Home Hospital
2 weeks ago
North Team- The NORTH Team APP will primarily admit at Salem Hospital with flexibility to serve MGH and provide care to Home Hospital patients who live in the surrounding area.
Job Title: Medical Home Hospital Advanced Practice Provider
General Overview
The Medical Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB (Mass General Brigham) Home Hospital (HH) is an innovative strategic service line aiming to improve patient care by shifting it out of hospitals and into the home-based environment, increasing hospital capacity and reducing total costs of care.
The Medical Home Hospital Advanced Practice Provider will support the work of the Home Hospital by evaluating (either in person or virtually) and managing patients in their home as a direct Medical Home Hospital provider, supported by a multidisciplinary team that includes an Attending Medical Provider (who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist , case management ). The Medical Home Hospital APP will work with the inpatient and emergency teams at all five participating MGB Hospitals (MGH, BWH, Salem, Faulkner, NWH) to identify patients who qualify for an a dmi ssion or transfer to Home Hospital service. The HH APP will screen for appropriate patients , communicate with the hospital-based primary teams about appropriate patients , consent patients for admission, and subsequently manage patients on the Medical Home Hospital Service. These patients may originate in the Emergency Department and deemed appropriate for direct admission to Home Hospital or be admitted to the brick and mortar I npatient service s and deemed appropriate for transfer to the Home Hospital Service .
Patients who are admitted to the Home Hospital service will be seen by an admitting HH APP either in the brick & mortar hospital, in person in the patient’s home or virtually. The HH APP will be responsible for placing admission or transfer orders to the Home Hospital Service. Daily HH APP rounds will consist of at least one daily patient encounter (in-person or virtual depending on patient needs and clinical course), with medical decision-making and delivery of needed care as appropriate ( see specific clinical duties below). The HH APP will facilitate continuity between care settings, ensure home-based and acute care protocols are seamlessly integrated in the home settings, and function as the responding clinician in the home environment.
The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, experienced, and confident clinician comfortable with autonomy. Must collaborate well with multidisciplinary teams and able to make complex clinical decisions as well as be comfortable with level-of-care triaging, and telemedicine. The role offers the potential to broaden clinical duties as the HH Program expands to other Service lines . This may include involvement with the research & development team creating HH pathways and protocols.
Principle Roles/Responsibilities
- Provides acute-level care of medical patients in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team (including receiving the patient at his/her/their home, establishing a treatment plan, following Home Hospital protocols where appropriate, acting as a liaison between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care). Other clinical duties may include facilitating in-home diagnostics, point-of-care testing, administration of medications and other treatments, remote patient monitoring, clinical documentation, drain management, wound management, interpretation of diagnostic imaging & laboratory data.
- Works with the Home Hospital team members (nurse navigators, coordinators) to identify appropriate patients for transfer/admission to the Medical HH service and completes the admission process.
- Establishes relationships with the inpatient Brick and Mortar teams (APPs, medical residents & Attending Providers ) at all five MGB sites to help foster seamless transition of care to the HH Service line.
- P artners (provides handoff) with the r emote overnight HH Nocturnist APPs as they provide cross coverage for all patients on the H H Service .
- Collaborates with multidisciplinary Home Hospital team members and patients’ longitudinal care team members around appropriate , safe, effective, equitable , and timely care delivery for Home Hospital patients. As well as daily collaboration w/ the Attending of record to ensure closed loop communication about the plan of care.
- Communicates with the patient and family about Home Hospital and care plan progression , incorporating patient and family values and goals of care.
- Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.
- Attends relevant team and other meetings related to Home Hospital and related work.
- Participates with quality measurement and/or quality improvement initiatives, as appropriate , to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.
▪ At least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience with a minimum of 2 years of Acute Care Inpatient &/or Emergency experience, preferably practicing in an acute hospital setting; academic medical center experience a plus.
▪ Current Massachusetts Licensure as a NP or PA with a Master’s Degree required .
▪ MGB institutional knowledge a plus.
▪ Advanced Cardiac Life Support (ACLS) certification is required .
