Are you a Physician who is tired of the "system"? Do you thrive on changing the status quo? Do you want to engage in total health in the community? Are you looking for the next step in your career and want to be part of a growing company that is driving change? Then we want you on our team!
Advanced Health Institute (AHI) is looking for a strong Medical Doctor to join our growing MD & NP team. We work in Adult and Elderly care serving the post-acute communities including Nursing Homes, Assisted Living and Independent living. The MD will be hired as a full-time employee and work with our clients to ensure that the medical care needed is delivered as part of our system within AHI. You will become part of a "smart team" that has support with Nurse Practitioners. In addition, there will also be opportunities to lead as part of our Medical Directorship program and work with each client to manage quality, care protocols, compliance, and regulatory requirements.
AHI wants you as part of our leadership and together we can drive change in health care!
Professional conduct includes the following:
- Abide by pertinent facility and medical policies and procedures;
- Maintain a courteous and professional level of interaction with facility staff, patients, family/significant others, facility employees, and management;
- Work with the medical director to help the facility provide high quality care;
- Keep the well-being of patients/residents as the principal consideration in all activities and interactions; and
- Be alert to, and report to the medical director -- and other appropriate individuals as named through facility protocol -- any observed or suspected violations of resident rights, including abuse or neglect, in accordance with facility policies and procedures
OTHER SPECIALIZED KNOWLEDGE AND ABILITIES:
- Participation in facility training programs to familiarize him or herself with State regulations and facility policies;
- Being informed of and reviewing the results of all Department of Health surveys related to medical service deficiencies; involvement in resolving problems;
- Designate prognosis and the potential for functional improvement, if possible. The components of a statement of prognosis should include the physicians best professional judgment about the residents expectations for medical and functional stability, the time frame for stability or not, and the potential for complications.
COMMUNICATION WITH RESIDENTS AND FAMILIES
Physicians should understand:
- Federal regulations require that nursing facilities provide residents and their legal representative with their physicians name, specialty, office address and telephone number;
- Physicians are required to respond to calls from residents and their representatives to discuss the residents medical care;
- It is important for physicians to contact families at critical times during a nursing facility stay, such as upon admission or at end of life, and approach families with sensitivity and compassion, particularly at these difficult times; and
- Communicate with family members/resident representatives as significant changes in medical condition occur.
ESSENTIAL JOB FUNCTIONS AND TASKS:
Initial Patient Care/Care Transitions
The attending physician should assess a new admission in a timely fashion, based on a joint physician-facility-developed protocol and, depending on the individual's medical stability, recent and previous medical history, presence of significant or previously unidentified medical conditions, or problems that cannot be handled readily by phone.
The attending physician should:
- Seek, provide, and analyze needed information regarding a patient's current status, recent history, and medications and treatments, to enable safe, effective continuing care and appropriate regulatory compliance;
- Provide appropriate information and documentation to support the facility in determining the level of care for a new admission;
- Authorize admission orders in a timely manner, based on a joint physician-facility-developed protocol, to enable the nursing facility to provide safe, appropriate, and timely care; and
- for a patient who is to be transferred to the care of another health care practitioner, continue to provide all necessary medical care and services pending transfer until another physician has accepted responsibility for the patient.
Comprehensive regulatory visits, in coordination with the facilitys overall plan of care for a resident, establish and guide the total program of care for each resident. The intent of these visits is to have the physician take an active role in supervising the care of residents. This should not be a superficial visit, but should include an evaluation of the residents condition and a review of and decision about the continued appropriateness of the residents current medical regimen.
Acute Illness Visits
Acute illness visits should be performed to meet the medical needs of the complex residents in the nursing home.
APPROPRIATE CARE FOR RESIDENTS
The attending physician should:
- In consultation with facility staff, ensure that treatments, including rehabilitative efforts, are medically necessary and appropriate in accordance with relevant medical principles and regulatory requirements;
- In consultation with the facility staff, manage and document ethics issues consistent with relevant laws and regulations and with patients' wishes, including advising patients and families about formulating advance directives or other care instructions and helping identify individuals for whom aggressive medical interventions may not be indicated; and
- Provide orders that ensure individuals have appropriate comfort and supportive care measures as needed, for example, when experiencing significant pain or in palliative or end-of-life situations.