Primary Care Relief Physician (Part Time)
Reporting: The Primary Care Relief Physician reports functionally (dotted or dashed line) to the Primary Care Director.
This position is intended for a primary care physician, funded using COVID-19 emergency funds, to support primary care departmental COVID-19 recovery efforts by providing direct patient care, addressing clinical service backlogs, and assuming responsibility in recovery of specific operational, clinical quality and pay-for-performance metrics. The physician will collaborate with and support the patient-centered medical home (PCMH) clinic directors and nurse managers as needed. The physician will work with all team members and stakeholders to achieve and maintain desired patient and population health outcomes in a cost-effective manner. The physician may perform back-up provider duties as indicated for patient care/safety needs.
Roles and Responsibilities:
- Performs all duties associated with direct patient care activities: o Reviews and acts upon diagnostic test results as appropriate; ensures patients are aware of test results; documents acknowledgement of results and actions taken in patients’ ORCHID record.
- Closes care gaps identified in ORCHID’s Health Maintenance tab.
- Responds within 3 business days to ORCHID Inbox messages, proposed orders, and notifications from other DHS staff; some orders may require a prompt response (e.g., medication renewals)
- Communicates with specialists as appropriate via eConsult. As clinically appropriate, carries out specialists’ recommendations and closes eConsults in a timely fashion.
- Communicates patient care priorities, especially follow-up plans that involve non-providers (e.g., high-risk patients that need Care Manager follow-up), to medical home team members
- Leads multidisciplinary family conferences for high-risk, complex cases as needed.
- Refers patients to appropriate resources as indicated by screening for social and behavioral determinants of health (SBDOH).
- Participates in team huddle (AKA Daily Brief) before the first clinical session of the day to review day-of-care plan for scheduled patients
- Documents all patient encounters in the electronic record on the day of the visit.
- Responds to patient complaints and grievances in a timely fashion.
- Responds to Code Assist calls within the facility as assigned.
- Participates in departmental PCMH operations and clinical quality team meetings.
- Leads and presents on assigned quality improvement efforts addressing priority recovery metrics including operational, clinical quality, and pay-for-performance metrics.
- Provides direct care services or outreach to address priority clinical service backlogs and gaps.
- Participates in team meetings, learning and didactic sessions as assigned.
- Other duties assigned as needed by Primary Care Director
1. Direct patient care – 30-32 hours
2. Clinical and Project Administration: 3-5 hours
1. Meets all qualifications for a DHS Relief Physician
2. Prior experience providing patient care under the patient-centered medical home model.
3. Prior experience utilizing quality improvement methodology to improve clinical operational metrics and clinical quality metrics.
4. Prior experience in addressing pay-for-performance metric programs (i.e., PRIME, QIP).
LAC+USC Medical Center is a 600 bed hospital that includes a Level-One trauma center and serves over 10 million residents. It is a county affiliated teaching hospital that is in affiliation with the University of Southern California (USC) Medical School in 1885 and has over 900 physicians in their Graduate Medical Education program.
The hospital is in the Boyle Heights neighborhood of Los Angeles. It has over 100,000 residents and has a majority Latino population. It is located east of the Los Angeles River and its neighboring communities include Lincoln Heights, Chinatown, Commerce and Downtown Los Angeles.
|Job Category||Family Medicine, Internal Medicine|