Flight Medicine Physician — Columbus AFB, MS
Flight Medicine Physician
Columbus AFB, MS
PERIOD OF PERFORMANCE: 09/29/2017- 09/28/2018
DESCRIPTION OF SERVICES
Provide Flight Medicine Physician services for Columbus Air Force Base, Mississippi, hereafter referred to as the Medical Treatment Facility (MTF). The Contractor shall provide outpatient family medicine services required for Government beneficiaries. Contractor will see all types of medical conditions to include mild trauma, internal medicine, wellness and prevention.
- Provider must possess a doctor of medicine degree or a doctor of osteopathy degree, completed a residency or fellowship acceptable to the U.S. Air Force Surgeon General
- Possess board certification in Flight Medicine, Family Medicine, Internal Medicine, Emergency Medicine, Occupational Medicine, or Preventive Medicine from an approved school of medicine or osteopathy
- Possess Current Basic Life Support (BLS), Pediatric Advanced Life Support (PALS) and Advanced Cardiac Life Support (ACLS)
- Must have a minimum of 160 hours of direct patient care in the past year. Applicant must have a minimum of three years’ experience in the last 10 years having served as a privileged flight surgeon at a US Military installation, with experience in:
- U.S. military medical standards to conduct special operational evaluations, including (but not limited to) Preventive Health Assessment (PHA) for flyers/special duty personnel, initial certification exams for flying/special duty applicants.
- Aeromedical disposition for flying/special operational duty
- Conducting adaptability rating assessment for military special duty applicants
- Apply medical, fitness and profiling standards IAW AFIs 48-123, Medical Examinations and Standards; 36-2905, Fitness Program; and 10-203, Duty Limiting Conditions, (including profiling and duty restrictions as Profile Officer)
- Providing primary care for active duty personnel and their family members
- In-depth understanding of principles of occupational/environmental health epidemiology/population health, preventive medicine, military physical standards, human performance enhancement and sustainment, disease surveillance and prevention activities, and all operational medicine activities
- Knowledge of management concepts and objectives and their relationship to mission accomplishment; relationship of military and health care doctrine, contingency, and medical readiness planning; strategic planning; Air Force flying mission and associated health care requirements; information management; Air Force policy directives and instructions; military justice; conflict resolution; quality; communication and interpersonal skills; principles of medical administration; financial management; and facilities management
- Ability to apply principles of public speaking and risk communication, effective interpersonal communication, leadership and effective personnel management is mandatory
- Knowledge of medical facility organization, mission, purpose, philosophy, and objectives as well as those of The Joint Commission, Unit Effectiveness Inspection (UEI), and appropriate agencies not listed to provide professional consultation to other in the MTF
TYPE OF WORK: The duties will be performed in accordance with established procedures and protocols, within the scope of practice. The duties include but not limited to the following:
- The applicant must be able to locate, interpret and apply current regulations including: AFI 48-123, AFI 36-2905, AFI 10-203, and DoDM 5210.12_AFMAN 13-501, Nuclear Weapons Personnel Reliability Program (PRP)
- The contractor shall provide health care to beneficiaries appointed to the Flight Medicine Clinic, Occupational health Clinic, or other civilian Flight Medicine physician positions as defined by the MTF. These tasks include performing primary care and occupational health clinician duties and the associated administrative tasks
- Care shall include but not limited to continuing, comprehensive health maintenance and provision of medical care, including preventive medicine, behavioral health, occupational health, and community health.
- The contractor may become the primary care manager (PCM) for a panel of patients. As a PCM, the contractor will be the primary personal responsible for the management of the health and wellness of his/her assigned patients. Duties include:
- Examination of patients, formulation of differential diagnostic plans, ordering of appropriate diagnostic testing.
- Interpretation of examination findings and test results, and implementation of treatment plans.
- Determination of the need for consultation and assisting in medical care and treatment provided at the direction of other specialists.
