NP Full-time
BJC HealthCare

Advanced Practice Provider - Cardiac Surgery

Additional Information About the Role

Are you looking for a career as a Cardiac Advanced Practice Provider (NP or PA)? Look no further! Join a highly specialized cardiothoracic surgery team where you’ll play a critical role in the OR and inpatient setting—while enjoying a unique one week on / one week off schedule with full-time pay.

 

 

Position Details:

  • Schedule: 1 week on / 1 week off rotation days ~50% on-call during 'on' week (full-time pay during both weeks) 
  • Clinical Responsiblities: assist in cardiothoracic surgeries, vein harvests, second assist open-heart procedures, manage inpatient and ER consults, perform pre-operative assessments and post-operative care, enter orders and manage inpatient treatment plans, daily rounding 
  • Position Highlights: 5-10 cardiac surgeries per week, high-impact, hands-on surgical role in a fast-paced OR environment
  • Strongly Preferred: Saphenous vein harvesting, Cardiothoracic surgery exposure 
  • NP candidates must have RNFA certification
  • Great opportunity for work-life balance!

For questions about the position, please contact Michael.Moscketti@bjc.org


Overview

Memorial Hospital Belleville is an acute care hospital offering medical and surgical services plus critical and emergency care including Children’s at Memorial for pediatric emergency care. It provides patients a full complement of diagnostic and treatment services as well as heart and vascular care. Memorial, offering medical and surgical services plus critical care, is an accredited Chest Pain Center with PCI by the Society of Cardiovascular Patient Care and is designated as an Acute Stroke Ready Hospital by the Illinois Department of Public Health. In addition, Memorial Belleville recently was accredited by the American College of Radiology as a designated Lung Cancer Screening Center. Since 2008, it has been designated as a Magnet®-recognized organization for nursing excellence by the American Nurses Credentialing Center.

 

Memorial Hospital Shiloh, a 94-bed, all-private suite hospital was recognized with Magnet status in 2018 and provides emergency care, labor & delivery, nursery, medical and surgical services plus critical care.

 


Preferred Qualifications

Role Purpose

Performs an expanded perioperative role as a first assistant to surgeons during surgical procedures in the operating room. RNFA works alongside the surgeon to provide direct patient care. Works as a professional colleague with the perioperative team and collaborates with the patient-designated support person, and other health care providers when making decision to plan care. Complete the didactic portion of the RNFA class, and 120 supervised clinical hours. Enters a collaborative practice agreement with physician. When functioning in the NP role; assess, diagnose, prescribe, initiate plan of care and evaluate outcomes with the scope of their collaborative agreement. CNOR is encouraged but not required due to being an APRN.

 

Responsibilities

  • Delivers intraoperative patient care as the first assistant to the surgeon(s) as a collaborative team member. Pre-operatively performs a focused nursing assessment in reference to planned procedure. Analyzes the assessment data to determine nursing diagnosis. Identifies and communicates desired patient outcomes throughout the perioperative continuum.
  • Monitors patients response and modifies plan of care accordingly. Administers Medications according to standard nursing practice.  Develops and manages an individual plan of care that directs the intervention(s) of the RNFA. Implements, manages, and coordinates the perioperative plan of care related to RNFA interventions. Evaluates patient progress towards attaining outcomes. Systematically evaluates quality of nursing practice.
  • Participates in professional development and life long learning. Seeks out and participates in learning opportunities. Evaluates their practice in context with current professional practice standards, rules and regulations. Contributes to the professional growth of peers, colleagues and others.
  • Integrates knowledge, skills, and experiences to meet the needs of patients and families throughout the continuum to include patient and family education. Incorporates research findings into practice. Practices in an ethical manner using available resources to formulate ethical decisions. Advocates for individuals and groups related to perioperative health safety. Provides leadership in the profession and professional practice setting.
  • Manages the health care of select patient populations through advanced health assessment, diagnosis, intervention, and evaluation in a collaborative practice agreement with a physician. Prescriptive responsibilities are reviewed by collaborative physician. Functions as a member of the surgical team and contribute to the overall efficiency of the peri-operative department. Considers factors related to safety, effectiveness, efficiency, the environments, and the cost in planning, delivering, and evaluating patient care.
  • BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.
  • Minimum Requirements

    Education

  • Bachelor's Degree
  • Experience

  • <2 years
  • Licenses & Certifications

  • Nurse Practitioner
  • RN
  • Preferred Requirements

    Education

  • Master's Degree
  • Experience

  • 2-5 years

  • Benefits and Legal Statement

    BJC Total Rewards

    At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

    • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
    • Disability insurance* paid for by BJC
    • Annual 4% BJC Automatic Retirement Contribution
    • 401(k) plan with BJC match
    • Tuition Assistance available on first day
    • BJC Institute for Learning and Development
    • Health Care and Dependent Care Flexible Spending Accounts
    • Paid Time Off benefit combines vacation, sick days, holidays and personal time
    • Adoption assistance

    To learn more, go to our Benefits Summary.

