The professional in this position shall- Provide a full spectrum Internal Medicine care encompassing outpatient clinical and procedural services. This will be provided in a cost-effective manner that focuses on patient-centered evidence-based outcomes.
- Collaborate with staff and other clinical departments within and outside the MTF to facilitate excellent patient care and will be expected to participate fully as a member of the 99 MDG medical staff.
- Possess sufficient experience to be able to adequately diagnose and treat diseases/injuries to include but not limited to; Cardiovascular diseases (congestive heart failure, hypertension, arrhythmias, acute myocardial infarction), respiratory diseases (asthma, bronchitis, pulmonary thromboembolism, pulmonary insufficiency & adult respiratory distress syndrome), gastrointestinal diseases (peptic ulcer, gastritis, pancreatitis, cirrhosis & alcoholic liver), endocrinology (disease of the thyroid & diabetes mellitus), rheumatology (sarcoidosis, degenerative joint disease), renal disease (acute renal failure, urinary tract infection), neurology (epilepsy & cerebrovascular disease) and infectious diseases (infectious diarrheas, bacterial infections, hospital-acquired infections, tuberculosis, infections of the compromised host & other microbacterial infections). Care shall include but not be limited to routine general internal medicine care to include care for acute and chronic patient conditions.
- See new patient consults and established follow-up clinic visits and is expected to participate in telehealth and virtual encounters as well as respond to telephone consults and secure messages IAW pertinent to MTF and local policies. The contract personnel will also consult with other specialty practitioners for consultative opinions and continuation of care.
- Provide routine general internal medicine care which includes care for acute and chronic patient conditions.
- Adhere to the policies of Defense Health Agency and the MTF in meeting or exceeding established standards for access, Preventive Health Assessment Individual Medical Record (PIMR) and HEDIS measures.
- Coordinate patient care with community health agencies and social programs. Will facilitate continuity of care for patients. Has knowledge of a wide variety of resource agencies available in the military treatment system to ensure proper and expedient referral of the patient and/or family member.
- Possess sufficient knowledge of current TRICARE standards, population-based health care, disease management, medically oriented computer systems, and trends in prevention.
- Be familiar with Department of Defense (DoD), Federal, State, non-profit healthcare systems and organizations, to include DoD Tri-Service Military Healthcare Systems, TRICARE purchased care system, Medicare, Medicaid and the Veterans Administration (VA) is highly desired.
- Ensure implementation of policies, standards, and programs that support the clinical practice within ethical and legal boundaries.
- Possess knowledge and experience in Patient Advocacy, Patient Privacy, and Customer Relations.
- Function as a child advocate and mandatory reporter in the medical center.
- Possess basic knowledge of emergency procedures in order to react promptly and appropriately to provide effective care during emergency situations, respiratory or cardiac arrest.
- Consult with medical personnel, legal authorities, and military commanders as required.
- Be guided by the MTF formulary for prescriptions. Drugs not appearing on the formulary must be pre- approved by the Pharmacy and Therapeutics Committee.
- Possess basic knowledge of established clinic standards of care and Joint Commission requirements for clinical and documentation protocols, safety, infection control, performance improvement, etc., to ensure compliance with policies and provide consistent training and guidance for clinic staff.
- Ensure patient and staff safety through safety awareness, proper infection control and promotion of clean, orderly clinic environment. Recognizes, reports, and corrects potential safety hazards.
- Prepare all documentation to meet or exceed established MTF standards, to include, but not limited to: timeliness, accuracy, content, and signature.
- Use MTF approved abbreviations ONLY for documentation in the patient health records and follow the MTF’s Do Not Use Abbreviation List.
- Complete medical records documentation within 72 business hours of the encounter with the patient.
- Use the proper coding of procedures and treatment and shall maintain coding accuracy (CPT/ E&M/procedure) at the same standard, 90% or higher, as military and civil service health care providers engaged in comparable work.
- Be responsible for creating, maintaining and disposing of only those Government records which are specified by the 99 MDG.
- Release medical information obtained during the course of this contract to other MTF staff involved in the care and treatment of that individual patient only.
- Possess basic knowledge of and ability to demonstrate leadership skills in order to provide guidance, counseling, training and professional evaluation.
- Develop and clinically guide long-term management strategies.
- Provide clinical and administrative leadership and expertise, managing patient care and coordinating additional subspecialty referrals, answering patient telephone consults (with the assistance of clinic staff), and refilling prescriptions.
- May be asked to participate in committees, programs or clinical services directly related to area of clinical responsibility or privileges.
- Provide for ongoing education programs to promote, protect and maintain optimum levels of wellness. Provide health counseling to patients and their families and develop a plan for health maintenance based on individual needs.
- Provide instruction, coaching, mentoring, and training for medical residents, physician assistant students, medical students and/or students of other health care disciplines in the form of clinical rotations, didactics and outpatient discussions as appropriate.
- Participate in educational activities to include giving lectures, supervision of internal medicine residents and physician assistant students in clinic duties, teaching residents on internal medicine services.
- Be scheduled to participate in formal educational lectures (approximately 6 per year)
- Collaborate with and provide clinical guidance to other healthcare team members as appropriate during the performance of clinical duties.
- Perform administrative duties that may include maintaining statistical records of his or her clinical workload, participating in medical educations programs, and participating in quality improvement functions and other duties as prescribed by the Chief of Medical Staff or the applicable Government department chief.
- Attend and participate in meetings, professional staff conferences and other appropriate professional activities such as, but not limited to the following: quality improvement meetings, professional staff meetings, commander's staff meetings, flight meetings, and other meetings required by applicable regulations, MTF guidance, or as identified by the Chief of Medical Staff or the applicable Government department chief.
- Possess basic knowledge of operating a wide variety of medical equipment/non-medical equipment to ensure patient and staff safety, proper equipment maintenance and accessibility.
- Treat patient information, no matter how developed, as privileged information. Patient information shall not be disclosed or revealed in any way for any use outside the MTF without adherence to HIPAA and local policies and regulations.
- Respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.
- Maintain open and professional communication with members of the MTF staff, MTF customers, and other contract personnel.
- Seek and maintain interpersonal relationships with clients/families and coworkers which contribute to mission accomplishment.
- Possess basic knowledge of various training methods and interpersonal skills in order to develop a rapport with the patients, family members, and co-workers during which instructional and education information is presented and a supportive, trusting relationship is established.
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