Location: Suffern, New York
The Community Paramedicine ("CP") Coordinator will lead the Community Paramedicine Program and work collaboratively with Rockland Paramedic Services ("RPS") to address the issues of complex patients who use the Emergency Department. This is a new program which will focus on multiple visits patients to prevent unnecessary emergency department visits, hospital admissions, and/or readmissions. The CP Coordinator shall be Hudson Valley Regional Emergency Medical Services Council ("HVREMSCO") certified for medical control and be responsible for coordinating the identified patient cohort for follow up by the community paramedic. The CP Coordinator will conduct telephonic health assessments and work directly with the Community Paramedics ("CPs") to ensure that patients receive the right care, in the right place and at the right time. This program supports our Delivery System Reform Incentive Payment Program ("DSRIP") and Value Based Payment ("VBP") initiatives and is funded, in part, through the Center for Regional Health Innovation. DSRIP is a State program that promotes community level collaborations with a focus towards system reform and a goal to achieve a 25% percent reduction in avoidable hospital use over five years. This program is also in alignment with the State's VBP initiatives towards financial sustainability and improved quality. This position shall be full time with hours to be determined. Ideal candidate shall be flexible with schedule.
The CP Coordinator will be responsible for the following essential job functions: * The CP Coordinator shall report directly to the Vice-President of Population Health and have a dotted line to the Medical Director of Emergency Services.
- Serve as the Medical Control of the CP Program and be certified by the HVREMSCO.
- Provide oversight of the CPs including all aspects of patient care. Provide clear, concise instructions to the CPs, which are within their scope of practice.
- Maintain knowledge levels appropriate for a Medical Control Physician Assistant and/or Nurse Practitioner, through continued education, as required by the Hudson Valley Regional Emergency Medical Advisory Committee ("REMAC") and NYS DOH.
- Assist the Medical Control Hospital Medical Director with the coordination and implementation of the Medical Control system.
- Collect and review data regarding the quality of pre-hospital patient care that is being provided by the CPs and report to the Medical Control Hospital Medical Director.
- Coordinate with local EMS agency quality improvement committees as directed by the Medical Control Hospital Medical Director.
- Actively outreach and enroll Med PC patients in the CP Program and assist GSH case managers in evaluating and enrolling potential new patients prior to discharge, from the hospital.
- Responsible for developing and maintaining relationships with local service area primary care/specialty providers to facilitate referrals and enrollment of new patients in the CP Program.
- Responsible for developing and maintaining relationships with the GSH acute care management team and for developing processes to facilitate enrollment of hospital patients into the CP Program.
- Meet daily with the CPs as well as case management to discuss enrolled patients and any needed clinical visits for the day. * Serve as the focal point of contact for the CPs during the dispatch.
- Responsible for the CP Program hotline number, assess, triage, treat with the consult of the primary care provider/ED director, and/or dispatch a CP to the caller's home for further evaluation.
- If the call does not require CP assistance, the Coordinator shall schedule an appointment for the patient for the appropriate level of care that the situation requires, i.e. BH care, primary or specialty care.
- Based on the CP's assessment, the Coordinator will determine the patient's need for mental health, alcohol or substance abuse, medical and/or a social care. The coordinator shall provide a comprehensive response to each call and offer the right services at the right time, whether it's a visit by the CP, an appointment with a primary care provider/specialist, or referral to community based services.
- Coordinator shall be culturally competent and trained in providing crisis assistance.
- For behavioral health issues, Coordinator shall work in conjunction with the CPs and RPS's Behavioral Health Response Team ("BHRT") and facilitate the following: o post-acute care follow up and treatment compliance; o screen patients for depression and substance use disorders; o perform outpatient medication reconciliation; o develop options to manage escalating needs in community setting; o ensure patients are connected to primary care, appropriate behavioral and specialty care; o Check Medicaid recertification date and assist patients with process to maintain coverage;
- Responsible for clinical/administrative duties, as determined by the Vice President, Population Health and/or Director of Emergency Services, to ensure quality of care and patient safety and well-being to emergency department patients and those enrolled in the community paramedic program.
- Ensure all information is kept confidential and HIPAA compliant.
- Comply with all hospital policies and procedures.
QUALIFICATIONS / REQUIREMENTS:
Nurse Practitioner or Physician Assistant. Minimum of 2 years of clinical experience as an APC providing emergency department or inpatient care services preferred. Proficiency with using electronic medical record system. Obtain and /or maintain Hudson Valley REMAC Medical Control Credentials. Knowledge of the design and operation of the Medical Control System. Trained in and thoroughly familiar with EMS levels of training and responsibilities as well as the responsibilities of a medical control physician. Excellent communication and organization skills.
Graduate level degree w/ certification as a Nurse Practitioner or Physician Assistant degree or higher
Licenses / Certifications:
New York State Licensed Nurse Practitioner or Physician Assistant * ACLS certification. Obtain and/or Maintain Hudson Valley REMAC Medical Control Credentials.
Good Samaritan Hospital
Good Samaritan Hospital in Suffern, NY, is a 286-bed hospital providing emergency, medical, surgical, obstetrical/gynecological and acute-care services to residents of Rockland and southern Orange counties in New York; and northern Bergen County, NJ. The hospital is home to a recognized cardiovascular program, comprehensive cancer-treatment services, the area's leading Wound and Hyperbaric Institute and outstanding maternal/child services that includes a Children's Diagnostic Center. Good Samaritan Hospital also provides social, psychiatric and substance-abuse services and its certified home-care agency supports residents of the Hudson Valley and beyond.