COMPLETE CLINICAL CONFIDENCE
LifeGuard®
Mid-Atlantic Physician Recruiter Alliance, Inc.
Marcia A. Lammando, RN, BSN, MHSA, Program Director
October 2-3, 2014
Agenda
• Presentation Goals
• Recruitment Resource
• LifeGuard®
• Case Studies
• Questions & 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
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Recruiting Physicians
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Pathway for retired physicians to return to active practice
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Resource for physicians who have no peer references or current experience
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Option to address resume concerns or gaps in resume
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Third party resource for credentialing committees to address concerns
Retaining Physicians
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Assist physicians that have clinical related privileging issues
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Injured physicians desiring to return to active practice
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Aging physician assessments – practice modifications
Shadowing/Precepting Physicians
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Physicians 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 deficiency
• medical deficiency
• cognitive deficiency
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About whom quality concerns have arisen
Who would benefit from refresher/remediation experiences
Who are seeking reentry into the workforce
Who 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/Reinstatement
• Aging Physician
• Self-Referral
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Case Management Approach
Case Management
– Individualized
– Facilitate and schedule assessment components
– Ongoing communications
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Participants
Preceptors
Referral resource
Hospital stakeholders
Independent evaluators
State Medical Board
– Review results
– Facilitate remediation as necessary
– Report generation
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Case Management Plan
Variables affecting the case management plan:
– How many years away from active practice
– How many years practicing prior to inactivity
– Enrollment in a Physicians Health Program or other mandated monitoring
program
– Specialty
– State in which the physician is licensed, wishes to become licensed, or
maintains license
– Future practice intentions
Based on information gathered, program components are selected
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Multi-Stage Program Components
Assessment Phase
– Fitness for Duty Evaluation/IME
– Psychiatric Evaluation
– Functional Capacity Examination
– Neurocognitive Screen
– Professionalism Evaluation
– External Peer Review
– PLAS Testing
– Standardized Patient
– Simulation Labs
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Multi-Stage Program Components
Clinical Phase
– Mentoring
– Precepting
– Observation
Educational Phase
– Simulation Laboratory
– CME on selected topics
– Practical Education based on identified needs
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End Results
• Data-driven tool
• Objective results of clinical competency skills assessments
and evaluations
• Recommendations provided based on clinical skills
assessments and evaluation, when applicable
END USERS ARE ENPOWERED WITH LIFEGUARD® DATA
TO MAKE INFORMED DECISIONS
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Case Studies
Case Study #1
Retired - Returning to Active Practice
• Situation
– Retired for eight (8) years
– General surgeon transitioning to family practice
– Placed license in “retired active” category
• Process
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Neurocognitive screen
60-hour family practice review course (DVD)
PLAS exam module in family practice
Four-week preceptorship
Time with an instructor in a family practice residency
• End Results
– Report issued to the state board of medicine
– Unrestricted license reissued
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Case Study #2
General Surgeon
• Situation
– Debilitating neurovascular event
– Cleared by neurologist and rehab to return to practice
– Lingering concern with cognition as related to the tasks and responsibilities
associated with a surgeon
• Process
– Develop a surgical simulation
• Test functional capacity
• Evaluate communication skills related to OR situations
• Determine ability to quickly re-evaluate situations when complications occur
– Report on findings
• End Results
– Re-licensed
– Working 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 Practice
• Situation
– Pediatric physician left active practice to raise a family
– Sought reactivation of license
• Process
– Neurocognitive screen
– PLAS exam module in pediatrics
– Preceptorship through future employer
• End Result
– Report issued to the state board of medicine
– Unrestrictive medical license reissued
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Case Study #4
Aging Physician Assessment
• Situation
– 75 year old physician receives notification from Medical Staff Office
– Fitness for Duty assessment required as part of ongoing privileging
• Process
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Fitness for duty evaluation/IME
Neurocognitive assessment
Functional capacity evaluation
Psychiatric evaluation
Clinical skills testing if warranted
• End Results
– Deficits identified through various assessments
– Recommendations 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 reviews
– Education
• CMEs provided for most educational sessions
– External Peer Review Chart Audits
• Through 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.com
mlammando@lifeguardprogram.com
(717) 909-2590