Advanced Practice Provider - Primary Care

Overview

EMG is affiliated with Eskenazi Health and employs physician and advanced practice providers who support the Eskenazi Health system. A multi-specialty provider group, it strives to be a leading primary care provider serving all patients regardless of ability to pay or condition of health while advancing medicine through teaching and research.

Eskenazi Health is one of American's largest safety net health systems with more than 1 million outpatient visits each year. Partnering with the Indiana University School of Medicine, Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County, Indiana. In addition to the 327-bed hospital located on its downtown Indianapolis campus, Eskenazi Health provides services at 10 federally qualified health care centers and multiple mental health sites and residential facilities located throughout Indianapolis. Eskenazi Health is accredited by The Joint Commission and has been highlighted as one of the nation's 150 best places to work by Becker's Hospital Review for four consecutive years.

Indianapolis offers affordable housing, excellent schools and a wealth of entertainment options, including a variety of amateur and professional sports teams, dynamic museums, live theater productions, symphony and opera concerts, a wide variety of shopping options and restaurants, and numerous outdoor festivals, as well as the famous Indy 500 race each May.

Eskenazi Health has been named to Becker's Hospital Review's 2018 list of "150 Great Places to Work In Health Care." This is the 3rd year in a row now that EH has received this honor.

The APRN plans, coordinates, and evaluates patient's health care at EMG venues. The APRN provides diagnostic as well as therapeutic intervention and evaluation, including diagnostic and pharmacologic intervention. Performs or orders and interprets diagnostic testing. Utilizes referrals to other providers as needed. Writes prescriptions when having appropriate approved prescriptive authority. Performs office procedures within the scope of practice. Collaborates with health care providers across the health care continuum.

Responsibilities

Clinical Practice and Education

1. Provides a history and initial and ongoing physical assessment of patients : medical, physical and psychosocial status including data from all relevant sources :

a. Obtains relevant health and medical history from patients and / or caregivers,

b. Performs physical exam appropriate for age, history, and presentation, including comprehensive functional assessment when clinically indicated

c. Conducts preventive screening and diagnostic procedures based on age and history

d. Identifies patient's medical and health risks and needs

e. Updates and records changes in health status

f. Orders, conducts and interprets diagnostic tests

g. Maintains follow-up on patient labs and tests

h. Identifies the needs of the individual, family, or community as a result of the evaluation of the collected data

i. Selects treatment interventions to promote quality of care while considering safety, effectiveness and cost

j. Formulates the appropriate differential diagnosis based on history, physical exam, clinical findings and diagnostic test findings

k. Develops care plan and communicates the plan to patient, their care giver, or family

l. Evaluates patient responses in relation to care provided and the expected outcomes

m. Identifies non-pharmacologic interventions and prescribes non-pharmacologic therapies; identifies pharmacologic interventions and prescribes pharmacologic therapies within approved prescriptive authority from the State of Indiana

n. Provides patient education

o. Makes appropriate referrals to physicians and other health professionals and community agencies,

p. Determines the effectiveness of plans of care based on identifies, objective outcomes and reassesses and modifies the plan as necessary to achieve medical and health goals of the individual patient and communicates findings and plan of care to patient, their care giver or family

2. Participates in quality improvement review on a periodic basis, including systematic review of records and treatment plans, helps disseminate findings, and implements plans for improvement.

3. Serves as an educational resource for other EMG staff.

4. Serves as a member of various EMG committees dealing with healthcare and clinical practice

5. Completes and maintains written records in a timely fashion and in compliance with NCQA and Eskenazi Health standards.

6. Ensures documents are accurate, comprehensive and in a manner that is retrievable

7. Identifies patients whose illnesses are beyond the scope of practice and collaborates with department physicians or specialty consultants as needed

8. Strives for improved patient care focusing on positive outcomes and cost effectiveness through the five primary roles of expert clinician, consultant, educator, researcher and leader

9. Maintains clinical skills requirements based on area of practice and demonstrated competency as required by credentialing

10. Utilizes principles of performance improvement process to improve patient care

11. Maintains a flexible schedule to meet the needs of patients, staff and system

12. Utilizes prescriptive authority according to the Indiana statute and institutional guidelines

13. Contributes to professional literature

14. Impacts patient care by evaluating standards of care, clinical practice guidelines, and best practices to implement evidence based practice. Uses evidence based practice to develop policies and procedures and through involvement in practice committees.

SKILLS AND KNOWLEDGE REQUIRED :

• Ability to assess system and patients' needs and function autonomously to develop and implement programs to improve patient care
• Ability to collaborate with other health care team members to enhance patient care across the continuum
• Demonstrates leadership abilities by serving as a mentor to influence patient outcomes
• Ability to conduct product, program and / or process value analysis including complete financial implications involved in implementation of the product or program
• Ability to review / critique pertinent research literature related to specialty areas and promotes evidence based practices to improve patient care
• Demonstrates excellent communication skills related to team development, group process, conflict management and negotiations
• Possesses knowledge and skills necessary to provide care appropriate to the age of patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data / interpret appropriate information needed to identify each patient's requirements relative to age-specific needs
• Ability to use age-appropriate and cognitive skills detailed in the department / area / unit job specific / age specific competencies

Qualifications