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This is a Performance Work Statement (PWS) for headhunting services to fill clinical staffing vacancies at the VA Northern California Health Care System (VANCHCS) in Sacramento.

VANCHCS requires a contractor to identify and recruit suitable candidates for three clinical positions: two Gastroenterologists (2.0 FTE) and one Cardiologist (1.0 FTE), all located at Sacramento VAMC (Mather). The contract period runs from September 1, 2026 through August 31, 2027. Payment is made on a per-placement basis only after a successful hire, with monthly invoices submitted in arrears. The contractor must ensure all candidates meet licensing, accreditation, and certification requirements specified in the attached scope of practice documents. Gastroenterologists must be board-certified with 4+ years of experience in inpatient and/or outpatient settings and capable of performing diagnostic and therapeutic endoscopy procedures. Cardiologists must be board-prepared/board-certified with 4+ years of experience and proficient in interpreting ECGs, echocardiograms, stress tests, and Holter monitors, with potential performance of transesophageal echocardiograms and direct current cardioversions.

The contractor must maintain professional liability insurance, comply with all applicable OSHA and federal/state regulations, and possess appropriate licenses and accreditation to operate as a staffing agency. Services are provided Monday through Friday, 8:00 a.m. to 4:30 p.m., excluding federal holidays. The Government will evaluate proposals based on technical capability, professional qualifications and relevant headhunting experience, quality assurance plans, timeliness of candidate placement, past performance history, and price per placement. The contractor must identify and disclose any organizational conflicts of interest and verify that neither the contractor nor any proposed subcontractors appear on the HHS OIG exclusion list.

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PERFORMANCE WORK STATEMENT (PWS)

HEADHUNTING FOR CLINICAL POSITIONS

GENERAL

1.1. SERVICES REQUIRED:

The VA Northern California Health Care System (VANCHCS) is currently short-staffed in the following positions: Gastroenterology and Cardiology. These shortages will continue to strain existing clinical teams, increase wait times, and create risk for service disruptions in mission-critical areas such as specialty care. These roles have been repeatedly identified as hard‑to‑recruit positions due to a highly competitive labor market, regional workforce shortages, and persistent vacancy rates that limit our ability to meet access-to-care standards. The contactor shall only provide headhunting for these positions. The contractor’s role would be to find suitable candidates and payment would be made after a successful hire. The table below includes the current vacancy rate as well as the position title, FTE, location and supervisory level.

Position
Quantity

(1 = 1.0 FTE)

Location
Supervisory Level
Gastroenterologist
2
Sacramento VAMC (Mather)
Nonsupervisory
Cardiologist
1
Sacramento VAMC (Mather)
Nonsupervisory
TOTAL
3

The contractor shall provide all services necessary to perform the services in accordance with the terms and conditions of the scope and work reflected below in the Performance Work Standards (PWS).

Period of Performance (BASE): September 1, 2026 to August 31, 2027

1.2. PLACE OF PERFORMANCE:

Services shall be provided for the following clinical services positions: specialty care. The contractor will be responsible for finding candidates that meet the requirements as detailed in the scope of practices.

VAMC currently has vacancies at the following locations:

· Sacramento (Mather):

10535 Hospital Way, Mather, CA 95655

1.3. AUTHORITY: Title 38 USC 8153, Health Care Resources (HCR) Sharing Authority.

1.4. POLICY AND REGULATIONS: Contractor shall comply with all applicable policies and regulations.

1.5. DEFINITIONS/ACRONYMS:

1.5.1 Contracting Officer (CO): The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.2 Contracting Officer’s Representative (COR): A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with, and adheres to, the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.3 CPARS: Contractor Performance Assessment Reporting System

1.5.4 POP: Period of Performance

1.5.5 PWS: Performance Work Statement

1.5.6 QA/QI: Quality Assurance/Quality Improvement

1.5.7 QM/PI: Quality Management/Performance Improvement

1.5.8 QASP: Quality Assurance Surveillance Plan

1.5.9 VANCHCS: VA Northern California Health Care System

1.5.10 CT: Computed Tomography

1.5.11 MRI: Magnetic Resonance Imaging

CONTRACTOR QUALIFICATIONS

1.6. STAFF/FACILITY: The Contractor performing the work shall have extensive experience in successfully finding candidates for the positions listed above.

