PA

• Dates of Coverage: ASAP for coverage starting in June

• Practice Setting: ED

• Percentage of Total Hospital Admissions Received from ED: 15%

• Percentage of ED Patients Admitted to the Hospital Per Day: 15%

• Percentage of ED Patients Transferred Per Day: minimal maybe 1-2 pt per day maybe

• Total Number of Beds: 44 beds

• Number of ED Physicians in Group: 2 docs always present on each shift// 11 physicians in group currently

• Fast Track in ED? Yes

• Fast Track Staffed by APP

• Percent of Total ED Volume Treated by Fast Track: 40%

• Documentation System/EMR: Epic

• Trauma Level/Designation: none--community hospital

• Does ED Staff Respond to House Codes? Yes

• If Yes, are House Codes Secondary to ED Emergencies? secondary, response team is responsible. ED manages airway on response team

• Do Hospital Bylaws Require a Specific Response Time for On Call Physicians? 30 mins or less

• Are Deliveries Received in ED or Sent Directly to Labor & Delivery? L&D

• Is ED Responsible for Monitoring/Supervising Paramedics/Ambulance by Radio? Yes

• Describe Referral / Transfer Protocol (Include Name of the Referral Center and Distance from your Facility): transfer to STF as our hub

• communication within the ED depts.

• Will APP be Working Autonomously? Yes

• Supervising Physician Present During Assignment?: yes

• 24-Hour Availability for Radiology (CT, MRI, X-Ray)? Yes

• 24 Hour Availability for Laboratory? Yes

• 24-Hour Availability for the OR? Yes

• 24-Hour Availability for Anesthesia? Yes

• Blood Bank - Certified by AABB? Yes

Facility will reimburse for the Following Costs: Mileage Billed at the IRS Standard Rate, Provider Must be Local - Only Mileage is Reimbursed, Rental Car, Hotel

**Trinity Health does not reimburse for credentialing costs or application fees.**

CERTIFICATION REQUIREMENTS

• ACLS

• BLS

• Board Certified

STATE LICENSE REQUIREMENTS

• Massachusetts