Mass General Brigham Healthcare at Home
Physician Assistant (PA)- South Team- FT
Mass General Brigham Healthcare at Home, Boston, Massachusetts, us, 02298
Description
MEDICINE- Home Hospital Advanced Practice Provider (NP or PA) full time 40 hour Days
Job Title: Medical Home Hospital Advanced Practice Provider
"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
Medical
Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to 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
Medical
Home Hospital Advanced Practice Provider will support the work of the Home Hospital by evaluating (either in person or virtually) and managing patients in their home as a direct
Medical
Home Hospital provider, supported by a multidisciplinary team that includes an Attending
Medical Provider
(who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist
, case management
). The
Medical
Home Hospital APP will work with the inpatient
and emergency
teams at all five participating MGB Hospitals (MGH, BWH, Salem, Faulkner, NWH) to
identify
patients
who qualify for an a
dmi
ssion or transfer
to Home Hospital service. The HH APP will screen for
appropriate patients
, communicate with the hospital-based
primary
teams about
appropriate patients
, consent patients for admission, and
subsequently
manage patients on the
Medical
Home Hospital Service. These patients may
originate
in the Emergency Department and
deemed
appropriate for
direct admission to Home Hospital
or be
admitted to the
brick and mortar
I
npatient service
s
and
deemed
appropriate for
transfer to the
Home Hospital
Service
.
Patients who are admitted to the
Home Hospital
service
will be seen by an admitting
HH APP
either in the brick & mortar hospital, in person in the patient's home or virtually.
The HH APP will
be responsible for
placing admission or transfer orders to the
Home Hospital
Service. Daily HH
APP
rounds will consist of at least one daily patient encounter (in-person or virtual depending on patient needs and clinical course), with medical decision-making and delivery of needed care as
appropriate (
see specific clinical duties below). The HH APP will
facilitate
continuity between care settings, ensure home-based and acute care protocols are seamlessly integrated in the home settings, and function as the responding clinician in the home environment.
The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, experienced, and confident clinician comfortable with autonomy. Must collaborate well with multidisciplinary teams and
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 HH
Program
expands
to other Service lines
. This may include involvement with the research & development team creating HH pathways and protocols.
Principle Roles/Responsibilities:
Provides acute-level care of
medical
patients in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team (including receiving the patient
at his/her/their home, establishing a treatment plan, following Home Hospital protocols where appropriate, acting as a liaison between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care). Other clinical duties may include
facilitating
in-home diagnostics, point-of-care testing, administration of medications and other treatments, remote patient monitoring, clinical documentation, drain management, wound management, interpretation of diagnostic imaging & laboratory data.
Works with the Home Hospital team members (nurse navigators, coordinators) to identify
appropriate patients
for transfer/admission to the
Medical
HH service and completes the admission process.
Establishes relationships with the inpatient
Brick and Mortar
teams (APPs,
medical
residents &
Attending Providers
) at all five MGB sites to help foster seamless transition of care to the HH Service line.
P
artners (provides handoff) with the r
emote overnight HH Nocturnist APPs
as they provide cross coverage for all
patients on the
H
H Service
.
Collaborates with multidisciplinary Home Hospital team members and patients' longitudinal care team members around
appropriate
, safe, effective,
equitable
, and
timely
care delivery for Home Hospital patients. As well as daily collaboration w/ the Attending of record to ensure closed loop communication about the plan of care.
Communicates with the patient and family about
Home Hospital and care plan progression
, incorporating patient and family values and goals of care.
Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.
Attends relevant team and other meetings related to Home Hospital and related work.
Participates with quality measurement and/or quality improvement initiatives, as
appropriate
, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.
Qualifications
Qualifications
* At least
3
years of Nurse Practitioner (NP) or Physician Assistant (PA) experience with a minimum of 2 years of Acute Care
Inpatient &/or Emergency
experience, preferably practicing in an acute hospital setting; academic medical center experience a plus.
* Current Massachusetts Licensure as a NP or PA with a
Master's Degree
required
.
* MGB institutional knowledge a plus.
* Advanced Cardiac Life Support (ACLS) certification is
required
.
* Flexible and comfortable with a fast-paced, evolving clinical environment & autonomy.
* Motivated, collaborative team player who also works well independently.
* Creative problem solver with the ability to think innovatively.
* Excellent oral and written communication skills.
*
Familiarity with EPIC and TEAMs a plus.
*
Demonstrated
knowledge of quality measurement and quality improvement.
* Track record of
proficiency
in managing relationships and building networks.
*
Previous
experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.
Shift Requirements/Working Conditions
* Role is Full time, 36 to 40hrs, 12hr shifts 7A-7P, this includes rotation of weekends (no more than every 3
rd
weekend) and rotation of major holidays
.
Local travel between patient homes within a defined 10-20 mile radius required.EEO Statement
Mass General Brigham Healthcare at Home, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community.
