After the loss of several primary care providers, Rusk County Memorial Hospital, Ladysmith, Wis., found that call burden and lack of a hospitalist program are barriers to physician recruitment. By implementing an advanced nurse practitioner hospitalist program, this rural hospital was able to recruit more physicians, improve patient satisfaction scores, generate more revenue with outpatient testing, treat patients at a higher acuity level and earn a quality award. “We did not want to lose people in our community because they could not be served in the inpatient setting and we were able to do that because the nurse hospitalists were present,” says Charisse Oland, CEO.