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General Overview
The Home Hospital Advanced Practice Provider (HH APP) will be part of a clinical team that provides acute-level care to patients in the comfort of their own home. The MGB Home Hospital (HH) is an innovative strategic program that aims to improve the care of patients while increasing hospital capacity and reducing total costs of care.
The Home Hospital Advanced Practice Provider will support the work of Home Hospital by visiting (either in person or virtually) and managing patients in their home as a direct HH provider, supported by a multidisciplinary team that includes an attending physician (who oversees the direction of care for patients enrolled), a HH nurse, a paramedic (Mobile Integrated Health), an administrative coordinator, and other allied staff as needed (e.g. home health aide, physical therapist). Daily HH rounds for the HH APP consist of at least one daily visit (in-person initially, subsequent visits in-person or virtual depending on patient needs and circumstances), with medical decision-making and delivery of needed care as appropriate (see specific clinical duties below). The HH APP will facilitate continuity between care settings, ensure home care and acute care protocols are seamlessly integrated in the home settings, and function as a lead clinician in the home environment.
The ideal candidate for this HH APP role will be a patient-centered, proactive, flexible, and confident clinician comfortable with autonomy, multidisciplinary team collaborations, complex clinical decision-making, level-of-care triaging, and telemedicine. The role offers the potential to grow into a managerial/leadership position and/or the opportunity to broaden clinical duties.
Principle Roles/Responsibilities:
- Provides acute-level care in the home setting (in-person and/or virtual) as a key member of the Home Hospital treatment team (including receiving the patient at his/her/theirs/zirs home, establishing a treatment plan, following Home Hospital protocols where appropriate, liaising between the home and other care settings, timely clinical documentation, and responding to patient needs with the ability to triage decisions around escalation of care). Other clinical duties may include facilitating in-home diagnostics, point-of-care testing, administration of medications and other treatments, patient monitoring, clinical documentation, and other patient needs as they arise.
- Collaborates with multidisciplinary Home Hospital team members and patients' longitudinal care team members around appropriate, safe, effective, equitable, and timely care delivery for Home Hospital patients.
- Communicates with the patient and family about HH, incorporating patient and family values and goals in the plan of care.
- Maintains a safe care environment for HH patients and leads in the practice of and reinforcement of a strong safety culture among all clinical partners involved.
- Attends relevant team and other meetings related to Home Hospital and related work.
- Participates with quality measurement and/or quality improvement initiatives, as appropriate, to advance the work of Home Hospital and other alternative care pathways, including advancements or innovations within the electronic health record.
Qualifications
At least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospital setting; academic medical center experience a plus.
Current Massachusetts Licensure as a NP or PA with a Masters Degree required.
MGB institutional knowledge a plus.
Advanced Cardiac Life Support (ACLS) certification is required.
Flexible and comfortable with a fast-paced, evolving clinical environment.
Motivated, collaborative team player who also works well independently.
Creative problem solver with the ability to think innovatively.
Excellent oral and written communication skills.
Demonstrated knowledge of quality measurement and quality improvement.
Track record of proficiency in managing relationships and building networks.
Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.
Shift Requirements/Working Conditions
Role is Full-time, 36-hours/week - 12 hour shifts - flexibility to consider those interested in Part-time hours and will include rotations for days, weekends, and holidays. There is also a rotating overnight on-call responsibility possible.
Local travel between patient homes within a defined 10-20 mile radius required.
Qualifications
At least 3 years of Nurse Practitioner (NP) or Physician Assistant (PA) experience strongly desired, preferably practicing in an acute hospital setting; academic medical center experience a plus.
Current Massachusetts Licensure as a NP or PA with a Masters Degree required.
MGB institutional knowledge a plus.
Advanced Cardiac Life Support (ACLS) certification is required.
Flexible and comfortable with a fast-paced, evolving clinical environment.
Motivated, collaborative team player who also works well independently.
Creative problem solver with the ability to think innovatively.
Excellent oral and written communication skills.
Demonstrated knowledge of quality measurement and quality improvement.
Track record of proficiency in managing relationships and building networks.
Previous experience with Continuous Quality Improvement efforts and development of evidence-based protocols a plus.
Shift Requirements/Working Conditions
Role is Full-time, 40-hours/week with flexibility to consider those interested in Part-time hours and will include rotations for days, weekends, and holidays. There is also a rotating overnight on-call responsibility(remote).
Local travel between patient homes within a defined 10-20 mile radius required.
EEO Statement
Mass General Brigham Healthcare at Home is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment
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PHH is committed to diversity in the workplace which begins with respect and opportunity for all. PHH takes affirmative action to ensure that equal employment opportunity is provided to all persons regardless of race, religious creed, color, national origin, sex, sexual orientation, gender identity, genetic information, age, ancestry, veteran status, disability or any other basis that would be inconsistent with any applicable ordinance or law.