▪ Flexible and comfortable with a fast-paced, evolving clinical environment & autonomy.
▪ Motivated, collaborative team player who also works well independently.
▪ Creative problem solver with the ability to think innovatively.
▪ Excellent oral and written communication skills.
▪ Familiarity with EPIC and TEAMs a plus.
▪ Demonstrated knowledge of quality measurement and quality improvement.
▪ Track record of proficiency in managing relationships and building networks.
▪ Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.
Shift Requirements/Working Conditions
▪ Role is Full time, 36 to 40hrs, 12hr shifts 7A-7P, this includes rotation of weekends (no more than every 3 rd weekend) and rotation of major holidays .
Local travel between patient homes within a defined 10-20 mile radius required.
Primary Location
MA-Boston-Home Hospital North
Work Locations
Home Hospital North
Job
Advanced Practice Nurse
Organization
Mass General Brigham Healthcare at Home
Schedule
Part-time
Standard Hours
36
Shift
Day Job
Posted Shift Description
36 Hour Day Shift- North Team- Primarily Salem Hospital
Employee Status
Regular
Recruiting Department
HH Advanced Clinical Practice
Job Posting
Nov 20, 2024
-
Physician Assistant
1 month ago
Boston, Massachusetts, United States Partners HealthCare at Home Full timeJob Description About the Role We are seeking a highly skilled Physician Assistant to join our Home Hospital team as an Advanced Practice Provider. This individual will play a critical role in providing acute-level care to patients in the comfort of their own homes. As a Physician Assistant in this setting, you will be part of a multidisciplinary team that...
-
Home Hospital
4 days ago
Boston, United States Mass General Brigham Healthcare at Home Full timeJob DescriptionMedicine- Home Hospital Advanced Practice Provider (NP or PA) Part-Time 36 hour Days North Team- The NORTH Team APP will primarily admit at Salem Hospital with flexibility to serve MGH and provide care to Home Hospital patients who live in the surrounding area. Job Title: Medical Home Hospital Advanced Practice ProviderGeneral OverviewThe...
-
Nurse Practitioner
2 weeks ago
Boston, United States Mass General Brigham Healthcare at Home Full timeDescription Home Hospital Advanced Practice Provider (NP or PA) FULL TIME 40 hour Days- Newton Wellesley Primary Job Title: Home Hospital Advanced Practice Provider General Overview The Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home...
-
Nurse Practitioner
4 days ago
Boston, United States Mass General Brigham Healthcare at Home Full timeJob DescriptionHome Hospital Advanced Practice Provider (NP or PA) FULL TIME 40 hour Days- Newton Wellesley Primary Job Title: Home Hospital Advanced Practice ProviderGeneral OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home...
-
Nurse Practitioner
5 days ago
Boston, United States Mass General Brigham Healthcare at Home Full timeJob DescriptionHome Hospital Advanced Practice Provider (NP or PA) FULL TIME 40 hour Days- Newton Wellesley Primary Job Title: Home Hospital Advanced Practice ProviderGeneral OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home...
-
Nurse Practitioner
2 weeks ago
Boston, United States Mass General Brigham Healthcare at Home Full timeJob DescriptionHome Hospital Advanced Practice Provider (NP or PA) FULL TIME 40 hour Days- Newton Wellesley Primary Job Title: Home Hospital Advanced Practice ProviderGeneral OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home...
-
Home Hospital Surgical
3 weeks ago
Boston, United States Mass General Brigham Healthcare at Home Full timeDescription Surgical - Home Hospital Advanced Practice Provider (NP or PA) Job Title: Surgical Home Hospital Advanced Practice Provider Reports To: Home Hospital Surgery Lead APP & Home Hospital Director of APPs & Clinical Director of Surgical Services Full-time 36-40hrs SOUTH- The APP will primarily admit at BWFH or BWH with flexibility to serve NWH and...
-
Home Hospital Nurse Practitioner FT
1 month ago
Boston, United States Mass General Brigham Healthcare at Home Full timeDescription NP or PA 40 Hour South Team position. BWH/BWFH with flexibility to Newton Wellesley. General Overview The Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve...