1.7. LICENSING AND ACCREDITATION: Contractor shall have and maintain all licenses, permits, accreditation and certificates required by law to operate as a staffing agency. In addition, the contractor will ensure that the candidates meet all the licenses, accreditation and certificates as detailed in the scope of practices and functional statements.

1.8. CERTIFICATION: Contractor is responsible for keeping the COR apprised of anything that would adversely affect or otherwise limit their certification and ability to provide the required services. Failure to keep VA fully informed on these matters may result in the immediate termination of the contract.

1.9. SAFETY: The Contractor shall comply with all applicable OSHA, federal, and state laws and regulations as required for performing the type of services required.

1.10. PROFESSIONAL LIABILITY INSURANCE: Contractor shall maintain professional liability insurance by a commercial insurance company in the business of providing the required insurance coverage. The Contractor shall provide a copy of the Insurance Certificate upon receipt of a written request by the VA.

1.11. CONTRACTOR’S LOCATION: The Contractor should be able to find candidates for the various locations at VAMC as outlined above.

1.12. CONFLICT OF INTEREST: Contractor is responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.

1.13. ANNUAL OFFICE OF INSPECTOR GENERAL (OIG) STATEMENT:

1.13.1. In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the VA OIG has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

1.13.2. Therefore, all Contractors shall review the OIG List of Excluded Individuals/Entities on the OIG web site at www.hhs.gov/oig to ensure that the proposed Contractors and/or firm(s) are not listed. Contractors should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person or entity was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMPs may also be imposed against the Contractors and entities that employ or enter into contracts with excluded individuals or entities to provide items or services to Federal program beneficiaries.

1.13.3. By submitting their proposal, the Contractor certifies that the OIG List of Excluded Individuals/Entities has been reviewed and that the Contractor(s) and/or firm(s) are not listed as of the date the offer/bid was signed.

VA HOURS OF OPERATION AND SCHEDULE

1.14. SCHEDULE: The VAMC is open Monday through Friday from 8:00 a.m. to 4:30 p.m. The Contractor shall provide services Monday through Friday, excluding federal holidays. All services shall be provided within the timeframes specified herein.

1.15. FEDERAL GOVERNMENT HOLIDAYS: The following holidays are observed by the Department of Veterans Affairs:

1.15.1. New Year’s Day

1.15.2. Martin Luther King’s Birthday

1.15.3. Presidents Day

1.15.4. Memorial day

1.15.5. Juneteenth National Independence Day

1.15.6. Independence Day

1.15.7. Labor Day

1.15.8. Columbus Day

1.15.9. Veterans Day

1.15.10. Thanksgiving Day

1.15.11. Christmas Day

1.15.12. Any day specifically declared by the President of the United States to be a national holiday.

1.16. CANCELLATION POLICY: Unless a state of emergency has been declared or the VAMC is closed, the Contractor shall be responsible for providing services. If the VAMC is closed for any reason, the Contractor will be notified.

CONTRACTOR RESPONSIBILITIES

1.17. SERVICES REQUIRED: The VANCHCS requires a contractor to provide suitable candidates for the following positions. The contractor will ensure that the candidates meet the requirements as detailed in the attached scope of practice for each position.

· Gastroenterologist

· Cardiologist

1.18. STANDARDS OF PRACTICE: Contractor shall perform services according to the requirements contained in this PWS.

1.19. SPECIFIC CONTRACTOR TASKS

4.3.1 The contractor will be responsible for finding candidates that meet the requirements as detailed in the scope of practices and functional statements for the following clinical services positions: specialty care, primary care, mental health, and imaging.

GOVERNMENT RESPONSIBILITIES

1.20. OVERSIGHT OF SERVICE/PERFORMANCE MONITORING: After award of contract, all inquiries and correspondence relative to the administration of the contract shall be addressed to:

CO (CONTRACTING OFFICER) and

COR (CONTRACTING OFFICER REPRESENTATIVE)

1.21. CO RESPONSIBILITIES:

1.21.1. The CO is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the CO on all matters pertaining to contract administration. Only the CO is authorized to make commitments or issue any modification to include (but not limited to) terms affecting price, quantity or quality of performance of this contract.

1.21.2. The CO shall resolve complaints concerning Contractor relations with the Government employees or patients. The CO is final authority on validating complaints. In the event the Contractor effects any such change at the direction of any person other than the CO without authority, no adjustment shall be made in the contract price to cover an increase in costs incurred as a result thereof.

