Physiatrist Amarillo VA Healthcare System

DEPARTMENT OF VETERANS AFFAIRS

 AMARILLO  HEALTH CARE SYSTEM

(PHYSICAL MEDICINE AND REHABILITATION SERVICE) SCOPE OF PRACTICE

PM&R 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:

The PM&Rs Service staff physiatrist reports to the Chief, Physical Medicine & Rehabilitation Service (PM&RS). A staff physiatrist routinely performs inpatient and outpatient musculoskeletal and neuromuscular examinations, determines diagnoses, and initiates treatments that emphasize restoration of function. The staff Physiatrist works with a team of health care providers to establish a comprehensive rehabilitation program. Different patient populations requiring comprehensive rehabilitation programs include those with electromyography, amputations, spinal cord injury, stroke, traumatic brain injury, musculoskeletal and neuromuscular impairments, and those with chronic severe disabling pain syndromes.

The Staff Physiatrist reports to the Chief of the PM&RS. In partnership with the Chief, PM&Rs services and PM&Rs Administrative officer, the Staff Physiatrist may participate in the following clinical areas as applicable and as assigned by the Chief of PM&Rs:

Attending patients with needs of general out-patient or in-patient rehabilitative medicine care including: treating musculoskeletal injuries, SCI, TBI, and Polytraumas. S/he provide Rehab Injections with or without Ultrasound guidance; lead or participate general rehab care, Amputee Care, Seating/Power Mobility Care, SCI/TBI care, managing in-patient & Out-patient consults including CLC Consults. S/he also provides clinical oversight for the PM&RS therapy sections as needed.

Staff Physiatrist prescribes, coordinates, monitors, and has the working knowledge of rehab activities of the PM&RS’s Service - including Physical Therapy, Occupational Therapy, Kinesiotherapy, Speech & Language Pathology.

S/he be accessible and available to the personnel of the PM&Rs Service for:

1. clinical consultation - as needed
2. Be responsible for integrating the core values and mission into the rehabilitation process
3. Assists the Chief PM&Rs in the performance of the PM&Rs programs in the areas of: a. Resource Utilization
4. Accomplishment of local, VISN and national goals.
5. Patient Safety

The staff Physiatrist may also participate in administrative and quality improvement activities. S/he assists in administration, policy development, and compliance with JC, CARF, VHA and other applicable local and national standards.

The incumbent may serve in committees and Medical Center management as assigned by the Chief of PM&RS and/or the Executive Leadership Team (ELT).

The staff Physiatrist is expected to collaborate with other providers of the PM&R Service and other services in providing an appropriate clinical education to medical students, residents, nurse practitioners, physician assistants and allied health trainees as needed or requested by the PM&R Service Chief.

The Staff Physiatrist required to maintain Continuing Medical Education (CME), State Medical License, board certification (if indicated), certification in CPR-BLS/RQI, and timely completion of VA mandated trainings assigned via the TMS (Training Management System).

Depending on the incumbent's interests, qualifications, and particular clinical skills in biomedical sciences, opportunities for an affiliation with the medical schools and colleges in the area may be available in the fut

The Staff Physiatrist is expected to collaborate with the Chief of PM&RS and other Service Chiefs, Section Chiefs, Physicians, Therapists and Administrative Officers in the care of patients with:

1. disabilities, activity limitations, hearing/speech limitations;…etc. that may hinder access to care.
2. provision of care that demonstrates value for people with activity limitation, hearing/speech limitations, and participation restrictions.
3. barriers pertaining to architectural, environmental, attitudinal, financial, communication, employment, transportation;…etc. limitation of people with disabilities

The incumbent Staff Physiatrist under the guidance and direction of the Chief of PM&RS will

oversee and collaborates to ensure that all applicable clinical functions, as assigned by Chief of PM&Rs are completed timely and optimally.

The incumbent Staff Physiatrist:

1. manages out-patient and in-patient patients including CLC patients.
2. provides polytrauma rehabilitative care including TBI/SCI;
3. leads or participates in clinics focused on an amputee care, seating/power mobility care, non-interventional pain management;
4. administration of trigger point, intraarticular, intrasheath, and joint injections with or without an ultrasound guidance; and
5. performs an/a EMG/NCV testing's.

The incumbent is expected to execute clinical and non-clinical assignment efficiently, timely and courteous service to all veterans seeking rehabilitative care, and make clinical notes readily available to the referring practitioners.

The staff Physiatrist collaborates to ensure coverage of other rehab clinical areas when requested by the Chief of PM&R Service.

The staff Physiatrist will prescribe therapeutic exercise programs, and therapies, such as, PT/OT/Speech/Chiro, massage, acupunctures, hydrotherapies;…etc.). The staff also prescribes, orthotic, prosthetic devices, durable medical equipment;…etc. when clinically indica

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.