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For Hospitals

Architecting Your Physician Workforce

Physician staffing should do more than fill vacancies. Open Source MD works with hospitals and health systems to build, stabilize, and grow physician services around the needs of the hospital, its patients, and its medical staff.

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A Different Approach to Physician Workforce Strategy

Persistent vacancies, physician turnover, locums dependence, service-line instability, and difficulty recruiting specialists can affect patient access, continuity, throughput, medical staff stability, growth, and financial performance. OSMD approaches these challenges as workforce and service-line problems rather than simply as open shifts that need to be filled.

OSMD is designed as a long-term, permanent workforce solution in which hospitals contract directly with physicians, while OSMD supports the physician workforce and service-line strategy. Our goal is to create physician programs that are more stable, more flexible, and better aligned with the strategic needs of the organization.

Physicians and nurses walking together through a bright hospital corridor

What OSMD Helps Hospitals Build

  • Stability

    Create durable physician teams and reduce the repeated cycle of vacancies and temporary coverage.

  • Flexibility

    Develop workforce capacity that can adapt as volumes and clinical programs change.

  • Alignment

    Create stronger relationships among physicians, medical staff leadership, and hospital administration.

  • Growth

    Support hospitals developing or expanding clinical service lines.

  • Continuity

    Increase the likelihood physicians return consistently and become part of the medical community.

  • Performance

    Build physician programs that support broader clinical, operational, and financial objectives.

A medical team walking and laughing outside their hospital

Is Your Hospital a Fit for OSMD?

OSMD can work with hospitals of different sizes. The most important consideration is whether there is enough recurring physician need to support a meaningful, long-term OSMD presence. As a general guideline, OSMD partnerships typically involve the equivalent of at least two physicians working each day on an ongoing basis. Those physicians do not necessarily need to practice in the same specialty. The model is intended for durable, permanent physician relationships rather than short-term coverage.

The common denominator is not hospital size. It is sufficient recurring physician demand to support a durable partnership.

Is Your Hospital a Fit?

Community & Medium-Sized Hospitals

Community and medium-sized hospitals can be particularly well suited to OSMD when there is enough recurring physician need to support a durable long-term relationship.

In some hospitals, OSMD may provide most or all of the physicians required for a clinical service. As a general guideline, OSMD partnerships typically involve the equivalent of at least two physicians working each day on an ongoing basis.

Those physicians do not necessarily need to practice in the same specialty. A hospital’s total need may be distributed across several clinical programs.

See If Your Hospital Is a Fit

Is Your Hospital a Fit?

Larger Hospitals & Health Systems

A hospital does not need to replace its employed physician workforce in order to partner with OSMD.

Larger hospitals and health systems may use OSMD to establish a stable, recurring physician presence alongside an existing W-2 team. OSMD physicians can provide a durable portion of the overall workforce while the hospital retains the physicians and infrastructure already working well.

This creates another option for organizations that need additional long-term physician capacity but do not need or want to outsource an entire service.

Discuss Your Workforce Needs

Is Your Hospital a Fit?

Multi-Specialty Hospital Partnerships

The physician volume supporting an OSMD relationship does not need to come from a single specialty.

A hospital may have recurring needs across Hospital Medicine, Pulmonary & Critical Care, Cardiology, Trauma Surgery, Primary Care, Urgent Care, or other approved programs. OSMD can evaluate those needs collectively and determine whether a coordinated multi-specialty partnership is feasible.

This can be especially valuable for community and regional hospitals that are simultaneously strengthening several clinical programs.

Explore a Multi-Specialty Partnership

Three Ways OSMD Can Support a Hospital

Three Ways OSMD Can Support a Hospital

Long-Term Physician Workforce Solutions

OSMD helps hospitals establish long-term, permanent physician workforce solutions in which participating physicians contract directly with the hospital.

The objective is not temporary staffing or isolated shift coverage. It is to create stable, recurring physician relationships that become an enduring part of the hospital’s medical staff and clinical community.

OSMD may help build an entire physician service or provide a durable portion of the workforce alongside existing hospital-employed physicians. The appropriate approach depends on the hospital’s clinical needs, existing physician resources, patient volumes, recruitment environment, and long-term objectives.

Discuss Your Physician Workforce

Three Ways OSMD Can Support a Hospital

Service-Line Development

Building a successful clinical service requires more than finding physicians.

