Anesthesiology Physician Services

Information needed:

Full Name

Degree

Specialty

License/Certification Status

NPI Number

Weekly Availability (Hours)

Proposed Contract Role

QUALIFICATIONS:

License: The Contractor's physician(s) assigned by the Contractor to perform the services covered by this task order shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia when services are performed onsite on VA property.

All licenses held by the key personnel working on this task order shall be full and unrestricted licenses. Contractor's physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this task order.

Board Certification: Contractor's physician(s) shall be Board Certified /Board Eligible by the American Board of Anesthesiology (ABA) and be currently certified in Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) or equivalency. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of task order performance.

Direct provision of peri-operative anesthetic care to patients, including pre-operative assessment, intra-operative anesthetic administration, and monitoring, and post-anesthesia care, in compliance with national accreditation standards. Anesthesiologists will provide expert guidance to CRNA, nursing, and other medical staff in the administration of the anesthesia.

Contractor staff to perform the administrative components of patient care management such as completion of pre-op note, encounters and progress notes, provide feedback and patient education to the patients and their families and will demonstrate excellence in all facets of patient care that meets or exceeds compliance standards.

Contract Anesthesiologists shall participate in quality improvement activities, institutional and departmental committees. Fosters a high level of patient and staff satisfaction

The duties are performed in the operating room, on hospital wards and in other procedure suites. Anesthetic care in GI/endo, Interventional Radiology, ICU and Cardiac Cath lab, assist with cardioversion and Anesthesia for ECT. Provision of General /regional Anesthesia for General, Vascular, Orthopedic and spine ,thoracic, urology, ophthalmology and ENT surgery.

Residency Requirement: Successful candidates must have completed an ACGME approved residency in Anesthesiology.

Technical Proficiency: Contractor's physician(s) shall be technically proficient in the skills necessary to fulfill the government's requirements, including the ability to speak, understand, read and write English fluently.

At least 3-5 years of relevant experience is preferred. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Contractor's physician(s) and Contractor's physician(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

All Anesthesiologists will share the on-call responsibilities. The Anesthesiologist on-site tour of duty is 7 am to 3:30 pm weekdays. Weekday call commences at 3:30 pm until the following day at 7 am. Weekend call is a 24-hour period from 7 am to 7 am the following day and is call from home meaning they do not have to come to the hospital unless there is an emergency surgery or procedure to do. There is not a sleeping room for Anesthesiologists at the Syracuse VA Medical Center, call-back for emergency surgery or procedures is infrequent. The contracted Anesthesiologists will be expected to share in the call duties, including weekends and federal holidays.

VA HOURS OF OPERATION/SCHEDULING

VA Business Hours: Normal administrative hours are 07:00 ? 15:30, Monday through Friday.

Operating Room (O.R). Schedule: Currently, normal OR hours are 07:00 ? 15:30 Monday through Friday, excluding holidays. 1 FTE shall provide 40 hours per week during the O.R. hours; specific times may vary or be negotiated with the Contractor closer to start date. Additional time may be needed for necessary procedures, which will be established and/or revised, as deemed appropriate for patient care by the VA Chief of Staff.

Patients must be seen by a contractor's physician(s) on-site at the facility the morning of the procedure, in a manner in accordance with VA Rules and Regulations. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

Contractor's physician(s) shall be available and present in clinic during normal facility clinic hours, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff

On-call contractor's physician(s) must be available at all times for phone consultations with VA residents and physicians, during the time they are contracted to be at the facility or on call/beeper.

On-call providers must be available within 15 minutes by phone, and on-site within 40 minutes.

The on-call schedule will be made in conjunction with VA staff Anesthesiology physicians.

Resident and CRNA Supervision and Teaching: 100% of the time

Resident Supervision/Teaching: According to the guidelines dictated by the Residency Review Committee of ACGME, the Contractor's physician(s) performing the services shall be responsible for residents. Contractor's physician(s) shall be responsible for:

Academic environment: Provide for an academic environment conducive to the training and professional development for residents rotating through the Internal Medicine/Anesthesia Service.