    *Not all benefits apply to all jobs

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

    Share this job

    Share to FB Share to LinkedIn Share to Twitter

    Related Jobs

    Optum

    Nurse Practitioner, Optum Care at Home - St. Louis City and St. Louis County

    $109,500 - $164,000 / year
    Additional compensation may be available for qualified candidates who are fluent in languages other than English and use those language skills during member visits. $20,000 Student Loan Repayment Or $10,000 Sign-on Bonus In Home Care, No Nights, Weekends or Holidays This position requires daily travel to patient homes within assigned area. Optum Home & Community Care , part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum Care at Home product, together with an interdisciplinary care team we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. This life-changing work adds a layer of support to improve access to care. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. The Optum at Home program is a longitudinal, integrated care delivery program that coordinates the delivery and provision of clinical care of patients (beneficiaries) in their place of residence. The APC within OAH provides care to our highest-risk health plan beneficiaries and is part of an interdisciplinary team. We're fast becoming the nation's largest employer of Nurse Practitioners; offering a superior professional environment and incredible opportunities to make a difference in the lives of patients. This growth is not only a testament to our model's success but the efforts, care, and commitment of our Nurse Practitioners. Primary Responsibilities: Conduct comprehensive in-home assessments, including: Past medical history review, medication reconciliation, vital signs, and physical exam Evidence-based screenings and point-of-care testing (as appropriate) Manage members through an acute medical situation or an exacerbation of a chronic condition, including testing, diagnostics, interventions Manage members during a short term sub-acute rehabilitation episode Ensure accurate and complete documentation, including ICD 10 conditions Communicate and collaborate with the interdisciplinary care team Conduct advanced illness and advanced care planning conversations Provide patients and caregivers with counseling and education You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: For NPs: Active ANCC or AANP certification in Family, Adult, Geriatric, or Adult-Gerontology Primary Care For PAs: Current NCCPA certification and state licensure Active, unrestricted licensure in the state you will be practicing in (or ability to obtain by start date) without current disciplinary actions or practice limitations Active and unrestricted driver's license In addition to a driver's license, access to reliable transportation Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice) Ability to gain a collaborative practice agreement, if applicable in your state Ability to navigate varied environments; ability to sit/stand/kneel as needed to perform duties Preferred Qualifications: 1+ years of clinical experience as an APC (family, geriatric, or home health preferred) Experience in geriatric medicine, long-term care, senior living or home care setting Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs Understanding of Geriatrics and Chronic Illness Understanding of Advanced Illness and end of life discussions Proficiency with electronic medical records and technology Compensation for this specialty generally ranges from $109,500 - $164,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    Optum

    Nurse Practitioner, HouseCalls - St. Louis City and St. Louis County

    $109,500 - $164,000 / year
    Additional compensation may be available for qualified candidates who are fluent in languages other than English and use those language skills during member visits. $20,000 Student Loan Repayment Or $10,000 Sign-on Bonus In this role, you will have the ability to achieve work life balance. Flexible scheduling is offered where providers can flex their time between 8am-8pm over the 7-day work week. No on-call, no weekends and no holidays required. Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum HouseCalls team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across settings. Join us to start Caring. Connecting. Growing together. HouseCalls is an innovative, performance-driven program that brings care directly to members' homes. As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in-home health assessments for Medicare Advantage and other plan members. This is a non-prescribing, field-based role focused on improving health outcomes through education, gap closure, and collaboration with primary care providers (PCP). Primary Responsibilities: Conduct comprehensive in-home assessments, including: Past medical history review, medication reconciliation, vital signs, and physical exam Evidence-based screenings and point-of-care testing (as appropriate) Identify and document diagnoses for care management and treatment planning Communicate findings to members' PCPs to address gaps in care Recognize urgent/emergent situations and intervene appropriately Educate members on disease processes, medications, and compliance Address social determinants of health and provide referrals as needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: For NPs: Active ANCC or AANP certification in Family, Adult, Geriatric, or Adult-Gerontology Primary Care For PAs: Current NCCPA certification and state licensure Active, unrestricted licensure in the state you will be practicing in (or ability to obtain by start date) without current disciplinary actions or practice limitations Active and unrestricted driver's license In addition to a driver's license, access to reliable transportation to complete home visits Ability to navigate varied home environments; ability to sit/stand/kneel as needed to perform assessments If you're working in a state that allows NPs/PAs to practice independently (without Collaborative Agreement), you must get approval from your licensing board-if required. New hires who are eligible but haven't applied yet must do so within 1 month of starting. If you're not eligible at the time of hire, you must begin working toward eligibility within 1 month and apply for approval within 3 months of becoming eligible Preferred Qualifications: 1+ years of clinical experience (family, geriatric, or home health preferred) Proficiency with electronic medical records and technology Ability to transport equipment weighing up to 30 pounds and navigate stairs as part of home visits Proven communication skills with geriatric or Medicare populations Fluent in any languages besides English Compensation for this specialty generally ranges from $109,500 - $164,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    Longterm Health Management Services

