Observation Medicine APP Lead (Physician Assistant / Nurse Practitioner)

Catholic Medical Center

• Approximately 2,000 obs patients/year
• Sunrise EMR System
• 10-bed Observation Unit exclusively for emergency medicine patients
• Average patient length of stay <20 hours
• National observation program support and oversight

BENEFITS

• One of New Hampshire’s largest medical centers, CMC is home to the New England Heart and Vascular Institute, the proud site of the state’s first open-heart surgery and a leader in advanced cardiovascular services
• Robust cardiovascular services are available as the Cardiovascular Specialists of New England group recently joined the hospital team
• Catholic Medical Center is grounded in a solid foundation and maintains the mission of its founders, providing health, healing and hope to all in the spirit of its Catholic traditions
• 24/7 hospitalist medicine
• Telestroke, 64 slice CT Scanner
• EMR: Sunrise Allscripts

• Trauma Designation: Level III
• ED Volume: 31,000
• ED Beds: 30 with Fast Track beds available
• ED Admission Rate: 34% admission rate
• 95% Adults, 5% Peds

The Lead APP’s primary responsibility is to care for patients by building highly reliable, high performing APP clinicians as well as providing leadership for daily functioning, operations, administrative and clinical support to the APP’s within select observation sites. Their scope of responsibility includes 1-2 sites. They collaborate with the Medical Directors, Hospital Leadership, Emergency Department Physicians, ED/Observation Nursing leadership team, and hospital medical staff; to ensure the care delivery model provides and achieves high‐quality care for the patients, the department, the hospital, and the community. As a leader, they are responsible for creating and developing a pipeline of talent for the organization in addition to maintaining an inclusive work environment, providing recognition, performance coaching and career guidance to the APP teams.

Clinical and Service Operations

• Assist with hiring of APPs to fulfill adequate staffing needs.
• Responsible for onboarding and orientation of all new hires and monitoring compliance with APP Academy.
• Under direction of Medical Director, may be responsible for investigating and responding to patient complaints or grievances related to patient care by APPs
• Responsible for generating, verifying and validating monthly unit metrics.
• Ensure APP providers are aware of and compliant with departmental, hospital and medical staff policies.
• Work to ensure that medical staff policies support the department and hospital vision for ED/Observation Medicine care.
• Address questions or concerns of the APPs or other members of the ED/Observation team related to the APPs
• Coordinate staffing and scheduling of APPs for sites within their scope of responsibility.
• Maintain peer review, Web QI and other quality programs in conjunction with Medical Director.
• Provide leadership for department and operational meetings in the absence of Medical Director.
• Attend all Observation department meetings, unit meetings run by nursing management, and quality department meetings if applicable.
• Conduct 30 and 90-day performance evaluations of APPs and aid Medical Director with annual performance appraisals.
• Responsible for coaching, refining and providing support to APPs with respect to performance and professional growth.
• Identify and participate in, and/or provide opportunities for ongoing, focused education courses for/by the APP staff, as appropriate to the staff, patient population and facility needs.
• Additional teaching or supervisory responsibilities may exist in teaching facilities.
• Monitor ED/Observation‐related regulatory issues and ensure ongoing regulatory compliance.
• Educate APPs and physicians on regulatory issues and requirements surrounding APP utilization and supervision within the department.
• Participate in risk management activities including communication with facility legal representative(s) concerning relevant departmental issues. Work with APP staff to identify and mitigate areas of risk.
• In conjunction with Medical Director and Case Management; maintain knowledge of CMS guidelines as it relates to Observation services.
• Interface with various hospital sub-specialties to provide necessary support and resolve conflicts.
• Participate in hospital/campus base committees and sub-committee for USACS.
• Attend ED departments meetings.
• Participate in monthly Obs Lead APP calls and no less than monthly Regional Lead- Obs 1:1 meeting.
• Attend Regional Biyearly Lead APP meeting.
• Be cognizant of financial consideration in management of Observation units.
• Assist with 90-day implementation of new Observation Units if applicable.

Required Education and Experience

• PA or NP Degree
• NCCPA or Nursing Board Certification
• State PA or NP License
• Federal DEA License and State CDS License

Preferred Experience

• Two (2) + years of clinical experience
• Leadership experience either with USACS or previously