Mass General Brigham is a health care system that includes five nationally ranked hospitals, including two world-renowned academic medical centers, Massachusetts General Hospital and Brigham and Women's Hospital. Mass General Brigham is expanding our Home Hospital program and seeking physicians interested in delivering exceptional and innovative patient care. This is a hybrid work model serving patients throughout greater Boston. Full-time and part-time opportunities are available.
Our physicians practice as part of an interdisciplinary team filled with both passion and purpose. If you have interests in patient-centered care, healthcare delivery innovation, health equity, digital health technology, and acute care medicine, our program may be of interest to you.
INNOVATIVE HOME HOSPITAL ROLE FOR CREATIVE GENERAL INTERNIST
The Home Hospital Physician treats acutely ill patients in the home as a substitute for in-hospital care. The Home Hospital Physician is a forward-thinking, creative individual who wants to practice in an innovative clinical setting and values interdisciplinary teamwork and patient-centered care. The Physician will provide hospital-level acute care in a patient's home and will be part of the Home Hospital team including (depending on each patient's needs) Registered Nurses, Community Paramedics, Advanced Practice Providers, Pharmacists, Case Managers, Social Workers, Home Health Aides, Physical Therapists, and other operational staff. The Physician will be the attending of record for patients admitted to the Home Hospital service.
Responsibilities of the Home Hospital Physician include medical decision-making, patient evaluations through a combination of in-person and virtual visits tailored to the patients' needs, documentation, oversight of and collaboration with the Home Hospital team, periodic teaching to team members, and being "on call" for patient needs overnight with the support of a Community Paramedic team who makes in-person overnight visits. In addition to their clinical duties, Home Hospital physicians may have the opportunity to participate in care redesign initiatives and/or mentored research and innovation projects.
Full-time and part-time positions are available. Home Hospital physicians are typically scheduled for blocks of up to 7 days, which may consist of patient rounding (field-based), coordination and virtual team support, and admitting (primarily hospital-based). Virtual night-time coverage will be needed occasionally. Home Hospital physicians may provide direct care and/or collaborate with Advanced Practice Providers.
Home Hospital physicians are responsible for providing their own transportation.
Principal Clinical Duties and Responsibilities:
Provides home visits within defined radius around site hospitals according to Home Hospital care model.
Provides direct care (in-person or virtual), counseling, and teaching to a designated patient population in the inpatient and home settings.
Available to patients for urgent issues overnight, typically via virtual collaboration with a community paramedic
Performs complete histories and physical examinations
Oversees and/or collaborates with multidisciplinary team members according to organizational policies and practices
Collaborates with nurse practitioners and physician assistants on mutual patient care
Orders, interprets, and evaluates appropriate laboratory and diagnostic tests
Develops appropriate plans of care and follow-up based on the outcomes of diagnostic, laboratory, and physical examination findings
Orders medications and writes prescriptions according to organizational and regulatory policies and procedures
Consistently provides high quality and timely documentation, including admission and progress notes, procedure notes, and discharge summaries.
Practices cost-effective medicine in an efficient manner, maximizing available resources.
Discusses patient data with other physicians and professionals as appropriate in a multidisciplinary setting
Demonstrates expert clinical judgment skills to function in an independent role
Additional duties and responsibilities as required by the department/division
Non-Clinical Duties and Responsibilities:
Demonstrates professional collaborative and consultative relationships with other clinicians
Participates in departmental and organizational committees and programs as appropriate and attends all required meetings, in-services, and professional training
Maintains superior interpersonal and communication skills as a member of the healthcare team to collaborate effectively with patients, families, staff, and community health workers
Remains actively involved in continuing education with a commitment to self and departmental growth
Adheres to all established safety policies, procedures, and precautions; identifies potential or actual unsafe situations in the environment and takes measures to rectify the situation.
Demonstrates an understanding of procedures, policies, and documentation required to ensure compliance with hospital standards of care
Additional duties and responsibilities as required by the department/division
Qualifications
Required:
Internal Medicine BC/BE
Proficient in inpatient medicine, virtual care, and multidisciplinary team-based care
Willing to make home visits (alone or with other team members) within a defined radius around site hospitals
Ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate
Ability to be self-directed and to demonstrate initiative in addressing the responsibilities of the position
Ability to utilize appropriate problem-solving and conflict resolution skills
Energetic and quality driven with a proven ability to be a productive member of a team dedicated to providing optimal patient care
Interest in working as part of a service that is committed to innovation, rapid cycle testing, and process improvement
Active Advanced Cardiopulmonary Life Support (ACLS) certification
Maintaining credentialing at Mass General Brigham hospitals to support patient care needs in a system-wide Home Hospital program
Other requirements and qualifications may apply
Highly preferred:
Competency in (and/or willingness to learn) bedside procedures appropriate to the patient population
EEO Statement
Mass General Medical Group is an Equal Opportunity Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
