Exhibit K - Clinical Personnel Education and Training Requirements.pdf

Exhibit K: Clinical Personnel Education and Training Requirements

1. Physician Assistant (PA). PAs shall be graduates of a PA Educational Program accredited by the Committee of Allied Health Education and Accreditation (CAHEA) on behalf of the American Medical Association (AMA).

1.1. All PAs shall possess and maintain current certification as a PA by the National Commission of Certification of PAs (NCCPA) while providing services under this contract. They shall have and maintain a current license in any one of the 50 states, the District of Columbia, Puerto Rico, Guam, or the U.S.

Virgin Islands and have maintained Basic Life Saving (BLS) certification. Evidence of BLS certification shall be provided to the COR, during privileging process and upon renewal. PAs shall have a minimum of one year’s experience. PAs are required by DOD Manual 6025.13 to have a primary and alternate physician supervisor.

1.2. The PAs shall provide limited general medical care, diagnoses, treatment, and prescription as described in DOD Manual 6025.13. All services shall be performed by a graduate PA qualified by academic and practical education to provide patient services as a physician extender under the supervision of a physician. All PAs working under this contract shall have a minimum of one year’s experience in primary care.

2. Nurse Practitioner (NP)

2.1. Each NP shall have a Master's degree in Nursing or certification as a Nurse Practitioner. They shall have and maintain a current license in any one of the 50 states, the District of Columbia, Puerto Rico, Guam, or the U.S. Virgin Islands. Each NP shall be qualified by education and possess at least two years’ primary care experience as a NP in accordance with the Virginia Nurse Practice Act. The NP shall maintain a current valid unrestricted nursing license and be licensed as an Adult NP, Family NP, Pediatric NP or OB/GYN (Women’s Health) NP and have a minimum of two years’ experience. Evidence of completion of a NP program and current RN and NP license shall be provided to the credentials clerk through the COR during the privileging process and upon renewal.

2.2. Each NP shall be certified in BLS prior to performing work under this contract and shall maintain BLS certification while performing work under this contract. Documentation of BLS certification shall be provided to the COR, during the privileging process and upon renewal of certification.

2.3. Each NP shall, with their designated physician preceptors, initiate and establish mutually agreed upon protocols for practice in accordance with DOD Manual 6025.13.

2.4. All provider extenders performing services under this contract shall comply with MEDDAC Pam 40-3 and FBCH Medical Staff Bylaws Rules and Regulations.

2.5. All provider extenders performing services under this contract shall meet Continuing Medical Education (CME) requirements as stated in MEDDAC Regulation 40-68-2.

3. Nurses

3.1. Nurse Midwife (NM)

3.1.1. The contractor may employ nurse midwives to provide pre-natal care. All Nurse Midwives shall possess a Masters in Nursing, an unrestricted RN license, and shall possess certification from the American College of Nurse Midwifery. They shall have and maintain a current license in any one of the 50 states, the District of Columbia, Puerto Rico, Guam, or the U.S. Virgin Islands, shall possess BLS certification prior to employment, and maintain current BLS certification while performing work under this contract. Nurse Midwives shall possess a minimum of two years’ experience as a midwife prior to

ATAMMC PWS Exhibit K Clinical Personnel Education and Training Requirements employment under this contract and meet current Continuing Education Unit Requirements and Medical Staff Bylaw requirements as stated in MEDDAC Regulation 40-68-2.

3.2. Registered Nurse (RN)

3.2.1. RNs shall maintain licensure in accordance with the laws of the State of Virginia while performing work under this contract. Each RN shall maintain current BLS certification prior to employment while performing work under this contract. RNs shall possess a minimum of two years’ nursing experience working as a RN in a hospital setting and shall have practiced as a RN within two years prior to employment under this contract. Transcripts verifying RN education shall be provided with resumes.

3.3. Other Nursing Personnel

3.3.1. Practical/Vocational Nurses shall maintain licenses in accordance with the laws of the State of Virginia while performing work under this contract. Each Practical/Vocational nurse shall maintain current BLS certification while performing work under this contract. Licensed Practical Nurses (LPN) and Licensed Vocational Nurses (LVN) shall possess a minimum of two years’ nursing experience working as a LPN/LVN in a hospital setting, and shall have practiced as a LPN/LVN within two years prior to employment under this contract. Transcripts verifying LPN/LVN education shall be provided with the resume.

3.3.2. Licensed Practical/Vocational Nurses shall be appropriately supervised by the on-site charge RN.

3.3.3. Patient Centered Medical Home (PCMH) Registered Nurse (Primary Care)— (Qualifications/Responsibilities) (PCMH follow NCR-MD 6493.01 and DOD 6490.15): All Contractor HCPs shall meet the qualifications for that specialty and perform essentially the same functions, within the scope of acceptable for their technical professional discipline and standard, as those required by government service technical professionals of similar experience and in similar duty assignments.

Contractor HCP practices/productivity will be compared to that of other Contractor HCP assigned to the same medical center.

3.3.3.1. Registered Nursing degree and current licensure. BSN preferred.

3.3.3.2. Minimum two (2) years preferred five (5) years clinical nursing experience involving high levels of direct interaction with patients preferably in primary care/medical home setting.