1.21.3. In the event that contracted services do not meet quality and/or safety expectations, the best remedy will be implemented, to include but not limited to a targeted and time limited performance improvement plan; increased monitoring of the contracted services; consultation or training for Contractor personnel to be provided by the VA; replacement of the contract personnel and/or renegotiation of the contract terms or termination of the contract.

1.22. COR Responsibilities:

1.22.1. After contract award, the CO will designate a VA employee as the Contracting Officer’s Representative (COR). The COR will be responsible for overseeing the services performed by under this Contract. The COR shall be the VA official responsible for verifying contract compliance. After contract award, any incidents of Contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the CO.

1.22.2. The COR will certify monthly invoices for payment and will be responsible for monitoring the Contractor’s performance to ensure all specifications and requirements are fulfilled.

IDENTIFICATION AND PARKING, SMOKING AND VA REGULATIONS

1.23. Contractor personnel shall wear visible identification at all times while on the premises of the VAMC. All personnel entering the VA facility may have to consent to inspection of all categories of packages as a condition of admittance.

1.24. Upon contract award, the COR will provide instructions to the Contractor on where Contractor personnel should park when making pick-ups and deliveries. It is the responsibility of Contractor personnel to park in the appropriate designated parking areas. Violations of VA parking regulations may result in a citation answerable in the U.S. Federal District Court. VA will not invalidate or make reimbursement for parking violations under any conditions.

SPECIAL CONTRACT REQUIREMENTS

1.25. BILLING/INVOICES:

1.25.1. The VANCHCS will maintain a record-keeping system comprising daily logs of tissue blocks and slides provided to the Contractor for processing (cutting and staining). The COR will review this data against monthly invoices submitted by the Contractor to ensure invoices accurately reflect the services performed.

1.25.2. Payment made during all periods of performance of this agreement shall constitute the total cost for services rendered by the contractor, and shall not exceed the amounts specified in the “Schedule of Supplies and Services” without written request and the written approval from the CO.

1.25.3. Invoices rendered by the contractor to VANCHCS for services furnished under this agreement, will be invoiced in full for each month in which services were performed. All payments made under this contract will be made monthly in arrears in accordance with FAR Clause 52.212-4. No advance payments will be authorized. Invoices shall be electronically sent, using the form Tungsten/OB10 e-Invoice, to the Department of Veterans Affairs, PO Box 149971 Financial Services Center (FSC), Austin, Texas 78714-8971. For more information on how to send invoices electronically, visit http://www.ipps.fsc.va.gov.

1.25.4. All invoices applicable to this agreement must be submitted no later than thirty (30) days after the end of the contract period. Any problems regarding unpaid invoices should be directed to the COR.

1.25.5. At a minimum, each invoice must contain the following: Dates of service, number of slides processed, unit price, and total cost of services provided, contract number, and remittance address. All invoices must include the name, title and phone number of person to be notified in the event of defective invoicing. Refer to FSC policy in completing and submitting Form OB-10 e-Invoice.

1.25.6. All invoices must be submitted for actual services performed by the Contractor. Invoices shall be submitted in accordance with, and at the prices specified in the continuation of SF Form 1449, Schedule of Supplies and Services of this agreement.

1.25.7. Invoice requirements and supporting documentation: Supporting documentation and invoices must be submitted no later than the 20th workday of the month. Subsequent changes or corrections shall be submitted by separate invoice. In addition to information required for submission of a “proper” invoice in accordance with FAR 52.212-4 (g), all invoices must include all information necessary using electronic means in accordance with the policy set forth by the VA Financial Services Center, Austin Texas, see previous paragraph.

1.26. SUBCONTRACTING:

If during the course of the Contract, the Contractor elects to subcontract to a different contractor for the purpose of performing the services required under this Contract, the Contractor shall provide advance written notification to the COR. VANCHCS shall have the right to approve or disapprove the use of any proposed subcontractor based on a determination of the subcontractor’s ability to perform the services in accordance with VA’s standards for quality and consistency.

7.2 The C&A requirements do not apply, and that a Security Accreditation Package is not required.

EVALUATION CRITERIA

The Government will award a contract resulting from this solicitation to the responsible offeror whose offer, conforming to the solicitation, will be most advantageous to the Government, price and other factors considered. The following information or factors shall be used to evaluate offers. Award will not be made strictly on price but rather will consider the ability of the Contractor to successful provide candidates for the clinical positions mentioned in this contract.

