lifeguard ® mid-atlantic physician recruiter alliance, inc. marcia a. lammando, rn, bsn, mhsa,...
TRANSCRIPT
LifeGuard®
Mid-Atlantic Physician Recruiter Alliance, Inc.
Marcia A. Lammando, RN, BSN, MHSA, Program DirectorOctober 2-3, 2014
COMPLETE CLINICAL CONFIDENCE
Agenda
• Presentation Goals
• Recruitment Resource
• LifeGuard®
• Case Studies
• Questions & Answers
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Presentation Goals
• AWARENESS: LifeGuard® is a clinical competency skills assessment program; providing recommendations for remediation when deficiencies are discovered.
• CUSTOMIZED: Every case/situation/referral is unique and is handled as such.
– There is no one methodology.
– Each participant is approached with an individual case management plan.
• RESOURCE: Pennsylvania Medical Society Corporate Family
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Recruitment Resource
• Recruiting Physicians – Pathway for retired physicians to return to active practice
– Resource for physicians who have no peer references or current experience
– Option to address resume concerns or gaps in resume
– Third party resource for credentialing committees to address concerns
• Retaining Physicians – Assist physicians that have clinical related privileging issues
– Injured physicians desiring to return to active practice
– Aging physician assessments – practice modifications
• Shadowing/Precepting Physicians– Physicians without jobs participating in shadowing or precepting arrangements
to determine if a candidate for employment
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LifeGuard®
• Developed to assist physicians:
– Who have a known or suspected:
• clinical deficiency• medical deficiency• cognitive deficiency
– About whom quality concerns have arisen– Who would benefit from refresher/remediation experiences– Who are seeking reentry into the workforce– Who have disciplinary actions on their license and are seeking reinstatement
• Provide an objective clinical competency skills assessment to referral sources
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Program Pathways
• Reentry/Reinstatement
• Aging Physician
• Self-Referral
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Case Management Approach
Case Management– Individualized– Facilitate and schedule assessment components– Ongoing communications
• Participants• Preceptors• Referral resource• Hospital stakeholders• Independent evaluators• State Medical Board
– Review results– Facilitate remediation as necessary– Report generation
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Case Management Plan
Variables affecting the case management plan:– How many years away from active practice
– How many years practicing prior to inactivity
– Enrollment in a Physicians Health Program or other mandated monitoring program
– Specialty
– State in which the physician is licensed, wishes to become licensed, or maintains license
– Future practice intentions
Based on information gathered, program components are selected
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Multi-Stage Program Components
Assessment Phase– Fitness for Duty Evaluation/IME
– Psychiatric Evaluation
– Functional Capacity Examination
– Neurocognitive Screen
– Professionalism Evaluation
– External Peer Review
– PLAS Testing
– Standardized Patient
– Simulation Labs
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Multi-Stage Program Components
Clinical Phase– Mentoring– Precepting– Observation
Educational Phase– Simulation Laboratory– CME on selected topics– Practical Education based on identified needs
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End Results
• Data-driven tool• Objective results of clinical competency skills assessments
and evaluations• Recommendations provided based on clinical skills
assessments and evaluation, when applicable
END USERS ARE ENPOWERED WITH LIFEGUARD® DATA TO MAKE INFORMED DECISIONS
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Case Studies
Case Study #1
Retired - Returning to Active Practice
• Situation– Retired for eight (8) years– General surgeon transitioning to family practice– Placed license in “retired active” category
• Process– Neurocognitive screen– 60-hour family practice review course (DVD) – PLAS exam module in family practice– Four-week preceptorship– Time with an instructor in a family practice residency
• End Results– Report issued to the state board of medicine– Unrestricted license reissued
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Case Study #2
General Surgeon• Situation
– Debilitating neurovascular event– Cleared by neurologist and rehab to return to practice– Lingering concern with cognition as related to the tasks and responsibilities associated
with a surgeon
• Process– Develop a surgical simulation
• Test functional capacity• Evaluate communication skills related to OR situations• Determine ability to quickly re-evaluate situations when complications occur
– Report on findings
• End Results– Re-licensed– Working with another general surgeon in the practice (first assist) until
the participant feels comfortable in conducting surgery solo
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Case Study #3
Pediatric Physician – Returning to Practice• Situation
– Pediatric physician left active practice to raise a family– Sought reactivation of license
• Process– Neurocognitive screen– PLAS exam module in pediatrics– Preceptorship through future employer
• End Result– Report issued to the state board of medicine– Unrestrictive medical license reissued
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Case Study #4
Aging Physician Assessment
• Situation– 75 year old physician receives notification from Medical Staff Office – Fitness for Duty assessment required as part of ongoing privileging
• Process– Fitness for duty evaluation/IME– Neurocognitive assessment– Functional capacity evaluation– Psychiatric evaluation– Clinical skills testing if warranted
• End Results– Deficits identified through various assessments– Recommendations to modify practice patterns
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Adjunctive Services
PMSCO Healthcare Consulting, a subsidiary of the Pennsylvania Medical Society, provides adjunctive services to LifeGuard®:
– Coding and documentation reviews
– Education• CMEs provided for most educational sessions
– External Peer Review Chart Audits• Through URAC-Accredited Independent Review Organization (IRO)
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Recruitment Resource
• Recruiting Physicians
• Retaining Physicians
• Shadowing/Precepting Physicians
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