CCA’s Hospitalist, Complex Care will focus on CCA members presenting to the ED to create pathways to manage these members at home rather than admit to the hospital. In this way, the hospitalist spares members the hardship of unnecessary hospitalization and saves costs that can be reinvested in other areas of health. The hospitalist also extends the CCA outpatient model of patient-centered complex care management to the inpatient hospital setting. Provides consultation for inpatient care teams to assure high-quality, effective, and efficient patient-centered acute care for hospitalized members. The hospitalist will work with a specialized team of community health workers and community paramedics to be able to address acute medical needs as well as psycho-social elements that often drive hospitalizations. This team will be able to authorize and execute rapid home interventions, such as next day visits by advanced practice clinicians, IV meds and labs, and in home PT/OT and other skilled nursing services.
This position will work on-site at Boston Medical Center
- This is a Part Time 5 day blocks Monday to Friday 8AM-6PM position with occasional phone availability to 8:00PM, no weekends. Minimum 1 block per month, 12 blocks per year.
- You will provide consultation on CCA patients who present to the ED to help with acute care evaluation and medical management, work together to formulate appropriate disposition and consider the possibility of ED diversion using CCA’s innovative models: Mobile integrated health via community paramedicine for next day IV meds and labs as well as unpaneled physician assistants for next day home visits and clinical management.
This position will report to the Acute and Urgent Care Medical Director
- You'll round on select CCA patients within 24 hours of admission and work with the inpatient team to formulate inpatient plan of care.
- You'll integrate with inpatient hospital team and CCA Transitions of Care team.
- You will also regularly communicate with the outpatient care team, transitions of care, and the community primary care physician to provide updates on patient’s progress while in the hospital.
- You will also coordinate with palliative care and other CCA subspecialty services.
- Interact regularly with patient and families to ensure that they are informed and feel that CCA partners with them in their care.
- You will collect metrics and assist in analyzing them.
- You'll be required to prepare and present a variety of educational topics related to the CCA population and care models.
- As part of this role you will conduct educational and training activities that promote appropriate and effective patient care
- You'll actively participate in the planning, implementation and coordination of health education and counseling of the patient and family. Teaches families and caretakers how to provide safe, effective care and promote optimum function for patients at home. Documents the level of understanding and response to teaching.
To qualify for this role...
- You must have an MD or DO degree from an accredited institution in Massachusetts
- A minimum of 5 years of experience as a board certified or board eligible physician in family practice or internal medicine.
- Be a creative problem solver capable of rapidly implementing unique care plans.
- Have an interest and experience in serving complex, vulnerable and disabled populations is essential
- Have experience with quality improvement, monitoring and evaluation, health systems strengthening, innovation and training is desired, although not essential
- Proven skills, knowledge base and judgment necessary for independent clinical decision-making
Commonwealth Care Alliance