Home Based Primary Care (HBPC) is a unique model providing longitudinal in-home care for a subset of Veterans for whom clinic-based primary care is no longer most appropriate. HBPC represents an important part of VHA's commitment to meet the care needs of Veterans with complex medical, social, geriatric and behavioral conditions.

Duties

The interdisciplinary team provides comprehensive long-term care to patients with chronic, complex, and progressively disabling conditions. In addition to providing high quality care to assist with aging in place, enrollment in HBPC has been shown to decrease ER visits and hospitalizations and improve patient qualify of life and satisfaction with their VA care. Roles and responsibilities (extracted directly from VHA 1411 Directive-Home-Based Primary Care Special Population Patient Aligned Care Team Program) include, but are not limited to: - Assuming overall medical responsibility for assigned HBPC patients. - Serving, when indicated, as the primary care provider and collaborative physician for advanced practice nurses and physician assistants and serve as back-up for other HBPC primary care providers. - Identifying a patient's medical problems. - Defining the medical management of a patient's medical problems. - Determining the need for consultation from medical, surgical, or psychiatric or other subspecialty clinics. - Determining the need for and facilitating admission to the hospital and other transitions of care. - Visiting the HBPC patients at home for medical evaluation and treatment when clinically indicated. - Providing medical administrative support such as completing physician required orders and forms for the HBPC patients. - Planning and directing the educational and clinical experience of medical students, residents, and fellows assigned to the HBPC Program, when indicated. - Assuming a leadership role in the development and implementation of HBPC's process for continuous performance improvement. - Being readily available to the team members for collaboration when clinical or program issues arise. - Participating in the development of the individual plan of care at interdisciplinary care meetings for primary care provider assigned panel of patients. - Additional opportunities and responsibilities may include: Acting as a designee for the HBPC Medical Director including provision of oversight with participation in care planning and interdisciplinary team meetings. Additional responsibilities related to clinical care, administrative oversight, quality improvement or education of trainees not listed above. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Work Schedule: Monday-Friday (8:00 a.m. to 4:30 p.m.)

Requirements

Qualifications

To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed. Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are: Those approved by the Accreditation Council for Graduate Medical Education (ACGME), OR Those approved by the American Osteopathic Association (AOA),OR Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the physician to an appropriate range of patient care experiences. Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent or fee-basis. PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision. Additionally, surgery residents in gap years may also be appointed as PRPs. Proficiency in spoken and written English. Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-2 Physician Qualification Standard. This can be found in the local Human Resources Office. Physical Requirements: The position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, sitting, typing, bending, pulling, and pushing. Transferring objects may be required. Staff may be required to don protective equipment in isolation situations or operative/invasive procedures.

Education

1. Schools of medicine accredited by the Liaison Committee on Medical Education (LCME) for the year in which the degree was granted, or
2. Schools of osteopathic medicine approved by the Commission on Osteopathic College Accreditation of the American Osteopathic Association for the year in which the degree was granted.
3. For foreign medical graduates not covered in (1) or (2) above, facility officials must verify with the Educational Commission for Foreign Medical Graduates (ECFMG) that the applicant has met requirements for certification, and must obtain a copy of the ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school meets (or met) ECFMG eligibility requirements for the year the candidate graduated.]

Contacts

• Address Ann Arbor VA Medical Center 2215 Fuller Road Ann Arbor, MI 48105 US
• Name: Jeremiah Ferguson
• Phone: 734-882-3036
• Email: [email protected]