    Advanced Practice Provider (NP/PA) SNF / Cardiology

    Our team is excited to expand our cardiovascular and interventional services throughout the Metro-St. Louis communities. We currently have a need for a patient-centered and dynamic Advanced Practice Provider. Job Details • Advanced Practice Provider (Physician Assistant OR Nurse Practitioner) • General cardiovascular medicine services • Competitive salary and benefits package Qualifications • Cardiovascular experience as Advanced Practice Provider (NP/PA)or Registered Nurse is preferred • Physicians and team comfortable training and supporting new APP graduates who have solid cardiovascular RN experience • Board Certification Required – Physician Assistant or Nurse Practitioner • Must have active, unencumbered PA or Nurse Practitioner medical license • Hard working, patient satisfaction/quality must be front and center • Collegial, team-player, and patient centered
    Mercy

    Nurse Practitioner or Physician Assistant - Primary Care - Mercy Clinic Kirkwood

    Find your calling at Mercy! Advanced Practitioner (NP or PA) Mercy Clinic Primary Care - 1001 S. Kirkwood Road Make an Impact. Deliver Immediate Care. Keep Patients Healthy. Mercy Clinic Primary Care at 1001 S. Kirkwood Road is seeking an experienced Nurse Practitioner or Physician Assistant to join our highly respected and patient-focused team. At least one year of previous Advanced Practitioner experience is required for this role, preferably in Family Medicine or Urgent Care setting. This Opportunity Offers: Clinic Hours: Monday-Friday 8am-4:30pm Flexible daily start and end times Outpatient Clinic Full-time position - 40hrs/week Join one of Mercy's most desirable and well-established primary care clinics Prime Kirkwood location with a strong patient population and supportive team culture Work with experienced physicians and advanced practitioners in a collaborative environment Enjoy a role that offers variety, autonomy, and meaningful patient interactions every day System-wide Epic EMR Comprehensive benefits including health, dental, vacation, 401K and CME Relocation assistance and Malpractice insurance What We're Looking For: Certified Nurse Practitioner (NP) or Physician Assistant (PA) Previous Primary Care or Urgent Care experience required Strong clinical assessment and decision-making skills Ability to manage a high-volume patient flow while maintaining exceptional patient care Excellent communication and teamwork skills Passion for providing convenient access to care and improving patient outcomes This Position Offers: Integrated health system with a competitive compensation including annual market reviews Comprehensive, day one benefits including health, dental, vision and CME for full-time and part-time providers Retirement plans available with employer contribution and matching options Professional liability coverage provided As a not-for-profit system, Mercy qualifies for Public Service Loan Forgiveness (PSLF) Your life is our life’s work At Mercy, you can lead the way. Join a team where your passion for patient care meets cutting-edge innovation. As part of an organization rooted in nearly 200 years of compassionate service, you’ll help deliver transformative health care experiences while exploring new technologies and shaping the future of medicine. What sets us apart is our unwavering commitment to physician leadership—from the highest levels of our organization to the front lines of care—where physicians and caregivers collaborate, embrace fresh thinking, and drive clinical and operational excellence. If making a difference in your community is why you chose health care, Mercy is where your purpose meets possibility. For more information, please contact Christina Ottoline. Email: christina.ottoline@mercy.net
    Washington University Physicians

