Primary+Care+Cross+Coverage

Each half day Monday thru Friday (8a-12p, 1-5p), one provider should be assigned to do Provider of the Day and Cross-Coverage at five of the clinics (WCHC, MTZ, CHC, PHC, and BHC) with cross-coverage for providers at the other sites. The pairings would be WCHC/NRCH, MTZ, CHC, BHC/AHC, and PHC/BPHC. __Duties included: __ __Duties excluded: __ We will seek volunteers for these positions and assign new hires to do at least one cross-coverage clinic per week. When this schedule is implemented the pay for provider of the day will be eliminated and other reduced roster clinics (“star dot,” “double dot,” etc.) will be readjusted to full rosters. If the provider of the day at any site starts averaging 5 patients seen per 4 hour shift, the roster of pre-scheduled patients will be reduced accordingly.
 * __Primary Care Cross Coverage Proposal 6.6.2013 __**
 * 1) 1. The provider of the day would have a clinic with **2** scheduled patients that will be Provider Only slots that convert to Short Notice if not used.
 * 2) 2. This provider would assume most of the current “Provider of the Day” responsibilities at the smaller sites with the exception of duties that cannot be handled off site for the 3 smaller sites (i.e. schedule II prescriptions). The provider of the day will be the primary backup to the resource nurse/lead nurse for walk-in patients that are screened as needing to be seen, urgent abnormal lab follow-up, etc., as well as responding to other emergencies at the health center.
 * 3) 3. The provider of the day can add quick treatment room visits for issues such as blood pressure checks, infant weight checks, etc., on to their roster as short visits.
 * 4) 4. This provider will cross-cover inbaskets of all **family medicine** providers that have signed their inbaskets out to a pool due to unavailability, including intermittent short notice providers and disembarked primary care providers whose inbaskets have not yet been deactivated.
 * 5) 5. When the provider of the day is a provider who is not privileged to provide care to children, the pediatric department will provide backup support for pediatric issues via the pediatrician on call and on site pediatric staff.
 * 6) 6. When the provider of the day is a provider who is not privileged to provide care to pregnant women, the OB/GYN department will provide backup support for obstetric issues via the OB/GYN on call and on site OB/GYN staff.
 * 1) 1. They will __not__ have responsibility for covering specialist (including internal medicine consult clinic providers, primary care Internal / Adult Medicine, or Pediatrics), emergency department, inpatient provider or resident inbaskets.

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