Advanced Practice Provider - Geriatrics

Cleveland Medical Center (CMC) in Cleveland, Ohio is seeking an experienced advanced practice provider to initiate and lead a geriatric-pre-operative clinic for high-risk older adults who will be undergoing elective surgery at CMC.  This clinic is part of the Center’s application and participation in the geriatric surgery verification program.

Brief Overview:

 The American College of Surgeons’ (ACS) geriatric surgery verification (GSV) program is a quality improvement initiative aimed at enhancing surgical care for older adults. It focuses on improving patient outcomes by addressing age-related factors that can increase surgical risks and complications and is now aligning with the domains of the Center for Medicare and Medicaid’s Age Friendly Hospital Measure. UH CMC is currently initiating the application process for the GSV program. One of the requirements for the program is completing geriatric screening preoperatively for adults 65 years of age and older.

At the time of referral for surgery at UH CMC, all adults 65 years of age and older will be screened for specific risk factors, including age above 80, cognitive impairment, impaired mobility, and malnutrition. Those who screen positively will be referred to the geriatrics pre-operative assessment clinic, in addition to the usual preoperative assessment through the Center for Pre-operative Medicine.

The goal of this clinic will be to address patients’ increased risk for complications through deprescribing high-risk medications, addressing goals of care and health care preferences, referring as needed to physical therapy, speech therapy, nutritional therapy, and geriatric medicine, and providing specific recommendations to the surgical teams regarding ways to reduce risk of complications for each patient while hospitalized.

The Advanced Practice Provider for this position is responsible for providing quality care for patients and increasing patient access and satisfaction. Standard tasks to be performed by an Advanced Practice Prover as specified by the Ohio State Nursing Board and UH entity specific Medical Bylaws

 What You Will Do

• Initiates and maintains positive relationships w/pts/customers

• Initiates and maintains positive relationships w/co-workers

• Takes responsibility for self-development and supports a learning environment

• Displays commitment to the mission of the hospital and its values

• Performs patient assessment and assigns diagnosis based on assessment data and clinical evidence

• Establishes plan of care and implements interventions in accordance with care-paths, protocols,

Standards-of-care and current research

• Collaborates w/other health care providers in an interdisciplinary approach to provide care to the patient and family

• Contributes to the educational development of staff, patients, family and self

• Demonstrates progressive leadership and effective management

• Provides education through role modeling and in-services to meet identified learning needs and to

promote professionalism

• Advances own professional development through self-directed learning, continuing education and

participation in peer review

Additional Responsibilities

• Performs other duties as assigned.

• Complies with all policies and standards.

• For specific duties and responsibilities, refer to documentation provided by the department during

orientation.

• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for

our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to

address appropriate use of PHI in the workplace.