3.3.3.3. Advice nursing, nurse educator and/or telephone triage nurse experience preferred.

3.3.3.4. Prior military experience or work within military health system preferred.

3.3.3.5. Outstanding telephone skills needed to both obtain highly personal patient information as well as providing information regarding treatment recommendations and how to problem solve to overcome barriers.

3.3.3.6. Proficiency with computer software and/or web-based systems/programs including electronic medical records, Microsoft Word and Excel are required. Knowledge of database ACCESS, FileMaker Pro or similar software will be beneficial.

3.3.3.7. Must be self-directing, have strong organizational skills and attention to detail.

3.3.3.8. Professional knowledge of a wide range of nursing concepts to include chronic disease self -management, principals in accordance with standards of nursing practice, as well as experience with care management. This clinical knowledge is applied to solve both administrative and clinical problems related to primary care and the continuity of care.

3.3.3.9. Outstanding interpersonal skills needed to both obtain highly personal patient information as well as providing information regarding treatment recommendations and how to problem solve to overcome barriers.

3.3.3.10. Knowledge, skill, and ability to provide professional assistance to health care providers in identifying patients need for referrals to appropriate health care providers or facilities.

3.3.3.11. Position requires some standing/walking and extended periods of sitting.

3.3.3.12. The employee will work primarily within a health care facility. Dedicated office space is expected to be available but potentially be share thus requiring flexibility in hours to accommodate space, phone, and computer limitations.

3.4. Nursing Support Programs. The contractor shall ensure a provider/clinical nursing ratio that will enhance provider productivity and support ACCs efficiency. The contractor shall establish nursing/clinical support programs that effectively coordinate and manage the care of the enrolled primary care patient population and support the specialty services provided. The programs shall include assessment, planning, implementation, coordination, education, monitoring and evaluation of health care options and services for the enrolled patients.

4. Clinical Support Personnel

4.1. Medical Assistants (MAs) shall be (l) certified by the American Association of Medical Assistants (AAMA) or be eligible to take the examination; or (2) be registered by the American Registry of Medical Assistants or eligible for the examination or (3) Registered by the American Medical Technologist or eligible to take the examination. BLS certification shall be maintained while performing services under this contract. The MA shall have a minimum of three months experience.

4.2. Mammography Technologist (Mammographer)

4.2.1. All Mammography Technologists must have successfully completed a program of formal education as recommended by the Joint Review Committee on Education in Radiologic Technology that has been approved by the Committee on Allied Health Education and Accreditation (CAHEA). The program of formal education should be twenty-four (24) months in length or equivalent. Must be American Registry of Radiologic Technologists certified in mammography. The contractor shall have a minimum of one (1) year current experience in mammography. Maintain 15 Continuing Education Credits per 3-year period and meet continuing experience by performing a minimum of 200 mammography examinations every two

(2) years to meet the qualifications of the Mammography Quality Assurance Act of 1992. Evidence of qualifications must be presented at time of in processing.

4.2.2. Possess a current card for certification in Basic Cardiopulmonary Resuscitation.

4.2.3. Adhere to the American Registry of Radiologic Technologists (AART) standard for Radiologic Technologists, TJC, Mammography Quality Standards Act (MQSA) and other applicable standards associated with providing radiographic cure. ARRT standard rules and regulations can be made available for review upon request to the Contracting Officer.

4.3. Diagnostic Radiologic Technologist

4.3.1. Professional Qualifications/Responsibilities

4.3.1.1. All Contractor employees shall meet the qualifications for that specialty and perform essentially the same functions, within the scope of acceptable for their technical professional discipline and standard, as those required by the government service technical professionals of similar experience and in similar duty assignments. Contractor staff practices/productivity will be compared to that of other Contractor qualified Diagnostic Radiologic Technologist.

4.3.1.2. Contractor shall have successfully completed a program of formal education as recommended by the Joint Review Committee on Education in Radiologic Technology that has been approved by the Committee on Allied Health Education and Accreditation (CAHEA). The program of formal education should be twenty-four (24) months in length or equivalent. Be American Registry of Radiologic Technologists certified (radiologic technologist) in radiology. The contractor shall have a minimum of one (1) year current experience and shall have acquired experience that has provided some familiarity with medical care, anatomy, and physiology.

4.3.1.3. The contractor shall possess a current card for certification in Basic Cardiopulmonary Resuscitation.

4.3.1.4. The contractor shall adhere to the American Registry of Radiologic Technologists (AART) standard for Radiologic Technologists, TJC, MQSA, and other applicable standards associated with providing radiographic cure. ARRT standard rules and regulations can be made available for review upon request to the Contracting Officer.

4.4. Psychology Technicians: Psych techs shall have a bachelor’s degree, preferably in a behavioral sciences field, and must be trained and competent in administering psychological testing, BH assessment instruments, BH intake history gathering, and conducting BH triage information gathering.

4.5. Pharmacists employed under this contract shall have a Bachelor of Science or PharmD degree.

Ambulatory clinical pharmacists shall hold a PharmD with residency training preferred. A BS pharmacist with a residency is also acceptable.

4.6. Pharmacy technicians utilized in the performance of this contract shall be board certified.

Exhibit Q: Clinical Personnel Education and Training Requirements