Psychiatry Amarillo VA Healthcare System, Lubbock, TX

DEPARTMENT OF VETERANS AFFAIRS

 AMARILLO  HEALTH CARE SYSTEM

(PSYCHIATRY) SCOPE OF PRACTICE

MENTAL HEALTH

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 (PSYCHIATRY) who are granted privileges to provide, deliver and/or interpret are hereby granted the following core privileges:

Psychiatry Core Privileges: Evaluate, diagnose, treat, provide consultation, and perform History and Physical examinations to adult patients presenting with mental, behavioral, addictive, or emotional disorders, e.g., psychoses, depression, anxiety disorders, substance abuse disorders, adjustment disorders, behavior modification, mental problems related to addictive disorders and the

special and emotional problems related to addiction and substance abuse (alcoholism and other drug dependencies, such as psychoactive drug use and addiction,) utilizing all forms of psychological and social treatment including medications. Privileges include providing consultation with physicians in other fields regarding mental, behavioral, or emotional disorders, pharmacotherapy, psychotherapy, family therapy, behavior modification, and emergency psychiatry as well as the ordering of diagnostic, laboratory tests, and prescribing medications.

Special Criteria: Compensation and Pension evaluation certification completed prior to performing Compensation and Pension examinations.

MANDATORY TRAINING: completes all mandatory required training yearly.

INTRODUCTION: Practice agreement between and Dr. of the VA Amarillo Healthcare System at

• Current certification or active participation in the examination process leading to certification in psychiatry by the American Board of Psychiatry and Neurology or the American Osteopathic Board of Neurology and Psychiatry,
• Successful completion of an Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) accredited post-graduate training program in psychiatry.
• Be grandfathered in from previous experience,

• Applicants for initial appointment must be able to demonstrate the provision of inpatient, outpatient, or consultative services for an adequate number of evaluations, assessments or interventions during the past 12 months, or demonstrate successful completion of a hospital-affiliated accredited residency, special clinical fellowship or research.
• Applicants for renewal of clinical privileges must demonstrate competence and an adequate volume of experience and number of evaluations, assessments or interventions with acceptable results in the privileges requested for the past 24 months based on results of quality assessment/improvement activities and outcome.
•  Evidence of current ability to perform privileges requested is required of all applicants for renewal of privileges.

Paid Time Off:

• 26 Days paid annual (vacation/personal) leave
• 13 Days paid sick leave each year with no limit on accumulation
• 11 Federal holidays with pay annually
• 5 Days paid absence to attend approved CME courses

Insurance:

• Health Insurance: VA employees have an outstanding number of health insurance plans from which to choose (premiums are partially paid by VA) Lifetime Healthcare Insurance options available
• Dental & Vision: Our insurance options also include exceptional vision and dental plans (premiums are partially paid by VA)
• VA employees have the option to use Flexible Spending Accounts, which allow you to use tax-free dollars to pay for medical, dental, and vision care expenses that are not reimbursed by your health insurance plan
• Term life insurance, family, and additional coverage options are available with the cost shared by the Federal Government
• Long-term care insurance is available as an option

Federal Retirement Plan:

• VA employees are covered by the Federal Employees Retirement System (FERS). FERS is a three-tiered retirement plan composed of 1) Social Security benefits, 2) FERS-RAE basic benefits (pension), and 3) Thrift Savings Plan (TSP) which is a 401K-type plan
• How is the pension funded? VA employees automatically contribute 4.4% of their salary each pay period and the VA contributes 12.2% of the employee’s salary each pay period for a total annual contribution percentage equal to 16.6% of the employee’s salary
• Similar to the 401(k) savings plans widely available in the private sector, the TSP allows employees to tax defer a portion of their income each year, subject to the requirements of the Internal Revenue Service. For calendar year 2020, employees under the age of 50 may contribute up to $19,500, while those over age 50 are eligible to make catch-up contributions that allow them to defer up to $25,500.
• The Federal Government also provides an automatic basic contribution (1% of salary) and up to 4% of salary in matching contributions, depending on the amount of the employee contribution
• For retired military personnel, these benefits are in addition to full monthly retirement pay or pension
• In addition to FERS, VA provides health care insurance coverage for retired personnel
• Disability Retirement
• Employees are vested in a federal pension after only 5 years service

DEPARTMENT OF VETERANS AFFAIRS

 VA AMARILLO HEALTH CARE SYSTEM

Lubbock, TX

(PULMONOLOGIST) SCOPE OF PRACTICE

SPECIALTY 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 (Pulmonologist) who are granted privileges to provide, deliver and/or interpret are hereby granted the following core privileges:

• The Pulmonologist is responsible for patient care, patient/family education and participation in any indicated clinical research in pulmonary medicine. The pulmonologist provides comprehensive care for patients who have illnesses within the scope of pulmonary medicine/sleep spectrum as noted in privileges granted. The Scope of these activities covers all phases of ambulatory care. Other responsibilities may include education of medical students and residents and/or supervision of other providers. Most of the pulmonologist’s time is devoted to patient care and education, with the remaining time set aside for performance improvement activities, creative research to improve patient care, activities sufficient to maintain proficiency in state-of-the-art pulmonary care. Care will be provided to the Amarillo VA Healthcare System, physical duty location is the Amarillo, TX.

• 2. Documents care provided in the computerized Patient Record System (CPRS) in accordance with Amarillo VA Health Care System requirement.
• Documents the detailed, targeted, initial history and physical examination required for evaluation in the electronic tools(s) required by VA.
• Obtains consent and documents procedures performed for which the pulmonary specialist is responsible. Provides education and counseling of patients and families in preventative care, medical conditions, and the use of prescribed treatments and drugs.
• Review and revise policies and scope of practice/standards of operation to meet the needs of the National VA and Amarillo VA Health Care System mandates.

• Review and guide protocols in chronic patient managements including coordinating efforts with prosthetics department to meet patient’s needs and maintain fiscal responsibility.

3. Writes medical orders and prescriptions for non-controlled and controlled substances, as necessary, for the care of the patient in accordance with Federal and State law.

Responds to and completes consults received for the evaluation of pulmonary and sleep, including Performing comprehensive, detailed, targeted, initial history and physical examinations in compliance with national guidelines.

Orders diagnostic studies such as laboratory tests, X-rays, PFTs, electrocardiograms (EKG’s) and other tests.