Respiratory Equipment and Services Program Medical Lead, Pediatrics

Alberta Health Services - More jobs by this advertiser
Responsibilities/Duties:

AHS is committed to providing services based on the population needs in Alberta and promoting a shared responsibility for improved health. The Respiratory Equipment and Services Program (RESP) which includes the Alberta Aids to Daily Living (AADL) Respiratory Benefits Program (RBP) and the Respiratory Outreach Program (ROP), provides respiratory benefits funding and clinical services to eligible Albertans with chronic respiratory conditions in the community. In collaboration with the medical leads for severe lung disease and neuromuscular diseases, the pediatric lead works with the RESP manager to provide medical expertise and oversite on complex funding requests or appeals as well as optimization of the AADL Respiratory Benefits policies based on the most current clinical best practice and medical evidence.

The title while providing the Services shall be Respiratory Equipment and Services Program Medical Lead, Pediatrics.

DELIVERABLES:

In a competent and professional manner, the Contractor and the Practitioner will:

  • Maintain current knowledge of oxygen, Bi-level Positive Airway Pressure (BPAP) and ventilator benefit criteria and research that served as a foundation for criteria development;

  • Consult with the RBP Consultants and the provision of decisions within 5 working days re: eligibility of pediatric clients for oxygen, BPAP and ventilator benefits, which includes decisions that result in exceptions to current criteria or guidelines;

  • Provide urgent consultation with the RBP Consultants regarding critical client care issues;

  • Consult with pediatric clients general practitioner, pediatrician, specialist or other health care professionals such as Respiratory Therapists in the public or private sector, where appropriate, in making eligibility assessments and decisions;

  • Liaise with the RESP management regarding clinical issues relating to the provision of oxygen, BPAP and ventilator benefits to pediatric clients;

  • Management of inquiries from pediatric clients health care providers regarding eligibility assessments and decisions;

  • Provide decisions related to appeals for oxygen, BPAP and ventilator benefits to pediatric clients;

  • Provide expert clinical support and decisions associated with the quantity and/or frequency of benefits to pediatric clients;

  • Participate in Quality Assurance Reviews, as required;

  • Participate in the Clinical Advisory Committee to:

    • Identify best practices related to the provision of respiratory benefits for complex pediatric clients with respiratory failure;

    • Develop, review and update recommendations for clinical eligibility criteria for respiratory benefits provided by RBP;

    • Develop, review and update recommendations for policy and procedures that guide the provision of respiratory benefits;

    • Develop clinical care pathways and/or guidelines as required, in conjunction with the Respiratory Clinical Network, to facilitate standardized client care and improve client and system outcomes;

    • Identify opportunities for improving quality of care;

    • Identify opportunities for enhancing cost effective, efficient service delivery;

    • Provide feedback related to clinical decisions that impact respiratory specialty supplier contracts;

    • Provide input into decisions regarding benefits that will, or will not be provided by the RBP;

    • Meet with the other RESP medical leads to discuss and review program status, ongoing projects and areas of attention the CAC should be focusing on; and,

    • Co-chair the CAC pediatric sub-committee with RBP leadership, commit to meeting bi-annually;

  • Consult with ROP staff regarding the treatment plan for pediatric clients on home ventilation;

  • Correspond with physicians regarding client care decisions made by the Medical Lead - Pediatrics for pediatric clients on home ventilation;

  • Liaise with acute care staff, when required, to ensure appropriate medical follow up of pediatric clients on home ventilation following discharge;

  • Attend applicable out-patient clinics with ROP staff to review and resolve pediatric client and/or program related issues;

  • Liaise with physicians to resolve client specific or program related issues that impact care for pediatric clients;

  • Provide in-service education to health professionals;

  • Maintain current knowledge regarding research, best practices and new technology for treatment of pediatric respiratory conditions and providing recommendations regarding the use of new technology;

  • Provide leadership in determining the future provincial service delivery model for ventilated clients;

  • Act as an Advisor to AHS with respect to the treatment of pediatric clients with respiratory health concerns and attending meetings as requested by AHS;

  • Complete and maintaining documents related to the Medical Lead - Pediatrics role.

Qualifications:
  • FRCC ‘Pediatric Respirology’ or the equivalent.

  • Preferably have some experience with chronic ventilation experience

  • be connected to a site where home ventilation is initiated

  • clinical interest and experience in supporting chronic respiratory patients in the community

  • Personal assets include working well in a team and enjoying the administrative side of medicine

Recruiter Contact:

Sue Conroy

Senior Provincial Director, Provincial Clinical Programs

sue.conroy@ahs.ca





10 January 2019
Location: Canada Alberta TBD
Work type:
Full time
Sector:
Healthcare and Medical
Profession:
Medical Practitioner
PLEASE! No enquiries from Recruitment Agencies or Headhunters.

Only direct applications will be considered.

This career opportunity is no longer open.
Please search for current vacancies here.


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