Physician - OB/GYN Enumclaw

Summary: OB/GYN Locum needed for clinic and call coverage. The office setting is shared with multiple specialties. The OB practice area is made up of 2 OB/GYN, 2 FPBO, and 2 CNM. St. Elizabeth is a critical access hospital located in a beautiful community setting.


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 - under *** - "Per hour, not OT"
Holiday - Must be 1.5x the regular rates "Per holiday hour, no OT"
On Call (Daily) - under *** - "Per 24 hours to include 4 hours gratis"
24 Hour Holiday Call Rate - *** - "Per 24 hours to include 4 hours gratis"
Call Back - under *** - "Per hour of patient contact hours, after gratis hours are completed, gratis prorate to MSA terms."
Holiday Call Back - *** - "Per holiday hour of patient contact hours, after gratis hours are completed, gratis prorate to MSA terms."
Average worked Callback Hours: weekday - 3-4h, weekend - 1-2h; weekday less than 50% weekday, weekends and ER.


Schedule/Availability Requirements:
7-8 call shifts/month, can be combined with clinic days
3 days of clinic per week, 3 weeks per month preferred
Multiple part time locums accepted to fill schedule: Site prefers just one for clinic consistency, willing to consider locums for just call or clinic.


Shift Details: 24 hr call 7a-7a with 20 min response time. Contact by cell phone. Clinic- 8a-5p Monday-Friday.
Facility Location: St. Elizabeth Hospital. 1455 Battersby Ave, Enumclaw, WA 98022
Setting: Critical Access Hospital and Clinic
Duties: OB/GYN clinic care, OB and GYN call coverage through L&D Unit and ED.
Required Procedures: C-Section, Ectopic
EMR: Epic
Support Staff: MA or LPN in clinic. L&D RNs at hospital
Reason for Coverage: Medical Leave
Dealbreakers: Low risk, high risk, and FHR interpretation required. Routine delivery and complicated delivery. Repair of 3rd-4th degree lacerations. C-sections- must be willing to help and supervise if needed. Must be comfortable handling OB inductions from group, mostly emergent GYN surgeries.
** incomplete presentations will not be accepted.


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.
• ir Travel: ***/round trip cap
• Rental Cars: ***/day all in cap (including taxes and fees) regardless of car class.
• 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: 3 months
Credentialing with other facilities? locums automatically credentialed at all facilities not including St. Michaels.
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:
25 bed critical access hospital with 3 L&D beds and 4 post partum beds. Level I Nursery, Level I Trauma only 36 weeks and above.
- LI Nursery: late term and term deliveries. Less than 50% callback weekday, weekends, and ER. 90% low risk pregnancy, 10% high risk, 20% surgical gyn. No other OB/GYN present during locum coverage. Low risk, high risk, and FHR interpretation required. Routine delivery and complicated delivery. Repair of 3rd-4th degree lacerations. GYN ER normal scope of practice- D+Cs, Ectopics, ER consults, etc. High risk patients get transferred to Tacoma. Peds currently done by CNMs/FPOBS. L+D staffed with 2-3 RNs. 3 operation rooms on 2nd floor. L&D 3rd floor. C-Sections recovered in L+D. Providers include CNMs, FPOBs who do C-Sections. Must be able to help and supervise if needed. Anesthesia CRNA's and OR staff have 30 min response time. Currently doing VBACs. Will occasionally receive transfers from local Client midwives. Must be comfortable handling OB inductions from group, mostly emergent GYN surgeries. 20-30 deliveries/month, high risk 10 or less.
Typical Cases: OB: low risk/high risk, ultrasounds, amniocentesis. L&D: routine/complicated, VBACs, C-Sections. GYN: GYN Surgery
# patients/day in clinic: 18
Rounding required? only in post-op
Will the locum be the sole provider? On call yes, will have colleagues in clinic
Any MFMs? Can refer out, not on site
In house anesthesia? Yes
Will locum do admits? Yes
SUBMISSION REQUIREMENTS
**MUST NOTATE ALL DURING NAME CLEARS**
Board Certified/Board Eligible - Required
WA Active license/IMLC considered (LOQ must be uploaded or submission will be rejected) - Required
Clean Malpractice - Highly Preferred
BLS/ACLS/DEA - Required
Availability at time of name clear(Specific dates and black out dates required for presentation) - Required
Availability for orientation(Specific dates and black out dates required for presentation) - Required

Vendors are now required to compile all presentation documents for a locum into a single PDF file.
The PDF must be uploaded into TRIO in the "Candidate Documents" section under the locum's submission page.
The PDF title should include the locum's name, site location, and specialty (ex. Dr. John Smith Good Samaritan Physician Nephrology)
An up-to-date CV (solely) is still required to submit in "Name Clear Documents" initially when sending a new name clear. Vendors will have until bid due date to submit a PDF of ALL presentation documents. If PDF is not submitted, TRIO will not clear provider.
Required Documents for a Full Presentation Packet:
Up-to-date CV (Gaps greater than 30 days will need notation/explanation of gap in work history)
Malpractice documentation (NPDB and or write up). Must include ALL cases, dates, and payouts.
Disciplinary Actions (Must provide a detailed explanation)
Copy of Board Certification(s)
LOQ/State License
Supporting certifications such as DEA, BLS, ACLS, ATLS, NRP, PALS
Copy of clean Sex Offender search
ABOUT THE FACILITY
St. Elizabeth is a critical access hospital located in a beautiful community setting.