- Approving/disapproving subspecialty referrals
- Directing case management activities
- Answering patient telephone consults with the assistance of clinic staff
- Proving primary and secondary preventive maintenance care
- The Chief, Flight Medicine Clinic, will assign specific duties, patient care assignments, and other duties deemed necessary to maintain optimal clinic operations. All inpatients will be admitted or transferred as per the local MTF instructions
- Diagnose and treat a wide-range of adult acute and chronic diseases and injuries including but not limited to conditions of the:
- Pulmonary System
- Gastrointestinal System
- Musculoskeletal System
- Genitourinary System
- Reproductive System
- Lymphatic System
- Central Nervous System
- Endocrine System
- Psychiatric and Behavioral Health
- Perform medical procedures and maintain certification where appropriate to include, but not limited to, the following:
- Basic Life support
- Secure and maintain an adequate airway, to include endotracheal intubation
- Cardioversion of life threatening arrhythmias
- Simple minor surgical procedures: punch biopsies, excision of skin lesions
- Simple abscess incision and drainage
- Nail trephination
- Sling or swath injuries
- Lumbar puncture
- Suture simple laceration
- Suture removal
- Nebulizer treatment
- Bladder catheterizations
- Culture (throat, wound)
- Remove ocular, nasal and ear foreign bodies
- Clearing of ears by flush technique
- Reduce simple dislocations and fractures, when appropriate
- Bandaging of sprains, minor burns, and minor lacerations
- Perform venous punctures for lab studies and interpret results
- Administer intravenous, intramuscular and subcutaneous medications as appropriate
- Stabilize and evaluate cervical spine injuries as appropriate
- Splint and stabilize traumatic injuries to extremities
- PHA for flyers/special duty personnel
- Initial certification exams for flying/special duty applicants (including foreign military personnel attending US military training, initial health screening for foreign military personnel attending US military training
HOURS: The Contractor shall be available for duty five days a week, Monday through Friday, 7:00 AM until 5:00 PM (defined herein as a “duty day”), excluding Federal Holidays and Family Days. The Contractor must provide projection of anticipated vacation day(s) or personal matters at least six (6) months in advance. Any late requests made after the clinic schedule has been published must be routed and approved through the Flight Commander Group Practice Manger and/or Chief of Medical Staff (SGH), unless it’s for an acute illness, or a personal or family emergency.
ENGLISH LANGUAGE REQUIREMENT: Personnel shall read, understand, speak, and write English well enough to effectively communicate with patients and other healthcare workers.
CONTRACTOR PERSONNEL shall present a neat appearance and be easily recognized as a contractor employee. A hospital issued nametag will be provided designating “contractor.” Contractor employee shall identify themselves as a contractor personnel by introducing themselves or being introduced as a contractor personnel and displaying distinguishing badges or other visible identification for meetings with Government personnel. Contractor shall appropriately identify themselves as a contractor employee in telephone conversations and in formal and informal written correspondence.
CONFLICT OF INTEREST: The Contractor shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contractor shall not be a person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval in accordance with DoD Directive 5500.7-R, Joint Ethics Regulation, and Air Force policy.
FEDERAL HOLIDAYS/MTF CLOSURE: The contractor will not provide routine services on federal holidays. The following federal holidays are observed by Columbus Air Force Base:
|New Year’s Day||1 January|
|Martin Luther King, Jr’s Day||3rd Monday of January|
|President’s Day||3rd Monday of February|
|Memorial Day||Last Monday of May|
|Independence Day||4 July|
|Labor Day||1st Monday of September|
|Columbus Day||2nd Monday of October|
|Veteran’s Day||11 November|
|Thanksgiving Day||Thanksgiving Day|
|Christmas Day||25 December|
Holidays occurring on Saturday will be observed the proceeding Friday. Those occurring on a Sunday will be observed the following Monday. Additional holidays consist of designated Wing stand down and Presidential appointed down days. All applicable planned closure dates will be incorporated in the contract as non-billable days.
In addition to the days designated as holidays, the Government observes the following days: Any other day designated by Federal Statute and any other day designated by Executive Order.
The Contractor will not provide routine services during Department of Defense (DoD), AF or Wing declared down-days, or events which result in medical facility closure. (Some exceptions may apply as directed by the MDG COR staff).