I. Technical/Quality

· Capability to perform – Offeror’s quote must demonstrate that it currently possesses appropriate certifications and accreditation and that it employs the personnel, equipment, standards, work processes, and general resources to accomplish the requirements of the PWS. Offeror must provide accompanying documentation of current license from a U.S. State, Commonwealth, Territory, or District, as well as any other accreditation or licensure that demonstrates its ability to provide the services.

· Professional qualifications and experience – Offeror must present qualifications and experience of in finding candidates that meet the duties as required in the PWS. Offeror shall provide accompanying documentation of current licensure for supervisory staff members. Offeror should also include documentation of licenses held by any staff members that will perform work under the contract.

· Similar headhunting clinical contract experience – Contractors with clinical experience most similar to the requirements of the PWS are greatly desired. Offerors shall present documentation of such experience.

· QA/QC Plan – Offeror shall provide a detailed plan which demonstrates how standards for quality will be met as per the requirements of the PWS.

III. Timeliness

· Offeror shall identify the place of performance (VAMC). Offeror shall also provide a detailed description which demonstrates how it will meet the required timeframes stated in the PWS, including a description of the transport methods to be utilized.

IV. Price

· Price per placement – Contractor must provide an all-inclusive price per placement processed.

II. Past Performance

· Clear performance history – Offeror’s performance history must show that it consistently operates in an effective and ethical manner without evidence of corporate malfeasance, employee malpractice, or activities which are counter to the standards and mission of the Department of Veterans Affairs. Documentation should include a summary of contracts performed for other government and non-government entities. Contractor shall identify any contracts that were terminated for cause.

Scope of Practice_Cardiology_Non-Invasive.pdf

VA Northern California Health Care System – Cardiology Section VISN 21 Sierra Pacific Network

FUNCTIONAL STATEMENT/SCOPE OF PRACTICE

STAFF PHYSICIAN - MEDICAL SERVICE, CARDIOLOGY SECTION

January 2024

1. General Description: Duties will include but are not limited to: direct patient care in the outpatient settings; provide diagnosis and treatment to adult patients presenting with cardiovascular conditions; interpret and report cardiology studies including ECG, Echo, Holter, and Stress/Treadmill ECG; perform minor procedures such as Transesophageal Echocardiogram and Elective Cardioversion per credentialing and privileging approvals.

Board Prepared/Board Certified in Cardiology with 4+ years experience working in inpatient and/or outpatient settings is preferred.

a. Work Schedule: Monday - Friday, 8:00 A.M. - 4:30 P.M., with an occasional Saturday clinic or a weekday extended hour clinic; however, subject to change, depending on the needs of the service/medical center. Cardiologists performing inpatient duties will have additional call duty hours, depending on the call scheduling, including weekends and nights on a rotating basis.

2. Major Duties/Responsibilities:

a. Clinical: Provide independent care delivery and specialty consultation for chronic and acute medical needs. The type of care is served to the Veteran population, with cardiovascular diseases consistent with those seen in the general population namely diabetes, hypertension, hyperlipidemia, ischemic heart disease, cardiomyopathy, congestive heart failure, arrhythmias, valvular heart disease, peripheral vascular disease, etc. A part of your responsibility is to write orders for diagnostic testing, prescribe medications, consult with other specialty services, and utilize computerized/electronic medical records. Major functions of the position include preoperative cardiovascular risk assessment, goal setting for prevention, and chronic diseases management. A major focus is on preventive medicine with focus on the achievement of positive outcomes for patients, improve coordination of care, decrease clinic waits or delays, and appropriate use of resources. Additional functions include clinical oversight and providing guidance to mid-level providers such as Nurse Practitioners or trainees such as Residents, Medical Students, and Fellows.

i. Provide direct patient care to include, but are not limited to: history and physicals, medication management, evaluation of diagnostic tests and treatment planning, clinical reminder, and consult completion as applicable.

ii. Proficient in Tele-Health to home visits (VA Video Connect).

iii. Proficient in interpretation and reporting of Electrocardiograms (ECGs)

iv. Proficient in interpretation and reporting of Echocardiograms (Echo)

v. Proficient in interpretation and reporting of pharmacologic and exercise stress ECGs

vi. Proficient in interpretation and reporting of Holter monitor recordings

vii. Proficient in evaluation of Cardiac Implanted Electronic Device (such as pacemakers, ICDs, loop recorders) interrogation reports

viii. Additional proficiencies in performing, interpreting, and reporting Transesophageal Echocardiograms and performing elective Direct Current Cardioversions may be needed

ix. In addition to above, Cardiology providers performing inpatient clinical duties are expected to remain proficient in providing inpatient/urgent/emergent consultative recommendations re:

