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Diligent Consulting Insights


How Are Trauma Surgeons Paid? Understanding Common Compensation Models
Trauma surgeon compensation is ultimately about more than physician billing. Because much of their work generates fewer billable revenue than elective surgery, hospitals have developed several compensation models for trauma surgeons.
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15 hours ago


How Advanced Practice Providers Strengthen Trauma Centers
Hospitals that intentionally invest in APP recruitment, training, and integration today will be better positioned to meet the growing demands of trauma care tomorrow.
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2 days ago


A Different Way to Structure Trauma Call: Lessons from Providence Regional Medical Center Everett (WA)
PRMCE has invested in a model where surgeons are physically present in the hospital around the clock and focus exclusively on acute care surgery during their shifts.
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3 days ago


How Should a Level II Trauma Center Structure Trauma Call?
Trauma call structures vary considerably across the country. The right model affects physician satisfaction, patient outcomes, recruitment, financial performance, and long-term sustainability of the trauma program.
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4 days ago


Why Trauma Centers Undergo Designation and Verification (When Most Other Hospital Services Don't)
At its core, trauma designation and verification are not about earning a certificate on the wall. They exist to answer one question: If a critically injured patient arrives at your hospital, will every system function exactly as it should?
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Jul 29


6 Benefits of a Mock Trauma Survey
A mock survey should provide a clear roadmap that helps the trauma program prioritize improvements, assign responsibilities, and establish realistic timelines before the official designation or verification visit.
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Jul 28


Why the Best Trauma Teams Aren't Just Skilled -- They Know Each Other
Sometimes the biggest advances in trauma care don't come from a new device or a groundbreaking procedure. Sometimes they come from something much simpler: knowing and trusting the person standing next to you.
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Jul 21


Why Rural Hospitals Downgrade or Close Their Trauma Programs
Trauma programs often disappear because hospitals can no longer sustain the people, resources, and regulatory requirements needed to maintain designation.
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Jul 9


Rural Specialty Systems of Care: Trauma, Stroke, and Cardiac Care
Hospital leaders make difficult decisions in rural communities when assessing capacity to provide trauma, stroke, and cardiac care.
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Jul 8


Should Your Rural Hospital Become a Trauma Center? A CEO's Decision Guide
Should your rural hospital become a trauma center? The decision involves far more than meeting designation standards.
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Jul 6


Why Trauma Centers Upgrade Levels
Hospitals upgrade their trauma center designation to improve access to advanced trauma care, better serve their communities, expand clinical capabilities, strengthen their competitive position, and support long-term financial sustainability.
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Jun 25


Why Do Trauma Centers Close or Downgrade Designation Level?
This post explores why trauma centers face closures or downgrades, highlights recent examples, and examines the effects on healthcare systems and the populations they serve.
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Jun 22


What CFOs Want Trauma Leaders to Know about Healthcare Finance
The trauma leaders who understand both clinical excellence and financial sustainability will be best positioned to build resilient programs that thrive in an increasingly challenging healthcare environment.
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Jun 18


Which Trauma Centers Are Actually Making Money?
Trauma centers succeed financially when they are part of a larger economic ecosystem, one that combines favorable payer mix, high patient volume, referral dominance, downstream specialty revenue, and health-system scale.
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Jun 16


Financial Metrics Every Trauma Program Leader Should Track
Trauma leaders should track admitted volume, contribution margin, reimbursement rate, payer mix, and cost recovery rate to assess financial performance, improve sustainability, and support strategic decisions.
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Jun 15


Why Physicians Resist Trauma Protocols & Guidelines
Top reasons physicians resist protocols, and what trauma leaders can do about it.
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Jun 10


Trauma Policies, Protocols, and Guidelines: All the Ways to Tell People What to Do.
What's In a Name? A breakdown of terms for trauma policies, protocols, and guidelines.
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Jun 9


Understanding the Main Steps in Trauma Center Verification and Designation
Becoming a verified trauma center is a complex, multi-year process that requires far more than simply treating injured patients. Hospitals must build specialized teams, develop trauma-specific protocols, collect extensive performance data, and demonstrate compliance with rigorous standards established by the American College of Surgeons (ACS). From provisional designation to final verification, each step involves significant planning, documentation, and continuous quality imp
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Jun 4


Trauma Designation vs Verification: What's the Difference?
A post describing the differences between two commonly misused terms: designation and verification.
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Jun 2


Should Your Hospital Add a Trauma Program?
Key strategic considerations for hospitals considering a new trauma program.
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Jun 1
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