NOTE: For squadron functions, the contractor will not be reimbursed or paid for these events. However, attendance at alternate duty location directed by the CO or the MTF COR supervisor shall be reimbursed.
MEDICAL QUALITY ASSURANCE/RISK MANAGEMENT (QA/RM)
Health care providers shall participate in QA/RM activities to the extent required by AFI 44-119 and the individual MTF QA/RM plan or regulation. This includes, but is not limited to, peer review at a minimum of 10 encounters per month.
The government will evaluate the contractor’s professional, and differentiated from administrative, performance under this contract using quality assurance standards specified in AFI 44-119.
The Contractor shall participate in the MTF orientation and service/clinic specific orientation prior to furnishing services under this contract. Clinic orientation must occur within five (5) duty days of employment start date. MTF orientation must occur within 30 days of employment start date.
CONTINUING EDUCATION REQUIREMENTS
CREDENTIALED PROVIDERS: Continuing Medical Education (CME): Health care providers registered or certified by national/medical associations shall continue to meet the minimum standards for the CME to remain current as prescribed in AFI 41-117, Medical Service Officer Education. CME shall be obtained at no additional cost to the Government and shall be reported to the COR and MTF Credentials Committee annually on the first normal duty day in January for the previous calendar year. Periodic CME may be conducted at the MTF and will be available, at no cost, to any healthcare provider desiring to attend.
ANNUAL TRAINING REQUIREMENTS: All contract employees must complete any mandatory and annual training required IAW DoD, air Force Instructions, Medical facility training requirements, and regulatory agencies (AAAHC, Health Insurance Portability and Accountability Act (HIPAA), Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Health Services Inspection (HIS), AF Computer Security Policy, and AF Safety Policy). They must complete any additional training as dictated by facility or work-center.
- The contractor will be required to see no more than 90 appointments per week, attend RAC clinic as necessary, and perform duties not limited to, but including the following: administrative work, attend assigned meetings, functions, and working groups, participate and comply with inspections, clinic standards, and exercises, and perform other tasks as deemed necessary by the SGH or Group commander.
- Contractor will answer telephone consults, follow-up labs and diagnostics tests, and perform patient diagnostics tests, and perform patient documentation and administrative paperwork in the specified suspense outlined by the clinic. If the provider drops below this requirement for four consecutive weeks, without adequate justification, the Chief of Medical Services will review whether continued services will be required from this provider.
ADVISES MEDICAL STAFF: Advises medical and dental staff on treatment of flying personnel and preparation of patients for aeromedical evacuation. Provides medical advice and guidance to bioenvironmental engineering, military public health, physiological training, and others.
Conducts medical examinations of personnel with special standards of medical care. Examines personnel requiring special medical care standards to determine fitness for flying and special duties, or to recommend continuance, removal, or return to flying status and aviation.
Provides family practice functions and medical care for flyers and their families, and other beneficiaries within the MTF, and obtains medical consultations. Manages disorders and injuries peculiar to flight. Services as liaison between flying squadrons and medical services.
Develops and manages an aggressive preventive medicine program, including education of flying personnel in healthy life styles.
REFERRALS AND CONSULTS: The provider shall follow DoD and air Force regulations and policies when arranging for a referral or consult. The provider shall inform patients of the required referral or consult by indicating the specialty involved. All consults and referrals will adhere to the MTF Referral Management process.
PRESCRIPTIONS: The provider shall use and follow the applicable MTF formulary for prescriptions for all patients that received care at the MTF. The formulary list is approved and maintained by the MTF Pharmacy and Therapeutics Committee. Any drug requested by the physician that is not listed on the formulary must be approved by the Chief of the Medical Staff and/or pharmacy and Therapeutics Committee.
PROCEDURE GUIDANCE: The contractor shall perform procedures compatible with the medical facility’s operating capacity and equipment. New medical procedures/services shall not be introduced without prior recommendation to, and approval of, the MTF Commander or authorized representative. The contractor shall provide clinic and minor procedure services for patients as scheduled by the Government and credentialed/privileged to perform.
