DEPARTMENT OF VETERANS AFFAIRS

AMARILLO HEALTH CARE SYSTEM

(HBPC Medical Director Home Based Primary Care) SCOPE OF PRACTICE

GEC/HBPC Service

SCOPE OF PRACTICE:

All providers who are granted privileges in VA Amarillo Health Care System are allowed to provide, deliver and/or interpret professional services (within the scope of their license) in all care settings. It is understood that the requested privileges (as marked below) represent only the requested privileges in the areas in which the applicant believes he/she meets the applicable standards of education, training, Board Certification and demonstrated proficiency.

CORE PRIVILEGES:

All (HBPC Medical Director Home Based Primary Care) who are granted privileges to provide, deliver and/or interpret are hereby granted the following core privileges:

Home Base Primary Care (HBPC) Medical Director within the Geriatric and Extended Care (GEC) Service at the Thomas E. Creek VA Health Care System is responsible for clinical over site of all HBPC services in Amarillo and satellite programs. Will work in collaboration with the HBPC Program Director, (50% FTE) . The HBPC Medical Director will also provide clinical care (up to the 50% FTE) in other departments within the GEC service line (Geri PACT Care Clinic, CLC and Hospice & Palliative Care Clinic, etc) The HBPC Medical Director will report to the Chief of GEC. The Home Based Primary Care (HBPC) Program targets frail, chronically ill veterans who require care by interdisciplinary health care teams, continuity, coordination of care, and the integration of diverse services to cover complex medical, social, rehabilitative, and behavioral care needs. These veterans need comprehensive, longitudinal home care services, as they age, to maximize function, minimize institutionalization, and maintain quality of life. The Physician is academically and clinically prepared to perform a broad spectrum of patient care services at the expert level. In addition to providing primary health care, the MD serves as a consultant to nursing and medical staff for patients with interdisciplinary team members in providing quality care and patient education and assisting patients in acute and chronic rehabilitation techniques. The MD serves on medical center, VISN and/ or national committees and assists in the development, evaluation, and communication of policies and standards to all healthcare disciplines.

1. Collaborating with the HBPC Program Director. a. Provide leadership to the HBPC Program. b. Determine appropriateness and eligibility for veterans referred to HBPC program. c. Plan and direct the educational and clinical experience of medical students, residents and fellows assigned to the HBPC Program. d. Assume a leadership role in the development and implementation of the HBPC performance improvement plan. e. Advocate for HBPC with VHA leadership and the medical community. f. Jointly select HBPC Team members. 2. Providing clinical input and oversight for all patient treatment plans. 3. Being readily available to the team members for collaboration when medical or other problems arise. 4. Participating in HBPC team meetings. 5. Keeping the HBPC team apprised of medical care advances and practice standards. 6. Arranging physician coverage and communicating the plan of coverage to the HBPC team. 7. Collaborating with other HBPC Medical Directors, VISN leadership, and VA Central Office staff on program development issue. 8. Work to ensure alignment of the program with VACO, JC, VISN guidelines. 9. Promptly addressing noteworthy findings from internal& external audits, and review JC, LTCI, OIG, OMI, and others.

The HBPC Medical Director, in collaboration with the HBPC interdisciplinary team, is responsible for:

1. Assuming primary medical responsibility for HBPC patients. 2. Identifying the patients' medical problems. 3. Defining the medical management of these problems. 4. Determining the need for consultation from medical, surgical, and/or psychiatric sub-specialty clinics as well as community care. 5. Determining the need for, and facilitating, admission to the hospital.3

6.Visiting the HBPC patients at home, when appropriate.7.Serving as collaborator for advanced practice nurses and/or physician assistants.8.Providing medical administrative support such as signing forms requiring physician signature for the HBPC patients.

1.Collaborating with community home health and hospice agencies as needed for HBPC patients.2.Following HBPC Staff Safety procedures.3.Complying with Medical Center and VHA regulations regarding the use of government vehicles.4.Demonstrating work practices that include adherence to Infection Control standards and the safe use and operation of equipment.5.The incumbent will also be responsible for informing the HBPC team of advancements in medical care and practice standards.6.The position requires travel and incumbent must maintain a valid state driver’s license.7.The clinical and administrative duties listed above are not comprehensive and may include other duties as determined by the program needs and assigned by the GEC Chief.8.Additional duties may require coverage of clinics, Community Living Center, Hospice & Palliative care, Contract Nursing Home, etc as directed by Chief of GEC.