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21 Jun
Temporary Contract PA/NP needed for US Army
Job Description
Fort Drum is located in Northern New York State, about 30 miles south of the Canadian border. The nearest somewhat large city is Syracuse, about 70 miles south. This is a very rural farm area, and winters are extremely harsh. Fort Drum can receive 1-2 feet of snow in a day and have wind chills of -40. The area can receive snow in October and May. Fort Drum offers bountiful outdoor recreational opportunities from hunting and fishing to winter sports of all types. Ft. Drum borders Lake Ontario, the St. Lawrence River, Canada, the Adirondack Mountains, and Vermont.
PROFESSIONAL QUALIFICATIONS / SPECIFIC TASKS / RESPONSIBILITIES. All contract employees shall meet the qualifications for that specialty and perform essentially the same functions, within the scope of acceptable for their technical professional discipline and standard, as those required by Army or government service technical professionals of similar experience and in similar duty assignments assigned to the same medical center. Contract employee practices/productivity will be compared to that of other Contract employees assigned to the same medical center and a reasonable workload assigned will be to be completed within forty (40) hours per week. Contract employee will not be assigned more work than can be reasonably completed within forty (40) hours per week.
PROFESSIONAL QUALIFICATIONS –PHYSICIAN ASSISTANT. Contractor’s employees shall have the following qualifications, documentation and shall:
- Be a graduate of a physician assistant educational program accredited by the Committee of Allied Health Education and Accreditation (CAHEA) on behalf of the American Medical Association.
- Have a current, unencumbered license. The license does not have to be from the state in which the Physician Assistant is practicing in under this contract. The license must be one granted by the recognized licensing agency of any of the fifty (50) states, the District of Columbia, the Commonwealth of Puerto Rico, or the US Virgin Islands (licensure requirement is in accordance with AR 40-66, Section V, Professional Licensure).
- Have and maintain certification as a Physician Assistant by the National Commission on Certification of Physician Assistants (NCCPA).
- Possess a current Federal Drug Enforcement Agency (DEA) registration.
- Have and maintain current certification in Basic Life Support (BLS) prior to employment. Certification must be an American Heart Association and/or American Red Cross approved training program and individual must demonstrate ability to initiate CPR in event of respiratory or cardiopulmonary arrest with hands on training. Online or web based BLS training is not accepted. Certifications must be renewed every year at no additional cost to the Government.
- Have spent a minimum of two (2) years within the past five (5) years practicing family medicine or primary care, preferably in an urgent care and/or family practice type setting. The quality of performance will be confirmed by both the offeror’s credential packet and letters of reference submitted on behalf of the offeror from current/previous clinical supervisors and/or residency directors and peers/colleagues.
- Be a U.S. citizen, and provide proof; ie. original immigration papers, passport.
- Be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers.
- Continue education requirements annually to maintain clinic credentials, enhance competencies and augment professional skills at no additional cost to the Government.
- Have excellent typing skills and experience using computers with programs specifically for electronic medical records documentation.
- Shall demonstrate ability in the areas of interpersonal relations, problem solving, and conflict resolution.
PROFESSIONAL QUALIFICIATIONS-NURSE PRACTITIONER. Contractor’s employees shall have the following qualifications, documentation and shall:
- Be a graduate of an approved school of nursing and maintain a current, unencumbered registered nursing and nurse practitioner license. The license must be one granted by the recognized licensing agency of any of the fifty (50) states, the District of Columbia, the Commonwealth of Puerto Rico, or the US Virgin Islands (licensure requirement is in accordance with AR 40-66, Section V, Professional Licensure).
- Be certified with a certification from one of the following: American Nurse Credentialing Center, National Certification Board of Nurse Practitioners and Nurses; or the Academy of Nurse Practitioners.
- Possess a current Federal Drug Enforcement Agency (DEA) registration.
- Have and maintain current certification in Basic Life Support (BLS) prior to employment. Certification must be by American Heart Association and/or American Red Cross approved training program and individual must demonstrate ability to initiate CPR in event of respiratory or cardiopulmonary arrest. Certifications must be renewed every year at no additional cost to the Government.
- Have spent a minimum of two (2) years within the past five (5) years practicing as a Nurse Practitioner in a family medicine or primary care, preferably in an urgent care and/or family practice type setting. The quality of performance will be confirmed by both the offeror’s credential packet and letters of reference submitted on behalf of the offeror from current/previous clinical supervisors and/or residency directors and peers/colleagues.
- Be a U.S. citizen, and provide proof; ie. original immigration papers, passport.
- Be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers.
- Continue education requirements annually to maintain clinic credentials, enhance competencies and augment professional skills at no additional cost to the Government.
- Have excellent typing skills and experience using computers with programs specifically for electronic medical records documentation.
- Shall demonstrate ability in the areas of interpersonal relations, problem solving, and conflict resolution.
