The Deputy Chief of Staff (DCOS) reports to the Chief of Staff and serves as a key clinical resource for the Healthcare System Director and Chief of Staff. The DCOS's responsibilities include serving as the lead physician over Ambulatory Care, Mental Health & Behavioral Science, Spinal Cord Injury, Dental, Geriatrics and Extended Care, Pharmacy, Audiology and Speech Pathology, and Radiation Oncology. To qualify for this position, you must meet the basic requirements as well as any additional requirements (if applicable) listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired until all requirements are met. Currently employed physician(s) in VA who met the requirements for appointment under the previous qualification standard at the time of their initial appointment are deemed to have met the basic requirements of the occupation. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Education: Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine. The degree must have been obtained from one of the schools approved by the Department of Veterans Affairs for the year in which the course of study was completed. License and Registration: Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. Residency Training: Physicians must have completed residency training, approved by the Secretary of Veterans Affairs in an accredited core specialty training program leading to eligibility for board certification. (NOTE: VA physicians involved in academic training programs may be required to be board certified for faculty status.) Approved residencies are: (1) Those approved by the Accreditation Council for Graduate Medical Education (ACGME), b) OR [(2) Those approved by the American Osteopathic Association (AOA),OR (3) Other residencies (non-US residency training programs followed by a minimum of five years of verified practice in the United States), which the local Medical Staff Executive Committee deems to have provided the applicant with appropriate professional training and believes has exposed the physician to an appropriate range of patient care experiences. Residents currently enrolled in ACGME/AOA accredited residency training programs and who would otherwise meet the basic requirements for appointment are eligible to be appointed as "Physician Resident Providers" (PRPs). PRPs must be fully licensed physicians (i.e., not a training license) and may only be appointed on an intermittent or fee-basis. PRPs are not considered independent practitioners and will not be privileged; rather, they are to have a "scope of practice" that allows them to perform certain restricted duties under supervision. Additionally, surgery residents in gap years may also be appointed as PRPs. English Language Proficiency: Must be proficient in spoken and written English in accordance with 38 U.S.C. 7402(d). Must be Board Certified in a clinical specialty. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: Must pass a pre-employment physical examination as required by VA Handbook 5019. This examination is administered by VA Occupational Health. This position requires moderate lifting up to 44 lbs., carrying objects up to 15 lbs., frequent reaching above shoulder, use of fingers, hands and legs, use of cranes and motor vehicles, walking & standing up to 8 hours, bending and climbing and able to hear whisper. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. Potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. Transferring patients and objects may be required. May be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. May occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. Must be a mature, flexible, sensible individual capable of working effectively in stressful situations and able to shift priorities based on patient needs. Must complete annual Employee Health requirements, such as annual TB screening or testing, as a condition of employment. Must be physically, emotionally and mentally competent and able to perform efficiently the essential functions of the position, with or without reasonable accommodation, without hazard to yourself or others. ["VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Relocation/Recruitment Incentives: May be authorized for highly qualified applicants Pay: Competitive salary, annual performance bonus, regular salary increases Paid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year reimbursement (must be full-time with board certification) Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Telework: Not Eligible As a member of the senior management team the Deputy Chief of Staff (DCOS) is a key advisor to the Chief of Staff (COS) and Director on clinical issues and assists in the administration and oversight of the assigned clinical programs. In the absence of the COS, the DCOS will serve as Acting COS including assisting transfer coordinators, and outside facilities when needed to effectively coordinate inpatient transfers and shared medical care. The DCOS supervises a wide variety of professional and administrative staff; serving on a broad spectrum of medical center committees and workgroups; providing hands-on clinical work; and providing oversight, and administration of all aspects of patient care. This includes, but is not limited to the following along with other duties as assigned: Provides direct patient care in the DCOS's area of medical specialty and overall clinical oversight for the facility. Plans services with a patient-centered vision to enhance patient education and shared decision making. Actively identifies and encourages implementation of best practices in customer service and breaks barriers to good service delivery. Empowers staff to resolve problems and complaints independently at the lowest level. Improves patient outcomes through continuous measurement and process improvement. Ensures clinical services' ability to meet standards issued by various accrediting and regulatory groups and VA Central Office. Works closely with universities and schools with academic affiliation partnerships/agreements. Facilitates translation of research findings into improved patient outcomes. Creates a climate where continuous learning and professional development are valued. Collaborates with others to develop initiatives to ensure coordination of service, reduction of redundancies, enhancement of cost effectiveness, efficiency and overall productivity. Encourages projects, pilots, and other experimental approaches, which may lead to the development of alternative revenue streams. Demonstrates ICARE values. Encourages an atmosphere of trust, psychological safety, and empowerment. Actively participates on committees, task forces, and other groups to assist in policy changes. Collaborates in formulating local Medical Center Policy, and resource planning. Identifies long and short-range needs to formulate proposals for executive level consideration. Develops a team that is technically competent and creative in efforts to build and maintain a patient-centered, cost-effective, integrated health care system. Develops collaborative relationships to assure support and coordination between services. Builds partnerships with the community to enhance goals of the James A Haley VA. Responsible for assuring appropriate action in such matters as promotions, selections, rewards and recognition, and training. Maintains good labor-management relations with the union to resolve personnel problems and proactively plan for changes to the work environment. Utilize analytic tools such as DSS and other databases to provide data to management for strategic and operative planning and employ such data to create white papers that guide management decisions. Coordinate institutional compliance with external accrediting organizations, e.g., JCAHO, CARF, etc. Plan and execute clinical application development to meet patient care needs and in keeping with the operational strategic priorities. Provide leadership and backup to the Chief of Staff in areas applicable to the medical staff. Provide supervision to certain additional clinical services to be determined in conjunction with the Chief of Staff upon recruitment. Work Schedule: Monday - Friday; 7:30am to 4:00pm (Note: Work schedules are determined and approved by the supervisor. The incumbent may be required to work various shifts on a permanent or temporary basis based on facility/patient care needs)."]
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.