OSMD works with hospital leadership to understand the physician workforce needed to establish, stabilize, restructure, or expand a clinical program. Depending on the service, that may involve physician recruitment, workforce planning, onboarding, integration with the existing medical staff, and development of durable physician relationships.

The goal is to align physician workforce development with the hospital’s larger clinical, operational, and community objectives.

Discuss a Service Line

Three Ways OSMD Can Support a Hospital

Strategic Hospital Partnership

Some hospitals need a broader physician strategy that extends beyond one specialty.

OSMD can develop long-term relationships that span multiple physician services and evolve as the hospital’s priorities change. A broader partnership may combine physician workforce development, service-line growth, recruitment and retention support, physician integration, and access to OSMD’s physician-support ecosystem.

The specific workforce methods used to accomplish these objectives are developed individually for each organization and remain proprietary to OSMD.

Explore a Strategic Partnership

The Infrastructure Behind the Physicians

Finding a physician is only one part of building a sustainable workforce. OSMD provides or coordinates certain services associated with OSMD opportunities and maintains relationships with independent third-party organizations that may offer additional resources.

  • Other professional resources relevant to independent physicians

Medical Malpractice

Medical Malpractice Support

Medical malpractice can be a practical barrier when hospitals develop direct relationships with independent physicians.

OSMD maintains relationships with independent malpractice providers that may offer physician-focused coverage options to affiliated physicians. This provides another resource physicians can evaluate as they establish a long-term relationship with a hospital.

OSMD does not underwrite malpractice insurance or guarantee that a particular policy is suitable for an individual physician. Coverage, limits, premiums, policy structure, exclusions, and other terms are determined by the independent provider.

Learn About Malpractice Resources

Credentialing & Onboarding

Credentialing & Onboarding Support

Physician recruitment does not end when a physician agrees to join a program. Credentialing, medical staff applications, documentation, and onboarding can create substantial administrative work for both the hospital and physician.

OSMD provides credentialing and onboarding support for OSMD-related opportunities to help organize and move that process forward.

Physicians remain responsible for completing required applications, providing documentation, maintaining licenses and certifications, and meeting hospital, medical staff, and regulatory requirements.

Talk With OSMD

Administrative Support

Administrative Support for Independent Practice

Sustainable physician relationships require more than a contract and a clinical schedule.

OSMD provides or coordinates certain administrative functions associated with OSMD opportunities and helps physicians navigate the practical requirements of joining a hospital program. This may include credentialing support, onboarding coordination, communication, and other administrative assistance associated with the physician relationship.

Additional professional resources may be offered by independent third-party organizations.

Learn About Physician Support

Physician Logistics

Physician Logistics

Building a sustainable physician relationship sometimes requires practical logistical support beyond the clinical role itself.

Where appropriate, OSMD can coordinate certain logistics associated with an OSMD physician opportunity. The specific arrangements depend on the hospital, geography, physician, and clinical program.

Discuss Your Program

Health Insurance

Health Insurance Resources

Independent physicians may need alternatives to traditional employer-sponsored health benefits.

Through independent third-party relationships, OSMD-affiliated physicians may have access to health insurance resources that they can evaluate for themselves and their families.

Eligibility, networks, premiums, deductibles, benefits, exclusions, and other coverage terms are determined independently by the provider. OSMD does not underwrite health insurance or guarantee eligibility, pricing, coverage, or suitability.

Learn About Physician Resources

Banking & Lending

Banking & Lending Resources

Independent physicians and physician-owned businesses can have financial needs that differ from traditional salaried employees.

Through relationships with independent financial institutions, OSMD-affiliated physicians may have access to personal banking, business banking, lending, lines of credit, liquidity resources, and other physician-focused financial services.

All credit decisions, underwriting requirements, rates, fees, terms, and eligibility decisions are made independently by the financial institution.

Explore Physician Resources

Physician Mortgages

Physician Mortgage Resources

Physicians may encounter unique circumstances when financing a home, including educational debt, business income, or nontraditional compensation structures.

Through independent financial institutions, OSMD-affiliated physicians may have access to physician-focused mortgage programs they can independently evaluate.

Loan availability, underwriting, qualification criteria, rates, down-payment requirements, fees, and other terms are determined solely by the lender. OSMD does not provide mortgage lending or guarantee approval.

Learn About Physician Mortgage Resources

Wealth Architecture

One Organization. Multiple Disciplines. One Ongoing Strategy.