1.6. SPECIFIC TASKS / RESPONSIBILITIES ASSOCIATED WITH ALL PROVIDERS.
Duties include but are not limited to the following:
- The contract health care providers shall perform evaluation and treatment (to include minor surgical procedures as medically necessary and within the scope of the Medical Treatment Facility) on all patients. All decisions regarding the scope of practice should be referred to the Chief, PCC or his/her designated representative.
- Request diagnostic tests as medically indicated (more complex diagnostic testing, i.e., CT Scan, MRI, etc.) must be processed through the HCF/TSC and meet the required InterQual criteria.
- Render a diagnosis.
- Provide indicated treatment. (If unable to treat within the MTF, proper referral must be done through the HCF/TSC).
- In complex cases, provide medical care, and continue medical management as necessary
- Automated Clinical Systems. Contractor employees shall receive training in the use of the following systems while providing medical services at the medical treatment facility: CHCS, ADM, ICDB/HEALTHeFORCES (i.e. HealtheNotes), AHLTA, Enterprise Wide Referral and Appointment System (EWRAS), and any new systems deployed during the course of this contract. The contract provider shall utilize these systems and any new computer systems that come into effect during the performance period of the contract. Access to such patient data systems is an “Automated Data Processing Sensitive” position requiring compliance with AR 380-19 and AR 380-67.
- Composite Health Care System (CHCS). Contract provider shall use the CHCS for keeping records, ordering of ancillary procedures, ordering of medications, writing doctor’s orders, schedule follow-up visits, referral ordering, lab and x-ray results, and medical records coding. and performing other required patient functions. The Government will provide training to contract providers. Access to such patient data systems is an “Automated Data Processing Sensitive” position requiring compliance with AR 380-19 and AR 380-67.
- Ambulatory Data Module (ADM or KGADS). The ADM module is part of CHCS where medical records of evaluation and management (E&M) codes, diagnosis (ICD-9) codes, procedural (CPT-4 and HPCS II) codes are input and stored for every patient encounter. The USA MEDDAC coding staff codes the medical records from the documentation provided by the treating providers. Providers are responsible for coding and inputting telephone consultations into CHCS and ADM. Providers are responsible for cooperating with the coding staff with respect to any questions they have about medical documentation, and providing documentation of the encounter on the same day as the appointment.
- Contract provider shall comply with clinical policy utilizing ADM/KGADS database. Within 60 days after training, contract provider shall obtain, and maintain, a coding accuracy of a 95%. The accuracy encompasses the codes matching the documented medical records. The USA MEDDAC coding department will be responsible for coordinating coding training with contractor, and monitoring contractor coding efficiency to achieve a coding accuracy of 95% within 60 days.
- Use of automated word-processing equipment to write reports is a requirement of employment under this contract. The government will provide the contract provider any necessary training on this system.
- Referrals for Specialty Testing or Specialty Care. Sierra Military Health Services, the TRICARE contractor, is responsible for coordination of referral functions for all MHS beneficiaries. The TRICARE Prime program requires that specialty and tertiary services be accessed by enrollees only upon referral by a PCM and with authorization by the Health Care Finder (HCF) or TRICARE contractor designee. If the patient needs additional specialty care referrals unrelated to the current episode of care, a proper referral shall be performed by the PCM through the Managed Care Module of CHCS in accordance with established policy within the MTF and in accordance with guidelines provided to PCMs.
- The contractor shall remain current on TRICARE policies and procedures as they relate to care of MHS beneficiaries under the TRICARE Prime Program. The contractor shall ensure all providers furnished under this contract are provided education in accordance with the contractor requirements.
- Peer Review. The contract provider shall perform peer review, as required, within the department assigned. Peer review shall consist of review of medical records for patients that were taken care of by other clinic providers, or contract providers that work within the same or different companies. Any issues found during the peer review process shall be documented and submitted to the Clinic Chief for action. All follow-up action necessary shall remain the responsibility of the Government.
- The contractor shall complete, sign and close their EMRs in AHLTA within 72 hours from time encounter was opened.
- Shall demonstrate knowledge and skills necessary to provide care appropriate to any age-related needs of the patients. The individual demonstrates knowledge of the principles of growth and development appropriate to the patient population served: Infants, Children, Adolescent, Adults, and Geriatric (>65).
- Any Contractor HCP personnel found to be unacceptable in administering skills required by the Contract shall be immediately released from duty by the COR. The COR will immediately notify the KO.
SCHEDULE/PERIOD OF PERFORMANCE.
- Regular work hours. The contractor shall provide two (2) PA or NP for the MIP and Medical Readiness Clinic, from 7:00 A.M. – 4:00 P.M. Monday through Friday, (excluding federal holidays). The contract providers will work a maximum of forty (40) hours per week. Contractors will have a one (1) hour or thirty (30) minute uncompensated lunch break. The Government reserves the right to adjust this schedule as necessary to accommodate requirements of the MTF within the confines of the contract. The Contractor HCP will work a maximum of eight (8) hours per day. The exact hours of duty will be coordinated between the Contractor and the COR.
- OVERTIME IS NOT AUTHORIZED. Contractor HCP will not work more than eight (8) hours per day, and forty (40) hours per week.