Cardiovascular conditions, as well as management of the hospitalized veteran with acute Cardiovascular conditions (such as acute coronary syndromes, congestive heart failure, arrhythmias, etc.)

b. Administrative: Document all medical information in an electronic medical record.

i. Perform medication reconciliation.

ii. Triage incoming Cardiology service consults based on appropriateness, acuity/priority, and service capabilities

iii. Report/document results of ECGs, Echos, Holters, Stress Tests in timely manner per protocol

iv. Complete encounters

v. Participate in Cardiology Section meetings

vi. Complete required TMS education requirements

c. Other duties as assigned.

d. Education: Instructing and educating Cardiology Fellows, Internal Medicine

Residents, Family Medicine Residents, Medical Students, and Cardiology Nurse Practitioners

e. Research: None

3. Supervision: Direct supervisor is Chief of Cardiology

4. Computer Security:

a. Protects printed and electronic files containing sensitive data in accordance with the provision of the Privacy Act of 1974 and other applicable laws, Federal regulations, VA statutes and policy and VHA policy. Protects the data from unauthorized release or from loss, alteration, or unauthorized deletion. Follows applicable regulations and instructions regarding access to computerized files, release of access codes, etc.

b. Uses word processing software to execute several office automations functions such as storing and retrieving electronic documents and files; activation printer;

inserting and deleting text; formatting letters, reports and memoranda; and transmitting and receiving e-mail. Uses the Veterans Heath Information and Technology Architecture (VistA) to access information in the Medical Center Computer System.

5. Customer Service: Meets the needs of customers while supporting VA missions.

Consistently communicates and treats customers (veterans, their representatives, visitors and all VA staff) in a courteous, tactful and respectful manner. Provides the customer with consistent information according to established policies and procedures.

Handles conflict and problems in dealing with the customer constructively and appropriately.

6. Age Specific Criteria: Possesses knowledge of age-related changes in disease, pharmacology and in the general care and management of elderly patients and applies this knowledge in assigned patient care and education responsibilities.

7. Physical Requirements and Environmental Factors: In accordance with OF 178: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must be able to perform CPR per ACLS/BLS protocols.

8. Safety:

a. Environment of Care: Follows Life Safety Management (fire protection) procedures. Reports safety hazards, accidents, and injuries. Review hazardous materials/Material Safety Data Sheets (MSDS)/waste management. Follows Emergency Preparedness plan. Follows security policies/procedures. Complies with federal, state and local environmental and other requirements preventing pollution, minimizing waste, and conserves cultural and natural resources.

b. Infection Control: Demonstrates infection control practices for disease prevention (i.e. hand washing, universal precautions/isolation procedures, including TB, COVID-19 and other infectious disease requirements/precautions.)

Signature of Supervisor/Chief of Service Line/Chief of Staff Date

Text1:

2024-02-20T16:00:15-0800

AMOGH BHAT

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Scope of Practice_GI Staff Physician.pdf

VA Northern California Health Care System

FUNCTIONAL STATEMENT/SCOPE OF PRACTICE

STAFF PHYSICIAN - MEDICAL SERVICE, Gastroenterology Department

December 19, 2023

1. General Description: Provider is an Internal Medicine/Gastroenterology trained physician with Gastroenterology Medicine experience. Provider will provide clinical support for the Gastroenterology services at the different VA Northern California Health

Care System sites including Sacramento, Martinez, Redding and Stockton. Provider is expected to document into CPRS in a timely manner the clinical work performed, participate in Process Improvement/Quality Assurance projects and participate in usual

Medical Staff activity including committee and development of gastroenterology related projects and service. Administrative duties are general oversight of the operations of the

Gastroenterology Department including but not limited to providing and overseeing the scheduling of clinic and procedures, assigning and assuring that all scheduled rotations are covered, and planning for efficient patient management and throughput as well as supervision of UC Davis GI fellow(s) on clinical service at the Sacramento VA Medical

Center, VANCHCS and other usual daily clinic activity. Provider is expected to maintain

Joint Commission readiness.

a. Work Schedule: Monday – Friday, 7:00 A.M. - 4:30 P.M., and may include sharing on-call schedule and weekend service. Work schedule is subject to change, depending on the needs of the service/medical center. Full time or part time rotation at different sites will depend on arrangement/negotiation with the section chief and approved by service chief.

