TITLE: Medical Group Immediate Care Lead Physician
REPORTS TO POSITION: Clinical Division Director, Immediate Care
DEPARTMENT: St. Charles. Medical Group
DATE LAST REVIEWED: March 22, 2021
OUR VISION: Creating America's healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENTAL SUMMARY: St. Charles Immediate Care provides urgent services to all presenting patients with Emergency Severity Index (ESI) of 4 and 5 with some ESI 3's as may be deemed appropriate. Patients who present requiring a higher level of care will be assisted in arriving at the appropriate higher level of service. The Immediate Care interacts collaboratively with primary care, emergency care and specialty providers from within St. Charles as well as other non- associated entities.
POSITION OVERVIEW: The Medical Group Immediate Care Clinic Lead Physician in a dyad relationship with the Clinic Manager, provides operational leadership for the Immediate Care Clinic. Together with the Clinic Manager, the Lead Physician is responsible for the Clinic's achievement of the Immediate Care Clinical Division annual plan, and management of Clinic operations to achieve St. Charles Health System's True North objectives. The Lead Physician, in collaboration with the Clinic Manager, is also accountable for operating the Clinic in compliance with all applicable policies of St. Charles Health System and its medical staff.
The St. Charles Immediate Care are staffed by physicians and Advanced Practice Providers (APPs) who are skilled in providing urgent and acute care. Requirements include the ability to work in a collaborative environment with advanced practice providers to provide rapid and efficient care for minor emergencies and illnesses. Responsible for with the clinical supervision of APPs and signing PA charts is essential. Other duties may include performing basic physical exams such as sports physicals and occupational exams. The ability to work efficiently and refer appropriately is crucial. The ability to stabilize patients who present needing a higher level of service while awaiting transport is required. The ICC's function as a unified department and shifts will be rotated among the locations. Lab and X-ray are integrated into the department. Physicians should have emergency department, Immediate Care, or primary care with substantial acute care experience.
Work schedule: Physician to follow a shift-based model with a base reconciliation of 1 FTE scheduled at 153 shifts per calendar year. Shifts are 12 hours in length. Shift counts will be adjusted accordingly by the providers FTE.
Call expectation: Physicians are not expected to have call expectations in the Immediate Care however it is the expectation that 95% of all shifts will be covered due to call outs, unexpected absences, or any unfilled shift to ensure that clinics have proper staffing at all times.
Physician Practice Location: Physician will render the Professional Services at such SCHS Facilities as may be directed by SCMG, and at such other facilities and locations as may be established by SCHS or SCMG from time to time. It is anticipated that the primary work locations will be as follows:
St. Charles Immediate Care [ 61250 SE Coombs Place, Bend, OR]
St. Charles Immediate Care [ 51781 Huntington Road, La Pine, OR]
St. Charles Immediate Care [384 SE Combs Road, Prineville, OR]
ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)
Dyad Relationship: As the physician leader in the dyad, the Lead Physician is primarily responsible for the quality of clinical professionals and of the clinical work in the Clinics. The Lead Physician is responsible for ensuring that Clinic's physicians and advanced practice professionals maintain core Professional Competencies, including: Practice-Based Learning and Improvement; Patient Care and Procedural Skills; Systems-Based Practice; Medical Knowledge; Interpersonal and Communication Skills; and Professionalism.
* Participate as a member of the SCMG Immediate Care Leadership Council, and also a member of the MGB or SCMG Management Committee, as requested.
Assist in achieving physician and team productivity, clinical innovation, compliance, development, and implementation of clinical best practices, and for relationships with referring and consulting physicians; and
Provide administrative services, revenue management, operating expense management, capital planning and allocation, development and implementation of effective staffing models, operations performance reporting, supply chain management, and support services.