Through an independent third-party relationship, OSMD-affiliated physicians may have access to a multidisciplinary wealth-architecture organization that coordinates professionals who might otherwise work separately.

Depending on the physician’s needs, the team may include financial planners, CPAs, attorneys, insurance specialists, investment professionals, business and entity specialists, retirement-plan professionals, banking resources, and other advisors.

The approach is designed to function more like an ongoing personal CFO relationship than a one-time financial plan, with professionals communicating around a coordinated long-term strategy.

OSMD does not provide legal, tax, investment, insurance, estate-planning, asset-protection, or financial advice.

Explore Wealth Architecture

How Hospitals Can Leverage the Physician-Support Ecosystem

Hospitals recruit physicians with more than compensation and a schedule.

  • Recruitment differentiation

    Physicians may see greater overall support than they would from a bare staffing arrangement alone.

  • Retention support

    Access to resources beyond the clinical shift can make a long-term relationship more attractive and sustainable.

  • Reduced implementation burden

    Hospitals can piggyback on support resources associated with OSMD rather than building every resource internally.

  • More complete physician value proposition

    Hospitals can present an opportunity that includes professional infrastructure in addition to compensation and scheduling.

How Hospitals Can Leverage This Ecosystem

A Broader Recruitment & Retention Proposition

Hospitals recruit physicians with more than compensation and a schedule.

Independent physicians may also need malpractice resources, health coverage, banking and lending, mortgage solutions, professional financial resources, administrative assistance, and other infrastructure.

OSMD and its independent third-party relationships can give affiliated physicians access to a broader professional ecosystem. Hospital partners can benefit from this infrastructure without having to independently build every component themselves.

The result can be a more complete physician value proposition - helping differentiate the opportunity, reduce practical barriers to recruitment, and make long-term physician relationships easier to sustain.

Talk With OSMD About Recruitment & Retention
Clinicians welcoming a new colleague with a handshake and applause

OSMD Is Not Locums or Temporary Staffing

OSMD does not provide locum, interim, temporary, or other short-term staffing. OSMD is designed for long-term, permanent physician workforce relationships in which hospitals contract directly with physicians. OSMD supports those relationships through workforce strategy, service-line development, physician recruitment, and professional infrastructure.

Medical Malpractice as Part of the Infrastructure

For some hospitals, medical malpractice requirements can create a practical obstacle when working directly with independent physicians. OSMD maintains relationships with independent providers that may offer coverage options to affiliated physicians. OSMD does not underwrite coverage, and the existence of malpractice coverage does not independently determine worker classification.

Building and Stabilizing Clinical Programs

  • Stabilizing an existing physician service
  • Replacing an unsustainable staffing model
  • Reducing dependence on temporary coverage
  • Supplementing an existing employed workforce
  • Recruiting difficult-to-find physicians
  • Developing or expanding a clinical service
  • Coordinating physician resources across multiple specialties
  • Supporting onboarding and physician integration
Physicians and clinicians planning together over a tablet

Built Around the Hospital

OSMD does not use one predetermined staffing template. Each hospital is evaluated individually based on existing physician resources, patient volume, physician requirements, service-line objectives, recruitment challenges, operational priorities, medical staff needs, growth strategy, and opportunities to integrate multiple specialties.

Proprietary Workforce Design

OSMD has developed proprietary workforce strategies designed to improve stability, flexibility, continuity, physician engagement, and hospital alignment.

Experience Beyond Staffing

OSMD leadership works alongside hospital and health-system executives on challenges extending beyond recruitment, including service-line stabilization, clinical program development, physician leadership, medical staff alignment, hospital turnaround initiatives, and engagement with governmental and community stakeholders.

A Hospital Executive’s Perspective

Bud Wethington personally observed OSMD operating within a hospital while serving as a hospital CEO. His perspective gives hospital leaders independent insight into OSMD from an executive who saw the model in practice.

Hospital FAQs

Is OSMD a locums or temporary staffing company?

No. OSMD does not provide short-term or temporary physician staffing. OSMD is designed around long-term, permanent physician workforce relationships in which hospitals contract directly with participating physicians.

Our goal is to help hospitals establish durable physician teams and clinical programs rather than fill isolated temporary assignments.

What types of hospitals are a good fit for OSMD?

OSMD can work with community hospitals, medium-sized hospitals, and larger health systems.

The most important consideration is whether there is sufficient recurring physician need to support a meaningful long-term OSMD relationship. As a general guideline, OSMD partnerships typically involve the equivalent of at least two physicians working each day on an ongoing basis.

