PACT Physician Amarillo Healthcare System, Lubbock, TX

AMARILLO VA HEALTH CARE SYSTEM-LUBBOCK CBOC
PRIMARY CARE SERVICE
SCOPE OF PRACTICE
PATEINT ALIGNED CARE TEAM (PACT) PHYSICIAN
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 incumbent will primarily act as a primary care provider within a Patient Aligned Care Team. The incumbent will provide primary care to an assigned patient panel as delineated in the clinical privilege list for a primary care physician. This will include, but is not limited to, diagnosis and management of a variety chronic medical illnesses, diagnoses and management of a variety of acute medical illnesses, providing patient education in regards to their acute and/or chronic illnesses, addressing preventative care topics with patients, coordination of patient care with consultants and specialists, performing routine in office procedures within the primary care scope of practice, and formulation of care plans to ensure patient’s overall health and wellbeing.
All PACT Physicians who are granted privileges to provide, deliver and/or interpret are hereby granted the following core privileges:
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Incumbent is responsible for examining, diagnosing, and treating patients with both pharmacologic and non-pharmacologic interventions. Ensures that all treatment meet generally accepted standard of care criteria.
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Incumbent is responsible for completing clinically appropriate workup for each diagnosis via physical exam, diagnostic laboratory and/or diagnostic imaging. Relaying results of diagnostic laboratory or diagnostic imaging to the patient in a timely manner.
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Incumbent is responsible for providing patient education regarding their diagnoses and treatments along with addressing preventative medicine at each visit. The physician is responsible for acting as a leader within their PACT and providing teaching/mentoring to each member of their team to improve the overall care experienced by the patient.
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Incumbent is responsible for coordination of patient care with consultants and specialists as needed
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Incumbent maintains appropriate documentation to include but not limited to the following topics: i. Timeliness – all documentation must be completed by the incumbent themselves within 7 days from Date of Service
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Each note meets Standard Criteria – must contain the basic elements for an accurate, complete, and billable primary care note.
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Incumbent adheres to VHA Code of Ethics, performs own duties as required, and Maintains Information Security Protocols as covered in N.E.O.
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Incumbent displays Professionalism at all times i. Performs own duties as required
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Understands and respects duties and roles of others in the department.
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Is responsive to needs of team members regarding time and information.
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Is available at assigned duty station during duty hours for team members to consult
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Adheres to HIPAA guidelines in both written and verbal communication.
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Incumbent will perform only those privileges for which approval has been granted by the Medical Center Director prospectively and in writing.
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Incumbents maintains own professional qualifications, participates in customer service training, computer training, and attends mandated medical center training activities as required.
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Incumbent will serve in a supervisory capacity for ancillary staff and maintain appropriate documentation of said supervision.
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Incumbent may provide education and training to members of the medical/dental staff through various conferences, committees, and lecture series.
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Incumbent may be assigned administrative or managerial responsibilities through participation in clinical, educational and administrative committees, task groups, or special projects.
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Incumbents who supervise residents will provide education, training, mentoring, and supervision to students and residents.
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Incumbents with specialized training in a particular specialty may be assigned section chief responsibilities for the subspecialty and may function as the primary clinician or subject matter expert responsible for formulating policy, procedures, education, and training affecting the daily clinical operations of the subspecialty
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Incumbent reports to the clinic’s Section Chief of Primary Care for day-to-day clinic operations.
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Education – Hold a doctoral degree in medicine (MD or DO) obtained from one of the schools or colleges approved by the Secretary of Veterans Affairs for the year in which the course of study was completed.
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Incumbents must be independent licensed practitioner who holds a full and unrestricted license in any state.
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Incumbents holds unrestricted DEA permit
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Incumbents maintains own professional qualifications
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Incumbents must pass pre-employment examination along with designated and/or Random Drug Testing when required
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Background and/or Security Investigation required
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Incumbent must be proficient in written and spoken English
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Citizenship - Citizen of the United States (Noncitizens may be appointed when it is not possible to recruit qualified citizens in accordance with Chapter 3, Section A, Paragraph 3g)

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.