LifeGuard - PowerPoint Presentation

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LifeGuard

®Mid-Atlantic Physician Recruiter Alliance, Inc.Marcia A. Lammando, RN, BSN, MHSA, Program DirectorOctober 2-3, 2014

COMPLETE

CLINICAL CONFIDENCESlide2

Agenda

Presentation GoalsRecruitment ResourceLifeGuard®Case StudiesQuestions & Answers

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Presentation Goals

AWARENESS: LifeGuard® is a clinical competency skills assessment program; providing recommendations for remediation when deficiencies are discovered.CUSTOMIZED: Every case/situation/referral is unique and is handled as such.There is no one methodology.Each participant is approached with an individual case management plan.RESOURCE: Pennsylvania Medical Society Corporate Family

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Recruitment Resource

Recruiting Physicians Pathway for retired physicians to return to active practiceResource for physicians who have no peer references or current experienceOption to address resume concerns or gaps in resumeThird party resource for credentialing committees to address concernsRetaining Physicians Assist physicians that have clinical related privileging issuesInjured physicians desiring to return to active practiceAging physician assessments – practice modificationsShadowing/Precepting PhysiciansPhysicians without jobs participating in shadowing or precepting arrangements to determine if a candidate for employment

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LifeGuard

®Developed to assist physicians:Who have a known or suspected:clinical deficiencymedical deficiencycognitive deficiencyAbout whom quality concerns have arisenWho would benefit from refresher/remediation experiencesWho are seeking reentry into the workforceWho have disciplinary actions on their license and are seeking reinstatement Provide an objective clinical competency skills assessment to referral sources

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Program Pathways

Reentry/ReinstatementAging PhysicianSelf-Referral6Slide7

Case Management

ApproachCase ManagementIndividualizedFacilitate and schedule assessment componentsOngoing communicationsParticipantsPreceptorsReferral resourceHospital stakeholdersIndependent evaluatorsState Medical BoardReview resultsFacilitate remediation as necessaryReport generation

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Case Management Plan

Variables affecting the case management plan:How many years away from active practiceHow many years practicing prior to inactivityEnrollment in a Physicians Health Program or other mandated monitoring programSpecialty State in which the physician is licensed, wishes to become licensed, or maintains licenseFuture practice intentionsBased on information gathered, program components are selected

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Multi-Stage Program Components

Assessment PhaseFitness for Duty Evaluation/IMEPsychiatric EvaluationFunctional Capacity ExaminationNeurocognitive ScreenProfessionalism EvaluationExternal Peer ReviewPLAS TestingStandardized PatientSimulation Labs

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Multi-Stage Program Components

Clinical PhaseMentoringPreceptingObservationEducational PhaseSimulation LaboratoryCME on selected topicsPractical Education based on identified needs

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End Results

Data-driven toolObjective results of clinical competency skills assessments and evaluationsRecommendations provided based on clinical skills assessments and evaluation, when applicableEND USERS ARE ENPOWERED WITH LIFEGUARD® DATA TO MAKE INFORMED DECISIONS

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Case StudiesSlide13

Case Study #1

Retired - Returning to Active PracticeSituationRetired for eight (8) yearsGeneral surgeon transitioning to family practicePlaced license in “retired active” categoryProcessNeurocognitive screen60-hour family practice review course (DVD) PLAS exam module in family practiceFour-week preceptorshipTime with an instructor in a family practice residencyEnd ResultsReport issued to the state board of medicineUnrestricted license reissued

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Case Study #2

General SurgeonSituationDebilitating neurovascular eventCleared by neurologist and rehab to return to practiceLingering concern with cognition as related to the tasks and responsibilities associated with a surgeonProcessDevelop a surgical simulation Test functional capacityEvaluate communication skills related to OR situationsDetermine ability to quickly re-evaluate situations when complications occurReport on findingsEnd ResultsRe-licensedWorking with another general surgeon in the practice (first assist) until the participant feels comfortable in conducting surgery solo

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Case Study #3

Pediatric Physician – Returning to PracticeSituationPediatric physician left active practice to raise a familySought reactivation of licenseProcessNeurocognitive screenPLAS exam module in pediatricsPreceptorship through future employerEnd ResultReport issued to the state board of medicineUnrestrictive medical license reissued

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Case Study #4

Aging Physician AssessmentSituation75 year old physician receives notification from Medical Staff Office Fitness for Duty assessment required as part of ongoing privilegingProcessFitness for duty evaluation/IMENeurocognitive assessmentFunctional capacity evaluationPsychiatric evaluationClinical skills testing if warrantedEnd ResultsDeficits identified through various assessmentsRecommendations to modify practice patterns

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Adjunctive Services

PMSCO Healthcare Consulting, a subsidiary of the Pennsylvania Medical Society, provides adjunctive services to LifeGuard®:Coding and documentation reviewsEducationCMEs provided for most educational sessionsExternal Peer Review Chart AuditsThrough URAC-Accredited Independent Review Organization (IRO)

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Recruitment Resource

Recruiting Physicians Retaining Physicians Shadowing/Precepting Physicians

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Questions and Answers

Thank you!www.LifeGuardProgram.commlammando@lifeguardprogram.com(717) 909-2590