Those physicians may practice within one specialty or across multiple specialties.

Does OSMD have to take over an entire physician service?

No.

OSMD may provide most or all of the physicians required for a service line, but OSMD can also provide a stable portion of the workforce alongside an existing hospital-employed physician group.

The appropriate structure depends on the hospital’s existing medical staff and long-term workforce needs.

Can an OSMD partnership include multiple specialties?

Yes.

The recurring physician requirement supporting an OSMD relationship can be distributed across several specialties rather than concentrated in one clinical service.

This allows hospitals to address multiple physician and service-line priorities through one broader OSMD relationship.

What physician services does OSMD currently support?

Current OSMD physician services include Hospital Medicine; Pulmonary & Critical Care; Cardiology; Trauma Surgery; Primary Care; and Urgent Care.

Additional physician services are evaluated individually based on hospital need, physician availability, market conditions, infrastructure, and the ability to create a sustainable long-term program.

Can OSMD stabilize an existing program?

Yes.

OSMD can work with hospitals facing physician turnover, persistent vacancies, recruitment difficulties, lack of continuity, or instability within an established clinical program.

The objective is to create a more durable physician workforce and strengthen long-term relationships among physicians, hospital leadership, and the medical staff.

Can OSMD help develop or expand a service line?

Yes.

OSMD can work with hospital leadership to evaluate and support the physician workforce needed to establish, restructure, or expand a clinical service.

This may include physician recruitment, workforce planning, onboarding, physician integration, and long-term program development.

How is OSMD different from a traditional staffing company?

Traditional staffing models commonly focus on filling individual openings or temporary coverage needs.

OSMD is designed around long-term physician workforce and service-line strategy. Participating physicians contract directly with hospitals, while OSMD focuses on physician recruitment, workforce stability, continuity, hospital-physician alignment, clinical program development, and the professional infrastructure that can help support long-term physician relationships.

What business and professional resources are available to physicians?

OSMD-affiliated physicians may have access to resources through OSMD and independent third-party relationships, including medical malpractice resources, health insurance resources, banking and lending, physician mortgage programs, wealth architecture, credentialing and onboarding support, physician logistics where applicable, and other professional resources relevant to independent practice.

Many of these services are optional and are provided independently.

Why does physician-support infrastructure matter to a hospital?

Recruiting physicians requires more than offering compensation and clinical work.

Physicians may also need malpractice coverage, health insurance resources, banking and financial services, administrative support, and other professional infrastructure.

Access to a broader support ecosystem can help a hospital create a more compelling recruitment proposition, reduce practical barriers for physicians, and support longer-term retention.

Does OSMD help physicians obtain malpractice coverage?

OSMD maintains relationships with independent medical malpractice providers that may offer physician-focused coverage options to affiliated physicians.

Physicians independently evaluate the available coverage and enter into their own relationship with the insurer.

OSMD does not underwrite malpractice insurance or guarantee the suitability of any particular policy.

Does OSMD determine employee versus independent contractor classification?

No.

Worker classification depends on the overall facts and circumstances of the relationship and applicable law.

No individual feature of OSMD’s model determines whether a physician should be classified as an employee or independent contractor. Hospitals should rely on their own legal and tax advisors regarding classification.

Does OSMD replace medical staff leadership?

No.

OSMD works collaboratively with hospital executives, medical staff leadership, clinical teams, and physicians.

The objective is to strengthen physician-hospital alignment and clinical programs, not replace the hospital’s established medical staff leadership structure.

Does OSMD use the same workforce model at every hospital?

No.

Every hospital differs in patient volume, physician resources, specialties, recruitment environment, clinical priorities, and long-term objectives.

OSMD evaluates each organization individually. The specific workforce design is developed around those needs, while the detailed operating methods remain proprietary to OSMD.

Can OSMD support employed and independent physicians within the same hospital?

Yes.

An OSMD partnership does not require a hospital to eliminate or replace its employed physicians.

OSMD-affiliated physicians can work alongside hospital-employed physicians as part of a broader clinical team when that structure supports the hospital’s long-term workforce needs.

How does a hospital relationship with OSMD begin?

It begins with a discussion about the hospital’s physician workforce, existing medical staff, service-line priorities, recruitment challenges, and long-term objectives.

OSMD then evaluates whether the organization has an appropriate recurring physician need and whether the OSMD model can provide a sustainable long-term solution.

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