The Lead Physician will also provide medical care to patients of the Clinical Division Experience: we delight our patients, their families, and our community
Achieve top percentile ranking in surveys of patient experience, with particular emphasis on dimensions of patients experiences with physicians and clinical teams
Participate in SCMG's redesign and implementation of patient journey mapping across the continuum of care to achieve compassionate care delivery during illness episodes and across a lifetime of care experiences
Implement preventive and curative services at the Clinics
Foster community relations and ensure effective communications for patients in respect to both preventive and curative clinical services.
Delivery: we provide innovative, world-class care when and how you need it
Ensure access to care according to the standards of the Primary Care Clinical Division
Expand access by wider application of telemedicine and remote monitoring technologies
Plan, design, develop and implement advanced team-based care models to improve care delivery in partnership with members of the St. Charles care team, including, as appropriate, referring physicians, palliative care, Home Health & Hospice care, care coordination, Integrated Behavioral Health, and patients and families
Advance the roles of patients as partners in care through systematic implementation of Shared Decision-making Models
Systematically implement standards of clinical practice that achieve or exceed the standards for processes of care of the major professional medical and nursing societies appropriate for the Division and Clinic.
People: we inspire and empower talented caregivers (100% engaged staff)
Achieve top percentile ranking on surveys of caregiver engagement and resilience
Ensure that every caregiver is empowered as a leader and as a team member through robust and systematic deployment of the principles of workforce inclusion and diversity
Give voice to caregivers by facilitating and coaching at regularly-scheduled meetings of the Clinic's team
Conduct annual physician and advanced practice professionals performance reviews
In partnership with the Clinic Manager, provide a role-model for teamwork and leadership
With support from the SCMG Office of Professional Services and the Clinical Division, participate in the Division's Physician and Professional Work Force Development planning so that
Each physician and advanced practice professional has a current career development plan, and
The Division retains and develops an excellent clinical work force to meet community needs
Oversee Ongoing Professional Practice Evaluation and Focused Professional Practice Evaluation for each physician and advanced practice professional of the Clinic
Safety: we protect the safety of all we serve and each other (zero patient and caregiver harms)
Assure safe and evidence-based delivery of clinical services
Participate actively in the Clinical Division's Patient Safety Program, founded on the principles of patient safety science.
Implement a culture of safety at the Clinics to ensure vigilance in patient care.
Affordability: we address the cost of care (reduce cost of care)
In collaboration with the MGB Committee on Quality Innovations and the Clinical Division, implement evidence-based, redesigned care paths to eliminate the internal and external failure costs of poor quality.
In collaboration with the SCHS Population Health team, implement evidence-based models for addressing social determinants of health in the care of patients
Achieve financial forecasts quarterly and annually
Quality: we deliver patient-centered care that ensures best outcomes
In collaboration with the MGB Committee on Quality Innovations, implement evidence-based, redesigned care paths to eliminate the internal and external failure costs of poor quality.
Measure and report care outcomes, and benchmark against best practices
Achieve the standards of care at the Clinics as established by the Clinical Division
Participate as a leader in accreditation surveys and programs, as requested
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality.
Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.
Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.
Model respect, professionalism and kindness in accordance with the ACTS of Excellence
Graduation from an accredited medical school.
Successful completion of an accredited residency program in emergency medicine or family medicine
Current license as MD / DO.
Board certified in chosen specialty.
Unrestricted Federal DEA number.
Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
Valid driver's license and the ability to meet SCHS driving requirements.
Current BLS certification required.
Current ACLS and PALS certification required.
Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.
Five years of clinical and progressive leadership in Immediate Care or emergency medicine
Epic EMR software experience
Experience using EMR (Electronic Medical Records) software.
Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System.
Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected results.
2 years of medical practice in emergency medicine, Immediate Care, or primary care with substantial acute care component
Epic EMR software experience.
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
Strong team working and collaborative skills.
Ability to multi-task and work independently.
Attention to detail.
Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
Intermediate to advanced proficiency with Electronic Medical Record systems.
Intermediate in Microsoft applications (Word, Excel).
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.