Posted in Other 7 days ago.
Type: Full Time
The Home Hospital Physician Assistant II is a member of the Brigham Health (BH) Home Hospital team. BH Home Hospital is an innovative, care-delivery model that treats acutely ill patients in the home. The goals of the BH Home Hospital program are to provide high quality, safe and equitable care that is patient-centered and high value. The Home Hospital Physician Assistant will work as part of the home hospital team including physicians, registered nurses, community paramedics, physical therapists, social workers, home health aides, community health workers, program associates, practice manager and administrators.The Home Hospital PA II is responsible for independent and physician supervised care of patients in the Home Hospital program which commonly includes but is not limited to diagnoses such as Asthma, COPD exacerbations, complications of Diabetes, Heart Failure exacerbations, and infectious processes.
The PA II position on the Home Hospital team can be quite challenging, requiring both teamwork and individual initiative. A high level of patient care is required while working quickly and often multi-tasking. The Home Hospital Physician Assistant is a forward thinking, creative individual who wants to practice in an innovative clinical setting and values the experience of patients and their families as partners in their care.
The PA works closely with the other members of the Home Hospital team to develop and coordinate a plan of care designed to meet the physical, psychological and social needs of patients and their families. Strong interpersonal, organizational and communication skills are required. Knowledge of current literature and a commitment to continued learning are also required. The mission, vision and cored values of the Brigham and Womens Hospital (BWH) are incorporated into all areas of practice.
As a member of the Home Hospital team, each PA II shall be responsible for the following duties:
* Collaborate with Home Hospital team in admission of patients to the Home Hospital program. Perform In-Home and Tele-Health visits at least once daily to monitor patient care and formulate treatment plans
* Write daily progress notes
* Implement Home Hospital attending physician instructions for patient management in close cooperation with nursing and paramedic staff
* Perform procedures within the PA scope of practice and as directed by the attending
* Order and interpret appropriate laboratory testing and other special examinations as requested
* Serve as a resource to the health care team for patient care issues
* Collaborate with program associates and/or members of the Care Continuum Management team for all patient care referrals
* Prepare succinct and accurate sign-out to facilitate the smooth transition of patient care from one PA to another PA or physician
* Assist in the planning and implementation of discharging patients
* Work collaboratively and function as an efficient member of the health care team
* Assist in the coordination of consultation of other sub-specialists involved in the care of Home Hospital patients
* Provide education to patients and families
* Document in the medical record as appropriate and communicate observations/findings with attending physicians
* Monitor environment of care and comply with regulatory agency standards
* Ensure that his or her clinical practice is consistent with physician assistant policies, procedures and standards
* Participate in QA/QI projects as appropriate
Medical knowledge includes an understanding of pathophysiology, patient presentation, differential diagnosis, patient management, surgical principles, health promotion and disease prevention. The PA II must demonstrate core knowledge about established and evolving biomedical and clinical sciences and the application of this knowledge to patient care in their area of practice. In addition, the PA II is expected to demonstrate an investigatory and analytic thinking approach to clinical situations.
THE PA II IS EXPECTED TO:
* Understand etiologies, risk factors, underlying pathologic process, and epidemiology for medical conditions
* Identify signs and symptoms of medical conditions
* Select and interpret appropriate diagnostic or lab studies
* Manage general medical and surgical conditions to include understanding the indications, agents and other relevant treatment modalities
* Identify the appropriate site of care for presenting conditions, including identifying emergent cases and those requiring referral or admission
* Identify appropriate interventions for prevention of conditions
* Identify the appropriate methods to detect conditions in an asymptomatic individual
* Differentiate between the normal and the abnormal in anatomic, physiological, laboratory findings and other diagnostic data
* Appropriately use history and physical findings and diagnostic studies to formulate a differential diagnosis
* Provide appropriate care to patients with chronic conditions.
* Demonstrate proficiency with BWH computer systems as needed to independently perform daily tasks such as order entry, EMAR, lab tests and results, incident reporting, etc.
* Consistently provide high quality and timely documentation including admission notes, progress notes, discharge summaries and dictations.
* Must have knowledge of billing practices.
The appropriate candidate will have successfully completed a graduate level physician assistant program (Masters degree) accredited by the Accreditation and Review Committee for Physician Assistants (ARC-PA) or such other accrediting agency as may qualify a graduate to sit for the NCCPA certifying examination .
* BS/MS joint programs and those candidates with a BS and PA certificate are eligible, but ONLY for those who graduated BEFORE 1995
* Certification by the National Commission on Certification of Physician Assistants (NCCPA) must be obtained prior to first day of employment
* Must hold a current valid license or be eligible for licensure as a physician assistant in the Commonwealth of Massachusetts
* Must have or eligible for, and maintain, a current DEA registration and Massachusetts Controlled Substance Registration
* Must complete 100 hours of CME according to national and state regulations during each two year period of employment
* Must have a minimum of 5 years of experience
* Must complete the BWH Professionalism Program within three months of date of hire Must complete the BWH Procedural Sedation Training if deemed necessary
Brigham and Womens Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, ancestry, age, veteran status, disability unrelated to job requirements, genetic information, military service, or other protected status.