This position in located with Medical Services with a dotted line to Nursing Service Ambulatory Care. This position was approved Joint Incentive Fund (JIF) Grant. This JIF proposal will establish a model for optimizing access and quality of care of Nuerology and telemedicine significantly improve care to Subspecialty services for both DoD and VA beneficiaries. Tele-neurology can be established to expand the need of the Military Treatment Facilities in the National Capital region and VISN 5. This JIF position will establish a scalable model for optimizing access and quality of care of Neurology and telemedicine, significantly improve care of subspecialist services for both DoD and VA beneficiaries and support Neurological GME training programs all while recapturing workload, generating a positive return on investment and significantly decreasing both DoD and VA network costs. The ARNP functions as a mid-level provider in the neurology team. Within the scope of practice, the ARNP will provide neurology consultation to primary care providers and time limited management. In select cases, long term co-management may also be needed with concurrence from the Physician Preceptor. Neurology consultative services will also be available to inpatient settings. Duties include but are not limited to: providing direct and indirect patient care that includes physical assessment, diagnosing, planning, evaluation and prescribing of pharmacologic and non-pharmacologic treatment for neurologic conditions including those likely to be caused by musculoskeletal injury, Traumatic Brain Injury, degenerative disease, and other conditions that may be associated with exposure to Agent Orange or other neurotoxins recognized by the US Department of Veterans Affairs, or conditions related to Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) injuries. Priority will be given to Transitional Care Management (TCM) veterans; however, the broader population of veteran patients will also be served. The ARNP will write orders for medications and diagnostic tests. He/she will interpret test results, adjust treatment and testing regimens, and consult with other health care providers and/or specialties for optimal patient outcomes. In addition to clinical practice, the role includes education, research, and consultation. The ARNP is accountable for the care of designated patients and/or clinical programs and functions autonomously, as guided by functional statement/scope of practice, and collaboratively with other health care providers to manage patient care needs. The ARNP may serve as a liaison throughout the continuum of care between clinical and administrative services and other health care facilities within the VHA and the community. The APRN will participate in the initial and on-going assessment of patients' medical, physical, and psychosocial status via care coordination, telemedicine and telehealth. The ARNP will satisfy applicable clinical reminders when appropriate. The delivery of care provided by the ARNP is in accordance with established standards of care, TCM and medical center policies and procedures and in collaboration with the plan of other health care providers. The ARNP will assume the role of educating staff to meet changing program or service needs and consulting regarding issues related to pain management treatment planning, policy interpretation and clinical issues. Develops protocols or clinical pathways to standardize care for the pain patient to expedite patient processing and care delivery. The ARNP takes an active role in identifying their own education needs and continually updating clinical skills. The ARNP has an individualized Scope of Practice and is responsible for working collaboratively with the pain management team as well as inpatient and outpatient medical teams. Serves as an agent of the supervising physicians regarding prescriptive authority. Prescriptive authority will be delineated within the ARNP's individual scope of practice. Work Schedule: Monday - Friday 8:00am to 4:30pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.