per day
• EMR: Meditech 
• BC (or BE) in Emergency Medicine (preferred) or BC in FP/IM with a minimum of five years of ED experience 
• Stroke certified; however, still transfer patients who require lytics and/or arterial thrombectomy 

• ICU Volume: 8
• ICU Model: Closed, 12-bed ICU (to include step down); admits by critical care intensivists 7 a.m. - 5 p.m.
  • APP admits overnight 6 p.m. - 6 a.m.
• ICU Staffing Model: 10 hours per day in-house intensivist; 7 days per week
• Mixed Medical-Surgical ICU
• Respond to codes when on-site
• Work collaboratively with the rest of the IAC team (ED, HM)

• Average Daily Encounters: 77
• A cohesive team of 10 Hospitalist physicians and 4 Hospitalist APPs
• The team is supported by an IAC RN and an administrative coordinator
• Integrated Acute Care model where all providers are partners of one team covering Emergency Medicine, Hospital Medicine, and Critical Care Medicine
• Most patients admitted through the ED come under the Hospitalist service
• Hospitalists also provide medical consultation to the inpatient rehab unit staffed by dedicated physiatrists
• Hospitalists hand off patients to the Intensivist when requiring transfer to the ICU
• Multispecialty support
• Procedures not required

Rehabilitation Unit:

• 26-bed unit
• Average Daily Encounters: 14
• Provides medical consultation services in coordination with dedicated physiatrists in the Acute Rehab Unit
• Inpatient rehabilitation unit
• Stroke Specialty program
• Support of on-site hospitalist physicians and APPs
• The team is supported by an IAC RN and Administrative Coordinator
• 7 days on/7 days off schedule
• Pre-operative clinic
• Rehab APP provides clearance for elective orthopedic surgical candidates
• Tuesday – Friday: 4 scheduled patients per day