Delivering Quality Care in a Critical Access Setting
As a Critical Access Hospital (CAH), this facility is dedicated to providing high-quality, patient-centered care
while maintaining a low patient-to-provider ratio. With a 25-bed inpatient capacity, the hospital ensures personalized
attention for each patient, while efficiently coordinating higher-acuity transfers to regional partners in Billings, MT.
The hospitalist program, now fully in-house, has been restructured for stability, provider satisfaction,
and seamless patient continuity.
Hospitalist Program & Inpatient Care
The hospitalist program transitioned from Sound Physicians to an in-house model to improve provider retention and
operational consistency. The team includes three full-time hospitalist physicians and two full-time APPs, offering
balanced coverage. A one physician–one APP daytime model enables strong collaboration, while
telemedicine providers handle overnight coverage, removing the need for overnight call.
Facilities & Clinical Services
- 25-Bed Capacity – As a CAH, inpatient stays are subject to the 96-hour rule, with a well-coordinated
system for transfers to Billings, MT (90 miles away).
- 6-Bed ICU – Managed exclusively by hospitalists. APPs care for floor and observation patients. ICU-level care includes
BiPAP, high-flow oxygen, and AFib with RVR on drips. Patients needing prolonged critical care,
intubation, or advanced interventions are transferred.
- Emergency Department – Staffed by board-certified emergency physicians who determine admissions vs. transfers.
- Surgical Services – Robust offerings include general surgery, orthopedics,
urology, neurosurgery, and anesthesia for inpatient and outpatient care.
- Limited On-Site Specialty Support – Cardiology and oncology consults are available remotely with
strong referral partnerships for specialty care.
Technology & Resources
- EPIC EMR System – Integrated with Intermountain Health, with some workflow adaptations.
- Telemedicine Services – Overnight inpatient care is managed remotely, supporting 24/7 care without
added provider burden.
Referral & Transfer Network
- Efficient Transfer System – Partnerships with Billings Clinic and Intermountain Health
ensure timely transfers for high-acuity patients.
- Smooth Coordination – Most transfers are completed without delays; the longest reported wait time is 12 hours.
Commitment to a Positive Work Environment
This hospital fosters a tight-knit, collegial environment, where providers, nurses, and staff collaborate to prioritize
patient outcomes and provider well-being. Administrative leadership supports a culture of
teamwork, work-life balance, and long-term retention.
Located in Cody, WY, this hospital offers the best of rural medicine—a supportive team,
manageable workload, and the opportunity to make a meaningful impact on the community.