OTHER SUPPORT: Contractor shall provide immediate evaluation and management of emergency problems as they occur. The contractor could also provide consultation in complex cases. Prepare and review case histories and clinical records. Perform and direct diagnostic procedures, including x-ray examinations and clinical laboratory tests. Interpret test results and evaluate examination findings.
IN FLIGHT EMERGENCIES (IFEs): The contractor shall respond to IFEs during duty hours.
RECORDS: The contractor shall be responsible for creating, maintaining, and disposing of only those Government required records, which are specifically cited in this PWS, or as may be required by the provisions of the directive listed in Appendix I of this PWS. If requested by the Government, the contractor shall provide the original record or a reproducible copy of any such records within five (5) working days of receipt of the request.
PATIENT LISTS: Patient lists, no matter how developed shall be treated as privileged information. Lists and/or names of patients shall not be disclosed to or revealed in any way for any use outside the MTF without prior written permission by the Chief of the Medical Staff.
PATIENT SENSITIVITY: Contract personnel shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. Personnel receiving complaints validated by the COR and Chief of the Medical Staff shall be subject to counseling and, depending on the nature and severity of the complaint, separation from performing services under this contract.
RELEASE OF MEDICAL INFORMATION: Contract personnel shall only release medical information obtained during the course of this contract to the patient, legal guardian, or other MTF staff involved in the care and treatment of that individual patient.
JUDGEMENT AND DECISIONS: Educate and counsel patient/families about their potential risk for diseases or injuries; make appropriate recommendations/referrals; conduct education and counseling in 1:1 or group setting, as appropriate.
COORDINATION: Coordinate with appropriate individuals/departments regarding delays in service that my impact quality.
COMMUNICATION: Demonstrate strong customer service skills and foster development of those skills throughout entire MTF.
Communicate and collaborate with the appropriate members of the health care team to ensure that needs of assigned patients are met without duplication of effort.
Make the health care and MTF system as responsive to patients’ needs as possible.
Establish liaisons with case managers. Coordinate services through the continuum of care for complex patients.
Establish and maintain good interpersonal relationships with co-workers, families, peers, and other health team members.
INFECTION CONTROL AND SAFETY: The contractor shall comply with all MTF infection control and safety procedures, practices, and standards.
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA): All individuals performing services at the MTF are required to complete HIPAA Act Privacy Rule Training and will be held accountable for complying with the MTF’s specific health information privacy and security policies and procedures.
DOCUMENTATION: The contractor shall prepare all documentation to meet or exceed established standards of the MTF to include but not limited to: timeliness (within 72hours of the patient encounter), legibility, accuracy, content and signature. Only MTF and Air Force approved abbreviations may be used to document of care in the health care record. Contract personnel shall ensure complete patient identifying information is on all documentation that is to become part of the health care record. Contract physician may be required to review Family Health nurse practitioners’ or physician assistants’ medical records for quality assurance, accuracy and compliance with the standard of care. Corrections will be made by the Government or under the direction of the government representative.
SUPPORT DURING MILITARY TRAINING: Contract personnel may periodically be required to continue clinical operation while DoD employees attend mandatory training or other DoD specific activities.
ATTENDANCE AT MEETINGS: The provider personnel shall attend and participate in meetings, professional staff conferences, and other appropriate professional activities as directed.
PROFESSIONAL QUALITIES: Participate in professional development activities and maintain professional affiliations. Attend conferences and workshops related to duties. Maintain current knowledge of disease management, preventive screening standards and requirements, and current trends in population-based health management. Actively participate in ongoing improvement projects associated with disease management, prevention, and population-based health management.
THE JOINT COMMISSION (TJC) AND UNIT EFFECTIVENESS INSPECTION (UEI): The Contractor shall meet all applicable TJC and UEI standards during the performance of this contract.
COMMUNICATION: Contractor shall maintain open and professional communication with members of the MTF staff. Complaints validated by Chief of the Medical Staff shall be reported in writing to the contract administrator and the Contractor for action. Failure of the Contractor to correct validated complaints raised by the MTF staff and the CO will be considered a failure to perform.
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