Comply

Credentialing Resource Center Daily

CRC Symposium Spotlight: Carol Cairns

February 12, 2016
 | 
Credentialing Resource Center Daily

Carol S. Cairns, CPMSM, CPCS, has participated in the development of the medical staff services profession for more than 40 years. In 1996, she founded Plainfield, Illinois–based PRO-CON, a consulting firm specializing in credentialing, privileging, medical staff organization operations, and survey preparation. In 1991, Cairns became clinical faculty for The Joint Commission by collaborating in the development of an educational program on credentialing and privileging medical staff and allied health professionals.

Medical staff leadership job descriptions

February 10, 2016
 | 
Credentialing Resource Center Daily

Today's free resource provides sample language that can be used to create your medical staff leadership job descriptions. Although physician leaders and others in the organization may "know" what the duties are involved with being, for example, medical staff president, it is important to have a written document that lists the duties and responsibilities of this role and other medical staff leadership positions. This will ensure everyone is clear about their roles, and it may also help medical staff leaders decide whether to run for an elected position.

Nine tips for running an effective medical staff meeting

February 09, 2016
 | 
Credentialing Resource Center Daily

Many medical staffs bemoan the fact there are too many meetings that are poorly run, poorly attended, generally a waste of time, and often without any definitive outcome(s). Do you want this to be the assessment of a meeting run by you?

In The Medical Staff Leader’s Survival Guide author William K Cors, MD, MMM, FACPE offers nine tips to help medical staff leaders run an effective meeting.

Send new medical staff leaders down the right path

February 08, 2016
 | 
Credentialing Resource Center Daily

Once leaders assume their roles at the beginning of the year, St. Jude Medical Center, in Fullerton, California, holds a medical staff retreat. For the past 5 years, it has been at Disney Land at the California Grand, which is really popular with the medical staff leaders. They used to have outside speakers come in, but now all of the speakers are from St. Jude, which Cindy Radcliffe, CPMSM, director of medical staff services at St. Jude Medical Center, says has worked really well.

Speakers at the retreat include:

Accreditation standards for practitioners in outpatient settings

February 04, 2016
 | 
Credentialing Resource Center Daily

We spoke with 2016 Credentialing Resource Center Symposium presenter Todd Sagin, MD, JD, president of Sagin Healthcare Consulting Services LLC, about outpatient practitioner credentialing and peer review challenges. The following is his response to a question about accreditation standards:

Decision notification standards

February 03, 2016
 | 
Credentialing Resource Center Daily

Today’s free resource comes from Verify and Comply, Sixth Edition. This book includes credentialing and medical staff standards and regulations for the most popular regulators and accreditors in an easy-to-navigate manual. The free resource outlines the standards for notifying practitioners in acute and managed care about any decisions regarding their initial appointments and clinical privileges.

Comply with accreditation standards

February 02, 2016
 | 
Credentialing Resource Center Daily

The Compliance Guide to The Joint Commission Leadership Standards provides accreditation professionals with in-depth guidance on how to prepare leadership and staff to comply with the accreditor’s Leadership standards. The book breaks down the Leadership chapter standard by standard to train leaders and staff on the roles they play in compliance, patient safety, and quality efforts.

Hot button accreditation issues

February 01, 2016
 | 
Credentialing Resource Center Daily

A significant minority of standards account for a significant majority of adverse findings during any accreditation survey. The following is a list of common “hot button” issues for standards directly or substan­tively attributable to the medical staff:

Tip: Overcome major OPPE hurdles

January 28, 2016
 | 
Credentialing Resource Center Daily

For many organizations, an OPPE program is the first systematic process for large-scale practitioner performance improvement. Progress can be sidelined by this inexperience, or by an ineffective approach to selecting indicators, reviewing reports, and engaging practitioners.

Put your OPPE chops to the test

January 27, 2016
 | 
Credentialing Resource Center Daily

Conducting OPPE has been a requirement for accreditation by The Joint Commission since 2008 and recently became a stipulation of HFAP accreditation. Despite its prevalence, the OPPE process can present a number of challenges for MSPs, practitioners, and medical staff leaders operating in today’s variable healthcare climate. Physicians may believe the evaluations are of little value, while medical staff and quality personnel sometimes find themselves struggling to complete one six-month OPPE cycle when the subsequent one has already ended. 

Competency assessment in the 21st century

January 21, 2016
 | 
Credentialing Resource Center Daily

With the rise of healthcare services outside traditional hospital settings, outpatient practitioner credentialing and peer review are challenging medical staff services departments nationwide. We spoke with 2016 Credentialing Resource Center Symposium presenter Todd Sagin, MD, JD, president of Sagin Healthcare Consulting Services LLC, about some of the challenges. 

Q: What are some of the unique challenges of credentialing and peer review in the outpatient setting?

FPPE monitoring form

January 20, 2016
 | 
Credentialing Resource Center Daily

Proctors may not know what information they need to collect or report. To help proctors succeed, give them a standardized form to complete when observing another physician. Today’s free resource is a summary focused professional practice evaluation (FPPE) monitoring form.

Proctoring is back in prime time

January 19, 2016
 | 
Credentialing Resource Center Daily

Proctoring as a competency assessment tool has had new life breathed into it by The Center for Medicare & Medicaid Services insistence that practitioners demonstrate their current competence to hold privileges in accredited hospitals. No longer can physicians be deemed qualified based solely on their pedigree (i.e., education and training). Proctoring has reemerged as a way to see whether a doctor practices competently in real time.

Taking a systemwide approach to FPPE

January 18, 2016
 | 
Credentialing Resource Center Daily

Care New England Health System is taking a systemwide approach to FPPE policies and forms. It’s a work in progress, but some elements are already in place, says Anne Marie Dion, CPMSM, director of medical staff services at Kent Hospital, in Warwick, Rhode Island, part of the Care New England system.

Pages