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briefing.pdf · Mercy Medical Center · Recap
Cascade Locums
Provider-first staffing
Mercy Medical Center · Recap
Meeting Prep · April 30, 2026 · Recap of 2:00 PM CT · Confidential
3
Action items
2
Open questions
Yes
Champion confirmed
5d
Follow-up window

Account snapshot — what we know

  • Met: Dr. Linden (CMO), Holloway (VP Med Staff), Park (Dir. Clinical Ops). 90 min, on-site.
  • Confirmed pain: ED hospitalist Fri–Sun gaps. Coverage failed twice in March; Linden flagged it publicly Q1.
  • Confirmed budget: Travel-nurse spend up 12% bill rate last 30 days — wallet is open.
  • Confirmed competition: CompHealth holds 2 of 3 active reqs. LocumTenens.com rotated out in January.
  • Champion verified: Park pulled this meeting together via LinkedIn. She'll forward our case study to Linden.
  • Soft commitment: Linden agreed to a 2-weekend pilot if Holloway accepts us as MSP escalation vendor.

Cascade Locums product fit

  • ED hospitalist weekend pilot — 2 blocksIN SCOPE

    Linden agreed in principle. Send pilot SOW by Monday; propose May 18–20 as block 1.

  • MSP escalation positioningIN SCOPE

    Holloway will loop us in as Tier-2 if 72h fill window is missed. Send call-tree language with the SOW.

  • Telehealth overnight readsDISCUSS

    Park interested. Their Epic build doesn't allow remote yet — IT review pending. Park flags a 4–6 week timeline.

  • Locum-to-perm conversionOUT OF SCOPE

    MSP contract bars conversions in first 180 days. Revisit Q4 when contract reopens.

Known objection & intel

MSP exclusivity hesitation surfaced from Holloway
Holloway pushed back twice on 'another vendor.' Park cooled it, but he wants written reassurance we won't disrupt CompHealth flow.
Key counter-points when it comes up
  • Sent positioning memo: Frames us as escalation, not replacement. Drafted Friday; goes out Monday with the SOW.
  • Pulled credentialing data: Our IA-licensed EM bench is 3× deeper than CompHealth's — sourced from state board pull, dated last week.
  • Offered no-MSA pilot: 2 weekend blocks with no exclusivity language. Lowest-risk yes for Holloway; Linden already nodding.

Meeting attendees — April 30, 2026

SL
Dr. Sarah LindenDECISION MAKERIN MEETING
Chief Medical Officer
slinden@mercycr.org
  • Said the quiet part: 'We have to fix this before the next medical staff meeting.'
  • Asked for fill-rate data from comparable IA hospitals — sending the Sioux City case study.
  • Open to a pilot but wants Holloway's blessing first.
MH
Mark HollowayKEY INFLUENCERIN MEETING
VP, Medical Staff Services
mholloway@mercycr.org
  • Pushed back on 'another vendor' twice. Tone softened after the no-MSA pilot frame.
  • Wants the call-tree language in writing — escalation criteria, response window, hand-back rules.
  • Quiet in the second half — let Linden drive. Read: he's not opposed; he's covering himself.
JP
Jenna ParkCHAMPIONIN MEETING
Director, Clinical Operations
jpark@mercycr.org
  • Champion. Pulled the meeting together; cooled Holloway in real time.
  • Will forward the Sioux City case study to Linden + Holloway by Tuesday.
  • Asked for a one-page leave-behind she can drop into the next medical staff meeting deck.

Key questions to uncover — April 30, 2026

Pricing & contract follow-ups
  • Confirm pilot bill rate Linden is authorized to approve without board sign-off.
  • MSA template Holloway expects — pull from his email; route to legal Tuesday.
  • Pilot SOW: 2 weekend blocks, no exclusivity, hand-back rule, 30-day extension option.
Pilot mechanics
  • Block 1 target: May 18–20. Confirm IA license + Mercy bylaws clear our two named EM physicians.
  • Credentialing turnaround — verify our 14-day window clears Mercy's privileging committee schedule.
  • Fill-fail criteria — what counts as 72h-not-filled? Get Holloway's exact definition in writing.
Stakeholder gaps
  • Who owns CommonSpirit corporate sign-off on a new escalation vendor? Park unsure — ask her to find out.
  • CFO sign-off needed for the pilot? Park said 'probably not' but wants to confirm.
  • Skip-level: when do we get face time with the CommonSpirit regional VP for medical affairs?
Prepared by Cascade Locums · Confidential · April 30, 2026
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