We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.Primary Location
:
MA-Boston-Home Hospital South
Work Locations
:
Home Hospital South
75 Francis St
Boston
02115
Job
:
Physician Assistants
Organization
:
Mass General Brigham Healthcare at Home
Schedule
:
Full-time
Standard Hours
:
40
Shift
:
Day Job
Posted Shift Description
:
Home Hospital South, BWFH, BWH & NWH
Employee Status
:
Regular
Recruiting Department
:
HH Advanced Clinical Practice
Job Posting
:
Jun 17, 2024#J-18808-Ljbffr
MEDICINE- Home Hospital Advanced Practice Provider (NP or PA) full time 40 hour Days
Job Title: Medical Home Hospital Advanced Practice Provider
"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
Medical
Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to 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
Medical
Home Hospital Advanced Practice Provider will support the work of the Home Hospital by evaluating (either in person or virtually) and managing patients in their home as a direct
Medical
Home Hospital provider, supported by a multidisciplinary team that includes an Attending
Medical Provider
(who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist
, case management
). The
Medical
Home Hospital APP will work with the inpatient
and emergency
teams at all five participating MGB Hospitals (MGH, BWH, Salem, Faulkner, NWH) to
identify
patients
who qualify for an a
dmi
ssion or transfer
to Home Hospital service. The HH APP will screen for
appropriate patients
, communicate with the hospital-based
primary
teams about
appropriate patients
, consent patients for admission, and
subsequently
manage patients on the
Medical
Home Hospital Service. These patients may
originate
in the Emergency Department and
deemed
appropriate for
direct admission to Home Hospital
or be
admitted to the
brick and mortar
I
npatient service
s
and
deemed
appropriate for
transfer to the
Home Hospital
Service
.
Patients who are admitted to the
Home Hospital
service
will be seen by an admitting
HH APP
either in the brick & mortar hospital, in person in the patient's home or virtually.
The HH APP will
be responsible for
placing admission or transfer orders to the
Home Hospital
Service. Daily HH
APP
rounds will consist of at least one daily patient encounter (in-person or virtual depending on patient needs and clinical course), with medical decision-making and delivery of needed care as
appropriate (
see specific clinical duties below). The HH APP will
facilitate
continuity between care settings, ensure home-based and acute care protocols are seamlessly integrated in the home settings, and function as the responding clinician in the home environment.
The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, experienced, and confident clinician comfortable with autonomy. Must collaborate well with multidisciplinary teams and
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 HH
Program
expands
to other Service lines
. This may include involvement with the research & development team creating HH pathways and protocols.
Principle Roles/Responsibilities:
Provides acute-level care of
medical
patients in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team (including receiving the patient
at his/her/their home, establishing a treatment plan, following Home Hospital protocols where appropriate, acting as a liaison between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care). Other clinical duties may include
facilitating
in-home diagnostics, point-of-care testing, administration of medications and other treatments, remote patient monitoring, clinical documentation, drain management, wound management, interpretation of diagnostic imaging & laboratory data.
Works with the Home Hospital team members (nurse navigators, coordinators) to identify
appropriate patients
for transfer/admission to the
Medical
HH service and completes the admission process.
Establishes relationships with the inpatient
Brick and Mortar
teams (APPs,
medical
residents &
Attending Providers
) at all five MGB sites to help foster seamless transition of care to the HH Service line.
P
artners (provides handoff) with the r
emote overnight HH Nocturnist APPs
as they provide cross coverage for all
patients on the
H
H Service
.
Collaborates with multidisciplinary Home Hospital team members and patients' longitudinal care team members around
appropriate
, safe, effective,
equitable
, and
timely
care delivery for Home Hospital patients. As well as daily collaboration w/ the Attending of record to ensure closed loop communication about the plan of care.
Communicates with the patient and family about
Home Hospital and care plan progression
, incorporating patient and family values and goals of care.
Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.
Attends relevant team and other meetings related to Home Hospital and related work.
Participates with quality measurement and/or quality improvement initiatives, as
appropriate
, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.
Qualifications
Qualifications
* At least
3
years of Nurse Practitioner (NP) or Physician Assistant (PA) experience with a minimum of 2 years of Acute Care
Inpatient &/or Emergency
experience, preferably practicing in an acute hospital setting; academic medical center experience a plus.
* Current Massachusetts Licensure as a NP or PA with a
Master's Degree
required
.
* MGB institutional knowledge a plus.
* Advanced Cardiac Life Support (ACLS) certification is
required
.
* Flexible and comfortable with a fast-paced, evolving clinical environment & autonomy.
* Motivated, collaborative team player who also works well independently.
* Creative problem solver with the ability to think innovatively.
* Excellent oral and written communication skills.
*
Familiarity with EPIC and TEAMs a plus.
*
Demonstrated
knowledge of quality measurement and quality improvement.
* Track record of
proficiency
in managing relationships and building networks.
*
Previous
experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.
Shift Requirements/Working Conditions
* Role is Full time, 36 to 40hrs, 12hr shifts 7A-7P, this includes rotation of weekends (no more than every 3
rd
weekend) and rotation of major holidays
.
Local travel between patient homes within a defined 10-20 mile radius required.EEO Statement
Mass General Brigham Healthcare at Home, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community.
We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender identity, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.Primary Location
:
MA-Boston-Home Hospital South
Work Locations
:
Home Hospital South
75 Francis St
Boston
02115
Job
:
Physician Assistants
Organization
:
Mass General Brigham Healthcare at Home
Schedule
:
Full-time
Standard Hours
:
40
Shift
:
Day Job
Posted Shift Description
:
Home Hospital South, BWFH, BWH & NWH
Employee Status
:
Regular
Recruiting Department
:
HH Advanced Clinical Practice
Job Posting
:
Jun 17, 2024#J-18808-Ljbffr