Hospitalist Supplemental - Cardiology

Under general direction, this role is an independent licensed provider responsible for diagnosing and treating patients independently and in collaboration with and colleagues. The position provides continuity of patient care by facilitating and coordinating communication between the healthcare team, the patient, and the patient’s family. This role coordinates care to ensure quality, cost effective care, appropriate length of stay, patient safety, and excellent patient satisfaction.

Weekday, weekend, shift work, holiday and on-call may be required.

Under general direction, this role is an independent licensed provider responsible for diagnosing and treating patients independently and in collaboration with and colleagues. The position provides continuity of patient care by facilitating and coordinating communication between the healthcare team, the patient, and the patient’s family. This role coordinates care to ensure quality, cost effective care, appropriate length of stay, patient safety, and excellent patient satisfaction.

Weekday, weekend, shift work, holiday and on-call may be required.

II. Principal Responsibilities and Tasks

• Participate as a member of the Healthcare team in a coordinated model of care, maintaining an average dayshift caseload of 6-8 patients. Participate as a member of the healthcare team performing cross-coverage. Perform overnight admissions with completion of a history and physical, completing a minimum of 7 admissions per night.
• Demonstrates competence in clinical assessment and decision making including diagnostic reasoning and problem solving. Performs a comprehensive history and physical for patients admitted to the hospitalist services. Places orders in CPOE, obtains, interprets, and follows-up on appropriate diagnostic tests. Communicates with attending physician on attestation of medical necessity of admission of “inpatient” status patients. Establishes medical diagnosis based on history, assessment and diagnostic findings.
  
  Present his/her patients in the Coordinated Model of Care Model of Care Rounds.
• Coordinates, documents and orders appropriate treatment plans/plans of care including prescriptions of medications based on a comprehensive review of history and physical and diagnostic results. Facilitates patient flow. Collaborates with the multidisciplinary team including case management and social work to ensure appropriate and timely discharge.
• Initiates protocols/clinical pathways and evaluates the plan of care ensuring timely intervention. Respond to and manages urgent issues.
• Performs and assists with invasive procedures as credentialed as needed.
• Collaborates with Hospitalist physicians, specialty physicians and APPs regarding admission, plan of care, discharge and transfer of care, as needed. Communicates plan of care with the interdisciplinary team.
• Incorporates the patient and family in their healthcare plan; communicates plan of care with the patient and family members. Provides patient and family education related to the plan of care, disease process, new treatment plans and medication regimens. Advocates for patients ensuring patient/ family participation in care, knowledge of treatment options and understand of rights of care.
• Initiates appropriate referrals and specialty consultations or other agency involvement as needed.
• Considers the holistic needs of patients and determines appropriate resources (i.e. Pain management, palliative care).
• Demonstrates ethical decision making incorporating other healthcare team members as appropriate.
• Uses evidenced based interventions, MEC established clinical guidelines and best practice guidelines in planning patient care. Follows policies, procedures and…