PACT Supervisor / Resident Coordinator

Job Description

Physician / Resident Training Site Director

VA Amarillo Health Care System

Lubbock / Childress / Dalhart Community Based Outpatient Clinics (CBOC)

General Description :

The Supervisory Physician, at the VA Amarillo Health Care System (VAAMAHCS) is responsible for leading all clinical, administrative, and educational aspects of the Primary Care operations at the assigned CBOCs : Lubbock, Clovis, Childress, and Dalhart.

The Supervisory Physician has overall responsibility for planning, evaluation and management of patient care aligned teams (PACT) and primary care physician (PCP) operations within the assigned CBOC to ensure fidelity to the PACT model, facilitate an environment of collaboration and effective care coordination for care delivered by the program and overall delivery of health care within the facility.

The Training Resident Site Director manages the Clinical Residency Programs, the Training Resident Coordinator, and the CBOC Academic Patient Centered Teams (PACT) in the Amarillo VA Health Care System .

Functions / Scope :

Administrative Responsibilities :

• Exercises direct supervisory responsibility for assigned PACT Physicians / Nurse Practitioners
• Grid review / validation
• Approval / coordination of clinic cancellations
• Approval / coordination of employee leave schedules
• Responsible for PACT program operations, associated program metrics (e.g., SAIL, VHA, VISN, etc.), and ensuring full compliance with applicable (e.

g., Joint Commission accreditation standards. Some of the metrics include but are not limited to :

• Third next available appointment within 14 days
• 20 percent or more encounters as VVC, or telephone visits
• Access to and demonstrated use of the Primary Care Almanac to identify high risk patients for proactive intervention
• Daily attendance at team-let huddle
• Completion of Secure messaging responses within 72 hours of message receipt
• Ensuring that All PCPs are competent in performing basic Women’s Health exams and are maintaining >

86% success rate on all Women’s Preventative Health metrics

• Completion of all encounters within 72hrs
• Completion of all medication refill requests within 72hrs
• Maintain unprocessed view alerts at no more than 200 on any given day
• Ensure that all clinical reminders pertaining to Healthcare Effectiveness Data and Information Set (HEDIS) measures are completed at the time of the visit (Diabetes, prevention, ischemic heart disease, tobacco, depression / EtOH / PTSD screening)
• Responsible for all professional practice issues relevant to assigned PACT physicians including but not limited to development and implementation of focused professional practice evaluations / ongoing professional practice evaluations, Pay For Performance evaluations, Annual / Mid-Year reviews.
• The incumbent manages the work of residents, fellows and students while embedded in various clinical programs, ensuring that work is assigned in an appropriate and systematic manner that meets the facility and the VA's guidelines / standards under the guidance of local ACOS for Education.
• Other duties as assigned.

Clinical Responsibilities :

The Supervisory Physician manages a partial PACT panel and / or provide clinical coverage as patient care needs dictate.

The Supervisory Physician for the CBOCs will have 50 percent administrative time and 50 percent clinical time. The performance of direct care duties within PACT is in accordance with VHA Handbook 1101.

10 Patient Aligned Care Team (PACT) Handbook.

Client Description

The Thomas E. Creek VA Medical Center located in Amarillo, Texas is the main facility for the Amarillo VA Health Care System (VAHCS) which serves approximately 65,600 veterans in a primary service area to include 50 counties in the Texas and Oklahoma panhandles, and eastern New Mexico.

It was constructed in 1939 and dedicated on May 12, 1940.

A division of the Heart of Texas VA Health Care Network, the Amarillo VAHCS provides primary, specialty, and extended care of the highest quality to veterans, maintaining three community based outpatient clinics located in Lubbock, TX, Childress, TX, and Clovis, NM.

Approximately 25,000 patients are treated annually. The health care system maintains 55 acute care inpatient beds for general medical, surgical, and intensive care.

Geriatric and extended care is provided in the 120-bed skilled nursing home care unit. A modern ambulatory care center and medical arts building facilitates the delivery of primary care, specialty care and preventive health services.

Specialized Programs include support of the CCHT Program through Telehealth Care Coordination, a home portable sleep study program, Outpatient Substance Abuse program and a VIST program.

The VIST program manages services to blind veterans living in Texas, Oklahoma and New Mexico.

The Amarillo VAHCS has dedicated Operation Enduring Freedom and Operation Iraqi Freedom staff working in a coordinated effort to reach military personnel returning from Iraq and Afghanistan and help to make a seamless transition to veterans’ health care.

The Amarillo VAHCS provides an active teaching environment for medical students and residents through a formal affiliation with Texas Tech University Health Sciences Center.

The rotation includes approximately 40 residents in Internal Medicine, Family Practice, and Specialty Care. Other affiliations with Texas Tech University School of Pharmacy, Northeastern State University of Optometry, West Texas A&M University and Amarillo College provide a variety of educational opportunities in pharmacy, optometry, nursing and various allied health programs.