Peterson Regional Medical Center

Hospital

Peterson Regional Medical Center moved into its new 124-bed facility in April 2008. 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. It serves a primary service area of over 45,000 people.

Specialty backup includes Cardiology, ENT, Gastroenterology, General Surgery, Hematology/Oncology, Nephrology, Neurology, Orthopedic Surgery, Obstetrics and Gynecology, Ophthalmology, Pulmonology, Radiology and Interventional Radiology, Urology, and Vascular Surgery. 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.

Community

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.

Critical Care

• ICU Volume: 10
• Closed ICU, admits by critical care intensivists 7am-5pm and hospitalists 5pm-7am
• 10 hours per day inhouse intensivist 7 days per week
• Night coverage by APPs, preferably with procedural experience
• Mixed Medical-Surgical ICU
• Respond to codes when on site
• Work collaboratively with the rest of the IAC team (ED, HM)

Emergency Department

• ED Volume: 31,000
• ED Beds: 20
• Patients/Hour: 2
• Admission Rate: 26%
• Transfer Rate: 4%
• Coverage: 9-hour  physician shifts with 27 hours of total physician coverage per day, plus 2 overlapping APP shifts per day
• Qualifications: BC/BP in Emergency Medicine preferred
• Documentation: Meditech pDoc (version 6.1) with optional (but recommended) Dragon
• Excellent nursing staff with strong, experienced nursing leadership
• Moving toward Trauma Level IV designation 
• Stroke certified; however, still transfer patients who require lytics and/or arterial thrombectomy 
• Perform percutaneous coronary intervention
• Provide infectious disease consults via telemedicine

Hospitalist Service

• Average Daily Encounters: 85
• A cohesive team of 8 Hospitalist physicians and 6 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 Emergency Department 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