Gastroenterologist Amarillo VA Healthcare System

DEPARTMENT OF VETERANS AFFAIRS

 VA AMARILLO  HEALTH CARE SYSTEM

(GASTROENTEROLOGIST) SCOPE OF PRACTICE

SERVICE NAME

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

Examinations-Evaluates patients by examining thoroughly. Appropriate clinical, laboratory and other pertinent data is obtained to determine care the patient is provided.

Diagnosis--lnterprets and evaluates clinical data for the purpose of determining diagnosis and clinical status.

Therapeutic Ability--Prescribes appropriate and timely treatment; applies indicated therapeutic procedures; recognizes and assesses changes in behavior, symptoms, signs, and other pertinent facts about the patient and modifies plan of treatment when indicated. Recognizes own capabilities and limitations.

Effectiveness in Emergencies--The incumbent is readily available; and quick in recognizing emergency situations, and taking timely necessary action.

Patient Management--Develops and maintains rapport and gains the confidence of patients and relatives through competence and interpersonal skills to the end that patients and others are informed participants in the treatment effort.

Consultations and Specialty Skills--Recognizes the need for consultation and utilizing facility or clinic specialty skills in diagnosis and treatment.

Record keeping--Physical and other examinations and changes in patient's status are promptly and completely recorded. Unusual incidents are promptly reported to the appropriate official. Clear, accurate, and adequate clinical records are kept current and completed at time of discharge. The treatment plan is clearly stated. The physician is fully knowledgeable of and utilizes the Computerized Patient Record System. All progress notes, orders are to be completed and signed daily.

Encounters - All encounters to be completed daily by physician as this affects hospital funding.

Consults Closure: Consults are required to be completed by the provider at the time patient has been seen.

EDUCATIONAL ACTIVITIES

Educational responsibilities usually involve either "teaching" or "coordination." Some positions may involve both or cut across the elements or functions.

Teaching and Monitoring--Covers both the individual and group learning experiences where one serves as the learning facilitator in the role of a mentor or teacher for residents, trainees, or employees. As a mentor, plans and guides educational activities to meet the individual needs of the learner within the resources available. Counsels 2

learner on professional/occupational goals as they relate to education activities. Encourages active participation on the part of the student. Actively solicits evaluation from students of teaching and educational experiences. Assures that content is based upon student and patient care needs, up-to-date and at the appropriate level for the audience. Develops courses, lectures or programs based on preestablished objectives. Employs learning resources and media (library, film, slides, etc.) in an appropriate manner.

Coordination of Educational Programs-- Assesses educational needs for both continuing and basic education programs, using audits, self-assessment surveys, morbidity and mortality data, and new developments in health care. Establishes and maintains procedures for professionals to self-assess and partake in needs assessment procedures. Selects needs for which education/training is the most cost-effective intervention.

Establishes educational objectives consistent with both the educational needs and available educational resources and identifies appropriate learners.

Mandatory Training - completes all mandatory required training yearly.

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.