Hospice Physician
1 month ago
The medical director of VITAS fulfills two primary functions, each of which is expected to consume approximately one half of the time and work effort of the position:
- The medical director has overall responsibility for medical direction of the care and treatment of patients and their families rendered by the hospice care team, and shall consult and cooperate with the patient's attending physician. The medical director provides physician direction and guidance to the hospice program, its physician employees, and other staff and volunteers to assure the maintenance of quality standards of care for patients and families.
- The medical director educates practicing physicians and others engaged in health care services regarding the hospice program and its potential benefits to patients.
Quality of Clinical Care
oAssure appropriate evaluation and certification of terminal prognosis of patients.
oAssure the quality of initial plans of care.
oAssure the quality of comprehensive plans of care.
oAssure the accuracy of documentation.
oReview revocations.
oReview recertifications of terminal prognosis.
oReview the quality of pain and symptom management.
oProvide medical expertise on pain and symptom management to admission and patient care staff.
oProvide medical expertise on the evaluation of terminal prognosis to admission and patient care staff.
oActively participate in formal QI functions and committees.
oActively participate in Interdisciplinary Group.
oActively participate in Ethics Committee.
oInteract with attending physicians as necessary regarding pain and symptom manage ment issues and issues involving patient prognosis
oPeriodically attend home care team meetings and rounds in inpatient units.
Supervision of team physicians (home care and inpatient)
oInterview and participate in the hiring and contracting of team physicians with the general manager, patient care administrator and/or team manager.
oPeriodically review the quality of clinical care provided by the team physician.
oPeriodically review the quality of the quality of the documentation of visits made by the team physician.
oAssure that documentation of visits supports the CPT coded level of service billed.
oEnsure proper team physician participation and support in team meetings.
oEnsure proper team physician support to the VITAS nurse, team manager, and other clinical team members.
oParticipate with the team manager in the yearly formal evaluation of the team physician.
oEnsure that a physician on-call rotation is established so that there is team physician support available 24 hours a day, 7 days a week.
ManagementoParticipate as an active member of the local/regional management team (includes budget process, strategic planning, etc.)
oActively participate in responding to audits and denials from third party insurance and intermediaries (i.e. Medicare)
oEnsure that all contracted physicians (team physicians and consulting physicians) are properly credentialed via the VITAS Credentialing process.
oServe on the VITAS Credentialing Committee.
oIn Wisconsin the medical director also supervises the following functions of the consultant pharmacist:
oEnsure medications are utilized within accepted standards of practice.
oEnsure a system is developed and maintained that documents the disposal of controlled drugs.
Community Relations
oEducate community physicians on the principles of palliative medicine.
oProvide resource and consultative support to community physicians in palliative medicine.
oAttend and present at medical staff and other medical community conferences on palliative medicine.
oServe as liaison between the hospice and community physicians.
oMake regular contacts with practicing physicians to introduce the hospice program, to educate physicians regarding individuals for whom hospice may be appropriate, and to answer clinical and other concerns of physicians with respect to hospice.
oAssist in introducing the VITAS program to long term care providers, managed care providers, hospitals, and others.oConduct educational seminars, in services, and presentations to physicians, nurses, and other health care audiences whose support for and understanding of the hospice program is integral to assuring that hospice services are made accessible to patients and families.
Education and ResearchoAssist in the development of and actively participate in clinical training for all hospice patient care and admissions personnel.
oActively participate in medical and nursing education programs on palliative medicine that may be provided by VITAS to medical and nursing colleges in the community.
oAssist in the development of and actively participate in research protocols on both the local and corporate level.oBe a member of and participate in professional organizations related to palliative medicine.
QUALIFICATIONS
Knowledge of the principles and practice of primary medical care, with at least a working knowledge of oncology.
Knowledge of palliative care with particular emphasis on control of symptoms associated with terminal illness.
Ability to work collaboratively with patients' attending physicians to implement the hospice program and effect optimum medical care.
Ability to work collaboratively with hospice employees and volunteers as part of an interdisciplinary team.
Membership in good standing on the medical staff of an accredited hospital in the state in which the hospice is located.
Medical malpractice and liability insurance in amounts and with carriers satisfactory to VITAS.Positive recommendation to the general manager or area vice president from corporate medical officer.
EDUCATION
License to practice medicine in the state in which the program is operating.
Board certification in a medical specialty which deals with care of the terminally ill, such as Internal Medicine, Oncology or Family Practice, with at least a working knowledge of medical oncology and demonstrated expertise in the principles of palliative medicine and symptom management.
SPECIAL INSTRUCTIONS TO CANDIDATES
EOE/AA M/F/D/V
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