Home Hospital Advanced Practice Provider (NP or PA) 36 hour Days

Job Title: Home Hospital Advanced Practice Provider

"The APP will primarily admit at Salem Hospital with flexibility to serve MGH and provide care to Home Hospital patients who live in the surrounding towns."

General Overview

The Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve the care of patients while increasing hospital capacity and reducing total costs of care.

The Home Hospital Advanced Practice Provider will support the work of Home Hospital by visiting (either in person or virtually) and managing patients in their home as a direct Home Hospital provider, supported by a multidisciplinary team that includes an attending physician (who oversees the direction of care for patients enrolled), a Home Hospital nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist). Upon admission to Home Hospital a patient will have an in-person visit (this can be done in the hospital or in the home). Daily Home Hospital rounds for the Home Hospital APP consist of at least one daily visit (in-person or virtual depending on patient needs and circumstances), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below). The HH APP will facilitate continuity between care settings, ensure home care and acute care protocols are seamlessly integrated in the home settings, and function as a lead clinician in the home environment.

The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, and confident clinician comfortable with autonomy, multidisciplinary team collaborations, complex clinical decision-making, level-of-care triaging, and telemedicine. The role offers the potential to grow into a managerial/leadership position and/or the opportunity to broaden clinical duties.

Principle Roles/Responsibilities:

Provides acute-level care in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team (including receiving the patient at his/her/their home, establishing a treatment plan, following Home Hospital protocols where appropriate, liaising between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care). Other clinical duties may include facilitating in-home diagnostics, point-of-care testing, administration of medications and other treatments, patient monitoring, clinical documentation, and other patient needs as they arise.

Collaborates with multidisciplinary Home Hospital team members and patients' longitudinal care team members around appropriate, safe, effective, equitable, and timely care delivery for Home Hospital patients.

Communicates with the patient and family about HH, incorporating patient and family values and goals in the plan of care.

Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.

Attends relevant team and other meetings related to Home Hospital and related work.

Participates with quality measurement and/or quality improvement initiatives, as appropriate, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.

Qualifications

• At least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospital setting; academic medical center experience a plus.
• Current Massachusetts Licensure as a NP or PA with a Masters Degree required.
• MGB institutional knowledge a plus.
• Advanced Cardiac Life Support (ACLS) certification is required.
• Flexible and comfortable with a fast-paced, evolving clinical environment.
• Motivated, collaborative team player who also works well independently.
• Creative problem solver with the ability to think innovatively.
• Excellent oral and written communication skills.
• Demonstrated knowledge of quality measurement and quality improvement.
• Track record of proficiency in managing relationships and building networks.
• Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.

Shift Requirements/Working Conditions

Role is PT , 36 -hours/week and will include rotations for days, weekends, and holidays. There may also be a rotating overnight on-call responsibility.

Local travel between patient homes within a defined 10-20 mile radius required.