Summary: Requesting ObGyn coverage for a 1:2 practice in Grand Island Nebraska.
BID DUE DATE: 10/04/24; 5pm EST
Rate Caps for Submission:
Malpractice Must be included in rates.
Orientation half the hourly/callback rate kicks in after 8 hours. Per hour of orientation or training beyond 8 hours
Hourly xx401450 Per hour not OT
Daily xxPer day not OT
Holiday Must be 1.5x the regular rate. Per holiday hour no OT
Nightly Call xxPer night call to hold the pager to include 2.5 hours gratis
Holiday Nightly Call xx1801.50 xx2250 Per night call to hold the pager to include 2.5 hours gratis
On Call (Daily) xxPer 24 hours to include 4 hours gratis
On Call Daily Holiday Call Rate xx4801.50 xx5400 Per 24 hours to include 4 hours gratis
Call Back xx401450 Per hour of patient contact hours after gratis hours are completed gratis prorate to MSA terms.
Holiday Call Back xx601.50 xx675. Per holiday hour of patient contact hours after gratis hours are completed gratis prorate to MSA terms.
Schedule/Availability Requirements:
- 12/21/24 12/31/24; 7a 7a
- 10 days per month in Jan Feb & March
Facility Location: CHI Health Clinic Grand Island Women s Clinic
Setting: Clinic L&D Surgery
FTE: 1.0
Duties: Clinic After Hours Call Labor and Delivery Gynecologic surgery City Call CNM Back Up
Required Procedures: All standard gynecologic procedures in a clinic and hospital setting
EMR: EPIC
Support Staff: Front Desk and Clinical Support Staff including ultrasound onsite
Reason for Coverage: Physician Resignation
Deal breakers (do not present this): if there is a history of concerns re: quality malpractice unable to clear no recent OB support
Travel Preferences (see attachment for specific travel guidelines):
Preferred Lodging: none. In the event that the CommonSpirit Health preferred hotel is not available hotel/lodging rates will be reimbursed based on actual expense up to 1.5 times the current GSA rate for the market.
Air Travel: xx750/round trip cap
Rental Cars: xx65/day all in cap (including taxes and fees) regardless of car cl.
Mileage: IRS Standard Rate
Please detail any anticipated travel exceptions for example a dietary restriction necessitating specific lodging situations. Travel exception requests will be denied if this information is not part of the provider presentation. Please also indicate the city where provider will be traveling from in the travel section of the provider submission.
Credentialing Information:
Timeframe: 6090 days
Requirements: Clinic Hospital gynecologic and obstetric privileges
Credentialing with other facilities CHI Health St Francis Hospital
Billing enrollment Is this position providing services in lieu of an existing enrolled provider for a period of 60 days or less: no
Additional Details / Questions Answered by Facility:
1020 clinic patients per day less than 1 delivery / surgery per day.
- How many days of call a month Ideally 1015
- How many days of clinic per week Individual would work 20 contact hours in clinic (three 1/2 days one full day)
- Is there a set surgery day Monday AM Friday AM
- Will they take 1 provider for clinic only and 1 provider for call only Open to exploring this I would ideally like to buddy up with both.
- Can you disclose the shift times for the clinic and call portions of the position Call is usually 24 hours switches over at 7am. Weekend Call would be Friday Monday at 7 or 8a. Clinic full days are typically 9a first patient and 4:30 last patient out by 5. For 1/2 day clinics either 9a12p or 1p5p.
Can you advise if the call portion is virtual or if the provider has to be onsite Call would need to be taken inmarket to be available to go onsite but is not restricted inhouse call. Provider must be able to be onsite within 30minutes for emergency responses.
Can you advise if all shifts (clinic after hours call and labor/deliver/gynecology surgery call) are onsite coverage for the entirety of the shift clinic on site L&D/Surgery Call (some may just be phone consults but need flexibility to go in to respond to a labor or emergency consult and surgery after hours clinic call (done from home/hotel) .
Questions Answered by Client:
- Will the site consider a CNM until they are able to find an OBGYN No we have 2 CNM onsite and we need the physician for CSections/Emergencies/Call.
- Would the client consider a daily rate instead of an hourly rate for clinic Yes
- Would the client consider a candidate for Clinic only and a candidate for call only If we had to choose call coverage only is the preference. That is our greatest need especially for the January/February dates.
- Can you advise on Temps If they can offer temps can you advise the timeline to grant temps We can do Temps. Temps timeline would vary but if candidate has a NE license We can typically get everything done in a week if candidate is responsive in completing forms. If no NE license we would say 710 business days for the state to grant to Lo license and we would do temp privilege process concurrently and have that complete as well.