-
Boston, United States Massachusetts General Hospital Full timeThis RN Virtual position will be located at our New Logistic Command Center- Assembly Row, Somerville, MA. 36 hour/Night The position to which you are applying is represented by a collective bargaining unit, Massachusetts Nurses Association. The MGB Home Hospital Virtual Registered Nurse (VRN) is responsible for providing essential elements of the...
-
Home Hospital Nurse Practitioner FT
4 days ago
Boston, United States Mass General Brigham Healthcare at Home Full timeJob DescriptionNP or PA 40 Hour South Team position. BWH/BWFH with flexibility to Newton Wellesley.General OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve...
-
Home Hospital Nurse Practitioner FT
5 days ago
Boston, United States Mass General Brigham Healthcare at Home Full timeJob DescriptionNP or PA 40 Hour South Team position. BWH/BWFH with flexibility to Newton Wellesley.General OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve...
-
Home Hospital Nurse Practitioner FT
2 weeks ago
Boston, United States Mass General Brigham Healthcare at Home Full timeJob DescriptionNP or PA 40 Hour South Team position. BWH/BWFH with flexibility to Newton Wellesley.General OverviewThe Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve...
-
Boston, United States Brigham and Women’s Hospital Full timeAriadne Labs is a joint center for health systems innovation at Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health. Our goal is to drive scalable solutions for better care at critical moments in people’s lives everywhere. Better care means better health outcomes, lower costs, and more actual caring. Critical means solving...
-
Boston, United States Brigham and Women’s Hospital Full timeAriadne Labs is a joint center for health systems innovation at Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health. Our goal is to drive scalable solutions for better care at critical moments in people’s lives everywhere. Better care means better health outcomes, lower costs, and more actual caring. Critical means solving...
-
Boston, United States Brigham & Women's Hospital(BWH) Full timeAriadne Labs is a joint center for health systems innovation at Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health. Our goal is to drive scalable solutions for better care at critical moments in people’s lives everywhere. Better care means better health outcomes, lower costs, and more actual caring. Critical means solving...
-
Boston, United States Mass General Brigham Healthcare at Home Full timeJob DescriptionGeneral Summary/OverviewHome Hospital, at Mass General Brigham Healthcare at Home d elivers high quality, safe and cost-effective patient services through management of clinical staff. Ensures regulatory, organization, and program policies and standards are met. Proactively contributes to achievement of clinical, administrative, and financial...
-
Boston, United States Mass General Brigham Healthcare at Home Full timeJob DescriptionGeneral Summary/OverviewHome Hospital, at Mass General Brigham Healthcare at Home d elivers high quality, safe and cost-effective patient services through management of clinical staff. Ensures regulatory, organization, and program policies and standards are met. Proactively contributes to achievement of clinical, administrative, and financial...
-
RN Clinical Manager Home Hospital- South Team
2 weeks ago
Boston, United States Mass General Brigham Healthcare at Home Full timeJob DescriptionGeneral Summary/OverviewHome Hospital, at Mass General Brigham Healthcare at Home d elivers high quality, safe and cost-effective patient services through management of clinical staff. Ensures regulatory, organization, and program policies and standards are met. Proactively contributes to achievement of clinical, administrative, and financial...
-
RN Clinical Manager Home Hospital- South Team
1 month ago
Boston, United States Mass General Brigham Healthcare at Home Full timeDescription General Summary/Overview Home Hospital, at Mass General Brigham Healthcare at Home delivers high quality, safe and cost-effective patient services through management of clinical staff. Ensures regulatory, organization, and program policies and standards are met. Proactively contributes to achievement of clinical, administrative, and financial...
-
Home Hospital-Physician Assistant
3 weeks ago
Boston, United States Mass General Brigham Healthcare at Home Full timeDescription Home Hospital Advanced Practice Provider (NP or PA) full time 40 hour Days Job Title: Home Hospital Advanced Practice Provider "The APP will primarily admit at BWFH or BWH with flexibility to serve NWH and provider care to Home Hospital patients who live in the surrounding towns." General Overview The Home Hospital Advanced Practice Provider (HH...