    Nurse Practitioner or Physician Assistant - Cardiology

    $97,000 - $174,600 / year
    Location SAINT LOUIS, MO 63127 Scheduled Hours 40 Position Summary The Nurse Practitioner or Physician Assistant will join a collaborative outpatient cardiology team focused on providing exceptional care to adult general cardiology patients at the CAM at Barnes Jewish Hospital. Working alongside physicians, advanced practice providers, and registered nurses, the APP will primarily manage follow-up visits for established patients, while occasionally seeing appropriately triaged new patients. This role helps improve patient access by allowing physicians to focus on additional new patient appointments. Schedule & Flexibility • 8-9 hour workdays • Seven half-day clinic sessions per week • Onsite clinic responsibilities with flexibility to complete administrative work remotely This position offers the opportunity to build long-term patient relationships while delivering high-quality cardiovascular care in a supportive, team-based environment. Job Description Primary Duties & Responsibilities: Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview and examination; orders, performs and interprets diagnostic studies; performs preventative health assessments, screenings, immunizations and care; provides direct treatment and management of acute and chronic disease conditions; develops and implements patient-centered plan of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers and others as appropriate to the patient's condition. May bill for services covered by collaborative practice agreement. Provides counseling and education of patients and their families/caregivers concerning disease management, complication prevention, disease prevention, and quality of life improvement measures, and outcome management activities. Monitors/ensures accuracy of patient medical records; maintains all required reports, records, statistics, etc. Maintains a safe, comfortable and therapeutic environment for patients/families in accordance with established clinic/hospital standards. Manages health conditions via prescriptive authority or referral to other healthcare providers or community resources; may perform diagnostic or therapeutic interventions consistent with certification and state regulations. Champions the safety and quality of care for patients using ITB therapy and serves as an expert in the care and management of ITB pumps. Helps develop a detailed educational program for the patients and lead the quality and safety initiative for the program. Serves as clinical expert regarding rehabilitation nursing while demonstrating a high level of autonomy and expert skill in complex clinical nursing situations. Provides management services for clinical research study projects; monitors participating subjects, including medication administration and family/patient education. Works in accordance with established departmental policies and procedures, objectives, quality assurance programs, and safety, environmental and infection control standards. Regularly participates in constant quality improvement and process improvement activities centered on the goal of providing exceptional, evidence-based patient care. Enhances professional growth and development through educational programs, current literature, in-service meetings and workshops. Contributes to the advancement of the rehabilitation nursing profession as a whole through research, publications, and presentations. Performs other duties as assigned. Working Conditions: Job Location/Working Conditions Normal office environment Exposure to blood-borne pathogens Exposure to chemicals Requires protective devices Dust, dirt, grease or other disagreeable elements Patient care setting Direct patient care setting Physical Effort Typically sitting at desk or table Typically standing or walking Typically bending, crouching, stooping Using tools requiring high dexterity Occasional lifting (25 lbs or less) Equipment Office equipment Lab/research equipment Clinical/diagnostic equipment The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: Master's degree Certifications /Professional Licenses : The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role. Basic Life Support - American Heart Association, Basic Life Support - American Red Cross Work Experience: No specific work experience is required for this position. Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job We are seeking a dedicated NP or PA to join our team. Below are additional requirements and information based on each role. Required Qualifications: Nurse Practitioner Master of Science in Nursing with emphasis in the Nurse Practitioner program. Advanced Practical Nurse licensure (or ability to successfully obtain licensure within three months of date of hire). Certain/additional certifications may be necessary based on area of specialty. Basic Life Support certification (Online Basic Life Support certifications, those without a skills assessment component, are not sufficient to meet the Basic Life Support requirements). Physician Assistant Graduate of PA program. Current PA licensure to practice in the state of Missouri and/or Illinois depending on location or ability to obtain within three months of date of hire. Certain/additional certifications may be necessary based on area of specialty. Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements). Preferred Qualifications Education: Master's degree - Nurse Practitioner, Master's degree - Physician Assistant Studies Certifications /Professional Licenses : Advanced Practice Nurse (APN) - Illinois Department of Financial and Professional Regulation, Advanced Practice Nurse (APN) - Missouri Division of Professional Registration, Certified Nurse Practitioner - Illinois Department of Financial and Professional Regulation, Certified Nurse Practitioner - Missouri Division of Professional Registration, Physician Assistant - Illinois Department of Financial and Professional Regulation, Physician Assistant - Missouri Division of Professional Registration Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Adaptability, Clinical Decision Making, Clinical Diagnostics, Communication, Customer Empathy, Detail-Oriented, Disease Management, Epic EHR, Family Support, HIPAA Compliance, Interpersonal Communication, Interpersonal Relationships, Multitasking, Organizing, Patient Care, Patient Education, Patient Evaluations, Patient Management, Pharmacology, Preventive Care, Teamwork, Time Management Grade S31 Salary Range $97,000.00 - $174,600.00 / Annually The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ . Accommodation If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Take advantage of our free Metro transit U-Pass for eligible employees. WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered. WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/ EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.