Job ID: 2924
Area: Northern Arizona
Description: FULL TIME help needed. Looking for ongoing coverage May through September.
This is not a bread and butter facility – it would be hard to find a full day of bread and butter cases, we are comprised of ortho, ortho trauma, general, general trauma, spine, neuro, cath lab, ambulatory and endo. We have a provider dedicated to OB but not sure we would stick a locum on OB. # of OR’s? 11 in the main OR, 2 in our ambulatory surgical center Daily volume/number of cases? 50-60 cases per day. bulk of our weekend business occurs during the daytime, and is run in a Care Team Model, with a physician medically directing 3 ORs staffed by CRNAs until 3pm, at which time we go down to 2 ORs until 7pm. We do a combination not elective and add-on cases, including Trauma. Hearts are also covered, but only by a different physician Anesthesiologist. CRNAs do not work after 7pm, and 4 physicians cover the entire Hospital (Hearts, OB and Trauma). The Trauma on-call physician is required to stay in-house, but all other calls are from home. Weekends can be very busy during the daytime, with high acuity Trauma and ICU patients. Physicians will need to be proficient with Central lines/a-lines and regional, as well as being able to manage sicker patients. At night, we typically do one or two overnight cases, with some OB sprinkled in. “There is clearly a major misunderstanding of the CMS terminology “Medical Direction” & “Medical Supervision”. Whereas, in casual conversation, the words “supervision” and “direction” are sometimes viewed as interchangeable, for CMS/Medicare and all payors they are distinct and result in different reimbursements for anesthesia care. So here is what we practice in NAH: Medical Direction of CRNAs- This is where the anesthesiologist may DIRECT up to four concurrent CRNAs in up to four separate locations, BUT the anesthesiologist must MEET and Attest to having satisfied the SEVEN CRITERIA for CMS-defined MEDICAL DIRECTION: Performs a pre-anesthetic examination and evaluation Prescribes the anesthetic plan Personally participates in the most demanding procedures in the anesthesia plan, including induction and emergence. Ensures that any procedures in the anesthesia plan that he or she does not perform are performed by a qualified anesthetist (CRNA) Monitors the course of anesthesia administration at frequent intervals Remains physically present and available for immediate diagnosis and treatment of emergencies Provides indicated post-anesthesia care “Supervision” of a CRNA is a lesser degree of physician involvement.
Contact: For more information please contact Jason Brown at [email protected] or call 716-689-6000.