2. Major Duties/Responsibilities:

a. Clinical – 70-100%: Provide independent care delivery for patients with general gastroenterology problems and subspecialty care depending on the provider’s special expertise. The type of care includes acute management and long term follow up of patients with chronic GI conditions such as upper and lower GI pathologies. The portion of clinical assignment depends on individual labor mapping and tour of duty. A part of the responsibility is to write orders for diagnostic testing, prescribe medications (also include medication reconciliation), consult with subspecialty services, and utilize computerized electronic medical records. Major function of the position includes Health risk Assessment, goal setting for prevention, and chronic diseases management. A major focus is in preventive medicine with emphasis on the achievement of positive outcomes for patients, improve coordination of care, decrease clinic waits or delays, and appropriate use of resources.

i. Provide direct patient care to include, but are not limited to: history and physicals, medication management, evaluation of diagnostic tests and treatment planning, clinical reminder completion as applicable.

ii. Provide routine diagnostic and therapeutic upper and lower endoscopy procedures in addition to complex advanced procedures relevant to individual expertise.

iii. As part of the TEAM in the delivery of GI care, which emphasizes a team-based approach to healthcare. Oversee GI service with compliance to Message Manager, MyHealtheVet, and encounter completion. Proficient in Tele-Health to home visits (VA Video Connect).

b. Administrative – 0-5%: responsibility depends on labor mapping and specific assignment. Provide will collaborate in the organization, coordination and running of the GI service, monitoring workload and productivity performance, and compliance with education/training and delivery of quality GI care to our veterans.

c. Other duties as assigned.

d. Education – 0-2.5%: provider may provide supervision and teaching of GI fellows on clinical service at Sacramento VAMC for those based at Sacramento.

e. Research – 0-10%: responsibility depends on labor mapping and assignment. For those with research expectation/obligation, provider will conduct IRB approved research projects (with or without VA or outside funding) if appropriate, and to publish research findings.

3. Supervision: Direct supervisor is Chief of Gastroenterology.

4. Computer Security:

a. Protects printed and electronic files containing sensitive data in accordance with the provision of the Privacy Act of 1974 and other applicable laws, Federal regulations, VA statutes and policy and VHA policy. Protects the data from unauthorized release or from loss, alteration, or unauthorized deletion. Follows applicable regulations and instructions regarding access to computerized files, release of access codes, etc.

b. Uses word processing software to execute several office automations functions such as storing and retrieving electronic documents and files; activation printer;

inserting and deleting text; formatting letters, reports and memoranda; and transmitting and receiving e-mail. Uses the Veterans Heath Information and

Technology Architecture (VistA) to access information in the Medical Center

Computer System.

5. Customer Service: Meets the needs of customers while supporting VA missions.

Consistently communicates and treats customers (veterans, their representatives, visitors and all VA staff) in a courteous, tactful and respectful manner. Provides the customer with consistent information according to established policies and procedures.

Handles conflict and problems in dealing with the customer constructively and appropriately.

6. Age Specific Criteria: Possesses knowledge of age-related changes in disease, pharmacology and in the general care and management of elderly patients and applies this knowledge in assigned patient care and education responsibilities.

7. Physical Requirements and Environmental Factors: In accordance with OF 178: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to wear protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. Must be able to perform CPR per ACLS/BLS protocols.

8. Safety:

a. Environment of Care: Follows Life Safety Management (fire protection) procedures. Reports safety hazards, accidents, and injuries. Review hazardous materials/Material Safety Data Sheets (MSDS)/waste management. Follows

Emergency Preparedness plan. Follows security policies/procedures. Complies with federal, state and local environmental and other requirements preventing pollution, minimizing waste, and conserves cultural and natural resources.

b. Infection Control: Demonstrates infection control practices for disease prevention (i.e. hand washing, universal precautions/isolation procedures, including TB, COVID-19 and other infectious disease requirements/precautions.)

Signature of Supervisor/Chief of Service Line/Chief of Staff Date

2024-01-30T15:09:59-0800

JOSEPH LEUNG

Text2:

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File details come from the government source that posted it. Updated .