5. Is this one laborist clinic or 24 hour call 24 hour call covering both patients of our practice as well as acute ob or gyn call for the hospital. Possible for a small amount of clinic if there is an urgent patient need. Clinic will be staffed by 2 CNM and a womens health NP but if they have someone who needs to see a physician urgently they may contact the provider. (ie patient in clinic seeing one of the CNMs who is getting an ultrasound that is showing soing concerning)
Requirement description :
ALL OF THE FOLLOWING MUST BE NOTED IN ADDITIONAL SUBMISSION DETAILS AT NAME CLEAR TO BE CONSIDERED AND AVOID BEING REDIRECTED!!
***PLEASE UPLOAD FULL PRESENTATION WITH RATES AT TIME OF NAME CLEAR.***
- Board Certified REQUIRED
- NE License REQUIRED or IMLC (can obtain a license if eligible for the LT NE license to expedite start date)
- BLS DEA NRP REQUIRED
- Availability at time of name clear REQUIRED
- OB/GYN Residency REQUIRED
- Clean Malpractice/Background PREFERRED
PLEASE REFER TO THE RULES OF ENGAGEMENT FOR NAME CLEAR AND PRESENTATION REQUIREMENTS!Important Steps for Submitting a Presentation There are two main areas detailed below.
- Trio Submission requirements covers the information that must be entered into Trio to have the provider presentation presented to the client.
- Presentation submission requirements includes the information that must be sent over in the presentation packet to have your provider presentation reviewed and presented to the client.
Strict adherence to these guidelines will allow for the fastest path to getting your providers accepted. To process the best presentations Account Coordinators and Account Managers will kickback presentations that do not include the information below (if it has not been discussed already). If you are unable to include soing in the presentation detail why and the plan to get it sent over. Account Managers and Account Coordinators will take this into account as they review the presentation though they still reserve the right to redirect it back to the vendor if they deem it necessary.
Trio Submission requirements the following must be updated in Trio
- Full legal name (first middle last)
- Suffix for provider (MD DO PA NP CRNA)
- NPI number must be entered in Trio
- Provider email and best phone number (this pulls to the cover page for Client)
- Best time to contact (this pulls to the cover page for the Client)
- Years of experience must be updated in Trio
- Years of los experience is optional
- License State where job is located... Copy of state license and the status. If provider s license in any other status besides active speak to Account Manager before presenting.
- Other Active State License(s) only list if not in good standing and provide explanation.
- Certification (select multiple that apply; this pulls to the cover page for the Client)
- Availability Section what is the providers ongoing availability (this pulls to the cover page for Client)
- Answer the pertinent questions:
- Has the provider s professional license or certification been investigated or suspended (pulls to the cover page for the Client)
- Has the provider been convicted of or charged with a crime other than a minor traffic violation
- Malpractice History add details payouts pending cases settled cases and dismissals or list no malpractice
- In Additional Details section (Client can view these details)
- Please state if provider is IMLC
- Please state if DEA will be obtained or transferred
- Highlights about the provider
- List if provider has worked at any other CommonSpirit (CHI or Dignity facilities)
- Bill Rates section
- Make sure all rates match the Master Services Agreement
- Does the provider require Airfare Lodging and Rental (must be withing CommonSpirit Travel Guidelines)
Presentation submission requirements
- Include an uptodate CV which shall include:
- Scope of practice in CV job history section for each job.
- Explain gaps on CV (30day or larger gaps)
- Copy of Board Certification(s) If board eligible (List if Candidate is within 5years of residency)
- Submit a copy of clean Sex Offender search include screen shot
- Supporting certifications such as DEA BLS ACLS ATLS NRP PALS
- Procedures provider is comfortable performing: (For Inpatient Services)
- Copy of state license active status. If provider s license is in any other state besides Active speak to Account Manager before presenting
- If obtaining a new state license for provider detail where in the process the provider is currently
- Other Active State License(s) list the state license number and status
- Disciplinary Actions: (Must provide detailed explanation with presentation)
- Malpractice History supporting doentation
- Two current Vendor references forms filled out (within two years) supervisor and peer or two peer references (requirements could vary by Facility). Please speak to the RM if Candidate is new to Vendor and references have not been obtained
CERTIFICATION REQUIREMENTS :
STATE LICENSE REQUIREMENTS :
ADDITIONAL LICENSE REQUIREMENTS :
Weekend Requirements : YES
On Call Requirements : YES