| General The Site Physician practices medicine in order to promote the highest quality in medical care and services. They are responsible for reviewing and understanding all health care provided by Wexford Health Sources and delivered at their site. The Wexford Site Physician will participate in clinical program development, quality management, utilization management and staff education in a manner consistent with the corporate objectives and philosophy of Wexford Health Sources. They are responsible for helping to maintain the highest level of medical quality and service at their site. Administrative 1. Works closely with and maintains good relationships with the Site Medical Director, the Regional Manager, the site Health Care Administrator and the state and county medical authority. 2. Effectively communicates with the Site Medical Director and site clinical and administrative staff. 3. Keeps the Site Medical Director informed of issues in a timely manner, including the submission of requested reports. 4. Actively participates in Wexford site meetings/committees when requested. 5. Actively promotes medical quality and patient/inmate safety. 6. Participates in the interviewing of qualified medical and clinical staff as requested. 7. Helps in the development of subordinate staff including: maintaining consistent communication with staff, and meeting clinical education needs of the staff. 8. Implements and administers Wexford, state, and county policies and procedures consistently. Ensures site compliance with all policies/procedures and recommends updates as necessary to meet local, legal, and accreditation requirements. 9. Receives direction from DOC personnel as appropriate, including but not limited to Wardens, Health Care Unit Administrators 10. Conforms to Wexford Health Sources, Inc., and facility regulations as appropriate, to include, but not be limited to: a. Dress code b. Schedule/time sheet/time clock c. Safety and security regulations d. Procedure for sick leave/vacation time/education seminars 11. Maintain the confidentiality of inmate records. 12. Approach change in a positive manner. 13. Make suggestions for improving work conditions to the Medical Director, Regional Administrator and Healthcare Unit Administrator. 14. Accept constructive criticism in stressful situations. 15. Accepts other duties as assigned by the Site Medical Director and Regional Medical Director. Clinical Programs 1. Actively participates in the evaluation and monitoring of chronic illness programs. 2. Ensures that the operation of the on-site infirmary at their site is in compliance with national standards (ACA and NCCHC) and that the scope of care provided is appropriate for the staffing and resources available. 3. Ensures that established sick call processes ensure patient access to medically necessary services. 4. Ensures that established suicide prevention programs are implemented to identify, refer, and treat patients who are at risk for suicide. 5. Participates in the development of proposed priorities for services and programs. 6. Participates in discussions regarding the need for new chronic care programs, new medical equipment and selection of general medical supplies. 7. Assists in the review of corporate, regional, state, and site-specific medical practices. Ensures consistency with Wexford Health Sources' overriding objective to promote high-quality medical care. 8. Participates in a call rotation, as requested, for their site which ensures 24/7/365 physician coverage and consultation for the clinical and security staff. 9. Returns pages and calls promptly and in a time efficient manner respecting the emergent and urgent needs of the facility. Quality Management 1. Actively participates in Wexford/Facility Quality Management Committees as requested. 2. Participates in reviews applicable federal, state and local laws, and standards of conduct, as well as other policies and procedures from national accreditation standards (e.g., ACA, NCCHC, etc.) in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. 3. Actively participates in peer review activities as requested and in compliance with Wexford policies and procedures. 4. Actively participates in mortality and sentinel event reviews for the site and/or region and when requested by the Regional or Site Medical Director. 5. Ensures that their site(s) maintains an effective infection control program that includes the prevention, identification, reporting, and control of communicable diseases in accordance with Wexford infection control policies and procedures. 6. Actively participates in site, region, and corporate-wide efforts to ensure compliance with national ACA and NCCHC standards necessary for accreditation efforts. 7. Participates in and actively supports all efforts at their site(s) towards the implementation and maintenance of electronic medical records, telemedicine, or administrative technology enhancements. Utilization Management
1. Actively participates in all Utilization Management (UM) efforts at their site. 2. Works closely with the Corporate UM Medical Director when requested. 3. Participates in collegial reviews for all off-site referrals regarding all patients from their site when requested by the Site Medical Director. 4. Facilitates communication with all outside providers of care for their patients (e.g. inpatient attendings, specialists seeing referred patients, etc.) 5. Actively participates in pharmacy collegial reviews, ER retrospective reviews, and laboratory and radiology utilization review for their site as requested. 6. Participates in the review and evaluation of all off-site utilization for their site in order to ensure its cost effectiveness and clinical quality. 7. Helps to identify and implement cost reduction strategies. 8. Responsible for maintaining appropriate collegial/professional relationships within their referral region with specialists, hospitalists, ancillary providers, transport providers, community and tertiary hospitals, and all other support groups that may be called upon to provide health care services for their patient population. 9. Responsible for helping to identify (in conjunction with the Site Medical Director) appropriate, qualified specialists, hospitalists, ancillary providers, transport providers, and other support groups necessary to provide high-quality, cost-effective care to their site's patient population.
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