Resident patient care documentation: Contractor's physician(s) shall be responsible for complying with the Residency review documentation and insuring that all notes and encounters are completed and shall appropriately document medical records in accordance with VA standards, equivalent to TJC compliance guidelines, standard commercial practice and guidelines established by Syracuse VA Medical Center The Contractor shall also perform any administrative duties relative to documentation of resident training, as required and directed by the VA COS or designated representative.

Clinical Direction and Oversight: Contractor's physician(s) shall provide clinical direction to and oversight of residents/fellows consistent with current accreditation guidelines, clinical research, protocol development, data management of protocols, quality assurance conferences and meetings, and affiliate /VA staff meetings.

Attending Physician: Clinics and procedures shall not be conducted by residents in the absence of an attending physician. All procedures, inpatient admissions and consults shall be the responsibility of an attending physician.

Direct Patient Care: estimated 90% of the time involved in direct patient care. Contractor shall be responsible for providing expert consultation and treatment to patients in an inpatient and outpatient Hospital setting, which includes, but is not limited to:

Inquiring about the case/s assigned to them one day prior to the assignment by texting/calling the anesthesia pager/cell phone.

Evaluating the patient the morning of procedure and entering in CPRS the Immediate Anesthesia Note,

Documenting the cases accordingly in the electronic ARK (Anesthesia Record Keeper).

After the case/s end they should enter the O.R record/postop and any appropriate post operative orders into CPRS.

If the case ends before 3.30 PM, the physician contractor should check with the in-charge staff/service chief if there are any other assignments. The beeper/cell phone call starts after 3.30 PM.

If the case ends after 3.30 PM, they will finish the case and will be on call via beeper/cell from home afterwards. If called back for an emergency, they have to be at the VA within 60 minutes.

The Contractor physician(s) shall be responsible for using anesthesia equipment and monitoring technologies as they deem necessary, to include but not limited to: Apollo anesthesia machine, Epiq TEE machine, continuous cardiac output monitor, Cerebral oximetry monitor, transducers for arterial line, CVP displayed on the Philips monitor, PICIS ARK (electronic record keeping) system.

Contractor's Anesthesiologists shall work or supervise Anesthesiology Residents.

Scope of Care: Contractor's physician(s) (as appropriate and within scope of practice/privileging) shall be responsible for providing Anesthesia care, including, but not limited to:

Clinic and Surgical Care: Contractor's physician(s) shall provide clinical Anesthesia services. Services will be for inpatient and outpatient services in a hospital setting. Contractor's physician(s) shall be present on time for any scheduled surgeries as documented by physical presence in the operating room at the scheduled start time.

Approximate case load is as follows: 10 surgical cases per day.

Operative Services: Contractor's physician(s) shall provide comprehensive clinical anesthesiology services including patients undergoing cardiac surgery, orthopedic joint replacement, and major vascular, thoracic, neurosurgical, plastic, ENT, urologic and ophthalmologic operations.

Intraoperative follow-up: The Contractor's physicians shall be present in the operating suite for all surgical procedures.

Postoperative follow-up: The Contractor's physician(s) rounds shall be conducted on postoperative patients in the Surgical Intensive Care Unit (SICU) and on the wards. All cases will be discussed in morbidity and mortality conferences, and the Contractor's physician(s) will provide appropriate information to the COR for inclusion in Departmental reports.

Contractor's physician(s) shall provide clinical care of patients undergoing electroconvulsive therapy and diagnostic and therapeutic procedures in the cardiac catheterization laboratory, electrophysiology, gastrointestinal and radiological suites.

Contractor's physician(s) shall provide coverage as needed for patients in the surgical intensive care, short stay unit, acute pain management services, diagnostic trans esophageal echocardiography for medical and surgical patients, and emergency airway management.

Contractor's physician(s) shall provide consultative services at the patient's bedside if the patient is admitted, otherwise participate in e-consults.

Discharge education: Contractor physician(s) shall provide discharge education and follow up instructions that are coordinated with the next care setting for all clinical or surgical patients.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.