Advanced Practice Provider - Cardiology (High Acuity Heart Failure Clinic)

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                                 SCMG Advanced Practice Provider (APP) – Cardiology (High Acuity Heart Failure Clinic)

REPORTS TO POSITION:                SCMG Chief Medical Officer (or designee)

DEPARTMENT:                                  St. Charles Heart & Lung Specialists

DATE LAST REVIEWED:                 April 15, 2019

OUR VISION:                Creating America’s healthiest community, together

OUR MISSION:             In the spirit of love and compassion, better health, better care, better value

OUR VALUES:              Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: The St. Charles Heart & Lung Specialists clinic contains the subspecialties of Non-invasive Cardiology, Interventional Cardiology, Electrophysiology, Cardiothoracic Surgery and Structural Heart.  Together, these specialists deliver a complete patient centered program of care for patients with cardiac conditions. The program delivers care in the outpatient setting throughout Central Oregon and inpatient hospital care at the St. Charles Bend campus.

POSITION OVERVIEW: The SCMG Cardiology Advanced Practice Provider is responsible for providing Cardiology services in the inpatient and outpatient setting.  Provides both inpatient and outpatient care that includes daily rounding, orders, post-op instructions and discharge summaries, clinic consultations and post-operative office visits.

The Cardiology team will work in collaboration with other medical specialties to assess and manage patients following established standards and practices.

Work schedule: Provider will work a minimum of 40 hours per week with a minimum of 36 hours patient contact time

Duties include a blend of hospital rounding, admitting, discharges and scheduled clinic visits. This includes clinical documentation and all other necessary duties. 

Each week consists of a combination of:

• Inpatient Service Rotation: 
  • Monday- Sunday hospital service rotation, split between the APP team that are working in the inpatient and outpatient setting (current rotation 1:6), No clinic responsibilities the week following inpatient service.  This is a day shift only, no night coverage.
  • Hospital rounding, admissions, discharges, consults with Cardiologist
  • Coordinates procedural care for patients within the Cardiology service
  • Patient Education and coordination of outpatient follow up at discharge
• Clinic day:
  • Bend outpatient clinic: clinic hours between 8am – 4:30 pm, with a minimum of 12 appointment slots daily. 
  • Outreach outpatient clinic:  Outreach clinic performed at the agreed upon interval based on clinical need in assigned outreach area.  Outreach clinic start adjusted depending on distance from Bend campus.   
  • Four clinical days per week   

Call expectation:  Cardiology APP has no call responsibility outside of work hours.

Work location: Physician’s inpatient work location is St. Charles Bend Hospital with clinic in the Bend Heart & Lung Center and agreed upon Heart & Lung Specialist outreach clinic. 

ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)

Clinical Expectations:

• Examines, diagnoses, and provides a broad scope of treatments for cardiac disease processes
• Performs patient examinations, obtains and records pertinent medical history, subjective, and objective findings. 
• Orders and interprets appropriate laboratory, imaging, and other diagnostic procedures. 
• Utilize appropriate risk calculators as a part of assessment for patients and is familiar with new studies, emerging technology and medications beneficial to the patients being treated.
• Interprets and integrates data to determine diagnosis, and therapeutic plan.
• Administers and prescribes medications in compliance with state law and practice guidelines. 
• Orders appropriate medical procedures in accordance with State law and practice guidelines.
• Instructs patient and family regarding medications and treatments.
• Educates patients regarding health, illness prevention, and healing.  Recommends community resources to meet patient and family needs.
• Maintains and reviews patient records, charts, and other pertinent information, documenting clearly and concisely.
• Triages patient telephone calls, providing consultation as needed.
• Communicates effectivel