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Title: Urology Physician Services (1099)

Pay rate: $240.00/hr (1099)

Duration: 1 year contract

Locations: Lebanon, PA

Additional Details:

Location: Lebanon Veterans Affairs Medical Center (Lebanon VAMC) located at 1700 South Lincoln Avenue, Lebanon, PA 17042 and four associated Lebanon VAMC Community Care Clinics: York VA Clinic, 2251 Eastern Blvd., York, PA; Mechanicsburg VA Clinic, 5070 Ritter Rd., Mechanicsburg, PA; Berks VA Clinic 2762 Century Blvd. Wyomissing, PA; and Lancaster VA Clinic 212 Willow Valley Lades Dr. Willow Street, PA.

Description:

Place of performance: Lebanon Veterans Affairs Medical Center (Lebanon VAMC) located at 1700 South Lincoln Avenue, Lebanon, PA 17042 and four associated Lebanon VAMC Community Care Clinics: York VA Clinic, 2251 Eastern Blvd., York, PA; Mechanicsburg VA Clinic, 5070 Ritter Rd., Mechanicsburg, PA; Berks VA Clinic 2762 Century Blvd. Wyomissing, PA; and Lancaster VA Clinic 212 Willow Valley Lades Dr. Willow Street, PA.

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

Clinic and Surgical Care: Contractor's physician(s) shall provide clinical urology services including surgeries, consultations cystoscopies and other related urology procedures. Contractor's physician(s) shall be present on time for any scheduled clinics/surgeries as documented by physical presence in the clinic or operating room at the scheduled start time.

Specialty Exams: The contractor shall provide direct patient care including specialty exams such as compensation and pension, agent orange, etc., as it pertains to urological conditions only.

Medications: Contractor's physician(s) shall follow all established medication policies and procedures. No sample medications shall be provided to patients.

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

Administrative: Estimated 5% of time not involved in direct patient care.

Quality Improvement Meetings: The contractor's physician(s) shall participate in continuous quality improvement activities and meetings with committee participation as required by the facility Chief of Service, Chief of Staff, or designee.

Staff Meetings: The contractor's physician(s) shall attend staff meetings as required by the facility Chief of Service, Chief of Staff, or designee. Contractor to communicate with COR on this requirement and report any conflicts that may interfere with compliance with this requirement.

Patient Safety Compliance and Reporting:

• Contractor's physician(s) shall follow all established patient safety and infection control standards of care. Contractor's physician(s) shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care.
• All events related to patient injury, medication errors, and other breeches of patient safety shall be documented in the medical record of those impacted and disclosed to the patient or surrogate. As soon as practicable (but within 24 hours)
• Contractors shall notify COR of incident and submit an entry in the Patient Safety Reporting System, following up with COR as required or requested.

Patient Safety Compliance and Reporting:

• Contractor's physician(s) shall follow all established patient safety and infection control standards of care.
• Contractor's physician(s) shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care.
• All events related to patient injury, medication errors, and other breeches of patient safety shall be documented in the medical record of those impacted and disclosed to the patient or surrogate.
• As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit an entry in the VA Patient Safety Reporting System, following up with COR as required or requested.

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. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. 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.

QUALIFICATIONS:

Staff/Facility

License: The Contractor's physician(s) assigned by the Contractor to perform the services covered by this contract 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 contract 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 contract.

Board Certification: All contractor's physician(s) shall be Board Certified Urologist by the American Board of Urology (ABU), or the American Osteopathic Board of Surgery Certification in Urology, and be currently certified in Basic Life Support through the American Heart Association (BLS). 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 contract performance.

DaVinci Robotics Qualifications: At least two of the minimum three surgeons must be robotically trained as follows:

• Board Certification – American Board of Urology or American Osteopathic Board of Surgery Certification in Urology.
• Must have current privileges to perform both open and robotic abdominal surgery.
• Must be currently credentialed in laparoscopic surgery for robotic laparoscopic cases.
• Must have experience to perform the traditional open procedure when circumstances dictate.
• Must have completed an accredited residency or fellowship that included appropriate training in the use of DaVinci surgical system, or completion of hands-on training course and computer learning modules in the use of the DaVinci surgical system, for a minimum of 8 hours with certification and passing grade of 85% on the robotic simulator skills training.
• Completion, certification, and passing of off-site DaVinci Robotic system lab training.
• Candidate must provide a case log with most recent 24 months.
• Candidate must provide information regarding patient outcomes from previous hospital.
• Candidate must have achieved satisfactory completion of 2 proctored robotic laparoscopic cases or 2 non-laparoscopic cases.

Female Urology Specialty Requirements: At least one of the minimum three surgeons must be a female provider that is fellowship trained in sub-specialty of female urology. This requirement reflects the increased number of female Veterans being seen in VA. Lebanon VAMC recently hired a female Gynecological provider who is filtering many female patients to the Urology specialty for these conditions. Some have suffered Military Sexual Trauma, and it has been relayed by patients, and their treating physicians, that these Veterans benefit from, and are much more comfortable seeing, a female provider for their unique needs. Lebanon VAMC currently provides this option of care for our female Veterans and considers it critical to maintaining this specialty service to our patients.

The female provider must have capability to provide female urology services to include but not limited to:

• Ability to perform complex urodynamics with specialized equipment.
• Ability to treat urinary incontinence and pelvic organ prolapse surgically with specific training in the utilization of the mesh involved in this type of surgery.

Perform surgical procedures specific to female anatomy/urology problems such as:

• Sling Placement
• Periurethral bulking agents
• Sacroculpopexy-Robotics
• Burch - Robotics
• Treatment of Pelvic Floor pain issues
• Sexual Dysfunction
• Recurrent UTIs
• Complex urodynamics
• Interstim

VA HOURS OF OPERATION/SCHEDULING:

Clinic and Surgical Services: Clinical and Surgical services shall include Robotic DaVinci Surgery and female-specific treatment and procedures, as detailed in the price schedule. Regular clinic hours are 8:00AM through 4:30PM, Monday through Friday.

Operating Room hours are 7:30AM through 3:30PM, Monday through Friday. Saturday clinic services may be required to maintain acceptable access to care for veterans. The estimated need for Saturday clinic services is 30 hours per year.

On-Call Services: 24-hour on-call coverage for weekdays, and 24-hour on-call coverage for weekends and federal holidays, is required, as detailed in the price schedule.

• On-call contractor's physician(s) must be available at all times for phone consultations with VA residents and physicians. If an emergency urology event arises as identified by a staff physician, phone contact will be made by VA and must be responded to by the contract urologist on-call contractor within 15 minutes. Contract providers must be located within 35 miles of Lebanon VAMC and arrive on site within 60 minutes of receipt of the phone call. Upon stabilization of the patient and assessment of further intervention, the contract provider may treat patient or decide to transfer the patient to a non-VA facility for provision of an advanced level of patient care.
• Patients must be seen by a contractor's physician(s) on-site at the facility in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

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.