Per diem
Single days for call-outs, PTO, and schedule gaps — booked as you need them.
For facilities & administrators
Reliable CRNA coverage, credentialed and ready.
Per diem, block, and short-term anesthesia coverage for surgery centers, hospitals, office-based practices, and anesthesia groups across Dallas–Fort Worth — with the documentation your credentialing and compliance teams need.
Coverage at a glance
- Settings
- Hospital · ASC · Office
- Models
- Per diem · Block · Short-term
- Patients
- Infant to geriatric
- Area
- Dallas–Fort Worth
- Response
- Within 24 hours
Coverage models
Coverage shaped to your schedule.
Block or recurring
A set day each week or month, so your OR schedule can plan around a known provider.
Short-term
Multi-week coverage for vacancies, leave, or a volume surge while you recruit.
Already working with an anesthesia group? I can cover alongside your group's providers, following your policies, protocols, and documentation systems.
What administrators ask
Straight answers to the usual concerns.
Is CRNA-delivered anesthesia as safe?
The best available studies find no measurable difference in outcomes by delivery model, and a Cochrane review concluded the evidence can't settle the question either way. The details and their limits are below.
What supervision does CMS require?
Medicare's conditions of participation for hospitals (42 CFR §482.52) and ASCs (42 CFR §416.42) require CRNA supervision, and Texas has not opted out. The operating surgeon can provide that supervision — an anesthesiologist on site is not required.
How quickly can you be credentialed?
Once we agree on the anesthesia services Chiron Anesthesia will provide, all credentialing items will be ready for your medical staff office within 24 hours.
How is coverage billed?
Two models, set by agreement: your facility pays Chiron a daily or hourly rate, or Chiron bills for the anesthesia services itself.
Who carries the liability?
I carry professional liability insurance in my own name, with limits that meet or exceed facility credentialing requirements. Certificates of insurance go to your medical staff office with credentialing. Surgeons with liability questions can read what Texas law says.
What if you're unavailable?
A fair question for any solo provider. Each facility has a written agreement on how unavailability is handled, including the notice periods that apply.
Will you fit our systems and team?
I've worked in hospitals, surgery centers, and office suites, including as a staff CRNA with a large national anesthesia group. I learn your EHR, checklists, and turnover rhythm, and I document to AANA standards.
What range of cases can you take?
General, MAC, deep sedation, regional, neuraxial, and local anesthesia, for patients from infants to older adults, across general surgery, orthopedics, ENT, OB/GYN, plastics, GI, pain, ophthalmology, vascular, and neurologic procedures.
The evidence
What the research shows — stated carefully.
Your medical staff will read this closely, so here are the studies, who conducted them, and their limits.
Medicare outcomes after states opted out of supervision
An analysis of Medicare data from 1999 to 2005 found no increase in inpatient deaths or complications in states that opted out of the CRNA supervision requirement. Funded by the AANA; the American Society of Anesthesiologists has disputed its methods.
Dulisse & Cromwell, Health Affairs, 2010Complications by scope of practice and delivery model
Using a large commercial claims database covering inpatient and outpatient settings, researchers found complication odds varied with patient health and procedure, but not with CRNA scope of practice or delivery model — CRNA only, anesthesiologist only, or team. Conducted by The Lewin Group.
Negrusa et al., Medical Care, 2016The systematic review: inconclusive
A Cochrane review of six non-randomized studies (more than 1.5 million patients) concluded that no definitive statement can be made about the superiority of one type of anesthesia provider over another. The low rate of anesthesia complications and confounding in observational data make the question hard to settle.
Lewis et al., Cochrane Database of Systematic Reviews, 2014Cost
A cost-effectiveness analysis found CRNAs less costly to train than anesthesiologists and able to deliver the same set of anesthesia services efficiently. Conducted by The Lewin Group.
Hogan et al., Nursing Economic$, 2010Credentialing
Ready within 24 hours of agreement.
Once we agree on the anesthesia services Chiron Anesthesia will provide, these items go directly to your medical staff office within 24 hours.
- Texas Board of Nursing advanced practice license
- NBCRNA board certification
- Current BLS, ACLS, and PALS
- Certificate of professional liability insurance
- NPI and CV with case experience
- Professional references
Have a gap to fill?
Tell me your facility, the dates or schedule, and your case mix. I respond within 24 hours.
Please don't include patient information in messages.
Phone945-212-1756
Service areaDallas–Fort Worth, based in Richardson