Growing night volumes require adequate cross-coverage to respond to all the nurses’ floor calls. Telehospitalists can be a more cost-effective solution to these cross-coverage challenges than bringing on additional in-house staff. With the telehospitalists focusing on floor calls, in- house hospitalists can focus more efficiently on other duties such as admissions and rounding. The telehospitalists can take advantage of any lull in the volume of floor calls to provide extra admissions support if needed.