Logo
Massachusetts General Physicians’ Organization

Surgical - Advanced Practice Provider - South

Massachusetts General Physicians’ Organization, Boston, Massachusetts, us, 02298


Job Title:

Surgical Home Hospital Advanced Practice Provider

Reports To:

Home Hospital Surgery Lead APP & Home Hospital Director of APPs & Clinical Director of Surgical Services

Full-time:

36-40hrs

SOUTH - The APP will primarily admit at BWFH or BWH with flexibility to serve NWH and provider care to Home Hospital patients who live in the surrounding towns.

General Overview

The Surgical Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to surgical (operative and non-operative) patients in the comfort of their own home. The MGB (Mass General Brigham) Home Hospital (HH) is an innovative strategic service line aiming to improve patient care by shifting it out of hospitals and into the home-based environment, increasing hospital capacity and reducing total costs of care.

The Surgical Home Hospital Advanced Practice Provider will support the work of the Surgical Home Hospital by evaluating (either in person or virtually) and managing patients in their home as a direct Surgical Home Hospital provider, supported by a multidisciplinary team that includes an Attending Surgeon, a Home Hospital nurse, a paramedic, an administrative coordinator, and other allied staff as needed. The Surgical Home Hospital APP will work with the inpatient surgery teams at all five participating MGB Hospitals to identify patients who can be admitted to the Surgical Home Hospital service. The Surgical HH APP will screen for appropriate patients, communicate with hospital-based Surgery teams, consent patients for admission, and subsequently manage patients on the Surgical Home Hospital Service.

Upon admission to the Surgical Home Hospital service, the Surgical HH APP will see the patient either in the hospital, in person in the patient’s home, or virtually. The Surgical HH APP will be responsible for placing admission or transfer orders to the Surgical HH Service. Daily Surgery HH rounds will consist of at least one daily patient encounter, with medical decision-making and delivery of needed care as appropriate. The Surgical HH APP will facilitate continuity between care settings, ensure home-based and acute care protocols are seamlessly integrated, and function as the responding clinician in the home environment.

The ideal candidate for this Surgical HH APP role will be a patient-centered, proactive, flexible, experienced, and confident clinician comfortable with autonomy. Must collaborate well with multidisciplinary teams and be able to make complex clinical decisions as well as be comfortable with level-of-care triaging and telemedicine. The role offers the potential to broaden clinical duties as the Surgical HH Service expands.

Key Responsibilities:

Provides acute-level care of surgical patients (both operative & non-operative) in the home setting.

Works with the Home Hospital team members to identify appropriate Surgical patients for transfer/admission to the Surgery HH service.

Establishes relationships with the inpatient Surgical teams to help foster seamless transition of care.

Provides remote overnight backup call to the HH Nocturnist APPs for any surgical patients on the Surgery HH Service.

Collaborates with multidisciplinary team members and patients’ longitudinal care team members around appropriate, safe, effective, equitable, and timely care delivery.

Communicates with the patient and family about Surgery HH, incorporating patient and family values and goals in the plan of care.

Maintains a safe care environment for HH patients and reinforces a strong safety culture.

Attends relevant team and other meetings related to Home Hospital and related work.

Participates in quality measurement and/or quality improvement initiatives.

Qualifications:

At least 5 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience with a minimum of 2 years of Acute Care Surgery &/or General Surgery experience.

Current Massachusetts Licensure as a NP or PA with a Master’s Degree required.

Advanced Cardiac Life Support (ACLS) certification is required.

Flexible and comfortable with a fast-paced, evolving clinical environment & autonomy.

Excellent oral and written communication skills.

Demonstrated knowledge of quality measurement and quality improvement.

Shift Requirements/Working Conditions:

Role is Full time, 36 to 40hrs, 12hr shifts 7A-7P, including rotation of weekends and major holidays.

Role will also include remote overnight backup call to the HH Nocturnist APPs.

Mass General Brigham Healthcare at Home is committed to supporting patient care, research, teaching, and service to the community. We value diversity, equity, and inclusion as we aim to reflect the diversity of the patients we serve.

Primary LocationHome Hospital South, 75 Francis St

Job OrganizationMass General Brigham Healthcare at Home

ScheduleFull-time, Standard Hours: 40

ShiftDay Job, Posted Shift Description: 7a-7p (South- BWH, BWFH, NWH)

Employee StatusRegular

Recruiting Department: HH Advanced Clinical Practice

#J-18808-Ljbffr