Credentialing Resource Center Daily

Culture building tops list of must-have leadership skills

August 23, 2016 | Credentialing Resource Center Daily

Cultivating a culture, communicating, and building a team are the most important leadership skills for facing the demands of an evolving healthcare landscape. So say the nearly 500 executives, clinical leaders, and clinicians who responded to the NEJM Catalyst Insights Council’s recent leadership survey. 

Set up new physician leaders for success

August 18, 2016 | Credentialing Resource Center Daily

Physician leaders should be offered formal and structured opportunities to participate in leadership development and training. At St. Jude Medical Center in Fullerton, California, physician leaders are given guidance before they even step into their new role. A month before medical staff leaders assume their positions, they receive one-on-one orientation through the medical staff services department.

Department chair position description

August 17, 2016 | Credentialing Resource Center Daily

This week’s free resource comes from The Medical Executive Committee Manual. Since the leadership skill set is not routinely taught in the medical education process, the medical executive committee must provide an educational process that will enable leaders to improve their effectiveness. A structured, formal education process is the best way to ensure that every leader has at least basic understanding of the requirements and skills necessary to become an effective leader. A very basic first step is the creation of a job description for the position.

Develop policies and procedures unique to your medical staff

August 16, 2016 | Credentialing Resource Center Daily

In the HCPro book, The Top 45 Medical Staff Policies and Procedures, author Todd Sagin, MD, JD, provides sample policies and procedures to tackle the most common medical staff issues. Applied effectively, the sample policies and procedures within this book will help you to establish clear lines of authority and communication within your organization. They should help you tackle everyday managerial issues and even avoid potentially serious problems.

Identify your leadership style

August 16, 2016 | Credentialing Resource Center Daily

There is no one style of leadership that will fit every person who plays a senior role in their organization; leaders have different definitions of success and approaches to achieving it, says William Taylor, author and cofounder of Fast Company magazine, in a column for Harvard Business Review. Every leader brings his or her own experiences to the role, which can shapes leadership style.

Common complaints by physicians on OPPE data

August 11, 2016 | Credentialing Resource Center Daily

Physicians may claim that the data used to carry out peer review is invalid. This is a claim that many medical staff leaders have heard. It is true that the discovery of even the slightest inaccuracy will invalidate the entire performance report in the minds of some physicians. They will assume, and no one would blame them, that if the report includes one inaccuracy it is likely that there are addi­tional inaccuracies. Following are some claims often heard from physicians regarding accuracy of performance data:

Indicator integrity criteria checklist

August 10, 2016 | Credentialing Resource Center Daily

Today's free resource is a checklist that will help medical staffs select indicators for use in OPPE/FPPE. Indicators should be evaluated for validity, accuracy, benefits, attribution, communicability, competency, and data availability. Keep in mind that some indicators will be more relevant than others based on specialty. Also, indicators should be reviewed on a regular basis to make sure they still accurately measure physician competence.

Enhance your peer review policies

August 09, 2016 | Credentialing Resource Center Daily

Do you need help developing policies related to peer review, OPPE, and FPPE? The OPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance contains policies and procedures developed by medical staffs from various facilities throughout the country. Streamline your processes, eliminate the background work, and implement a comprehensive and compliant OPPE process with these expertly reviewed forms.

Embracing performance data

August 08, 2016 | Credentialing Resource Center Daily

For many medical staffs, getting physicians to accept and use performance data has been a struggle. Although the availability and use of physician data seems like a technical issue based on information systems and data accuracy and reliability, fundamentally, it is a cultural issue. Unless a medical staff creates a culture of data acceptance, all of the IT advances will be for naught.

Create uniform proctoring forms

August 03, 2016 | Credentialing Resource Center Daily

When developing or fine-tuning a focused professional practice evaluation (FPPE) process, consider adopting a common reporting form that allows all proctors to share their observations in a standardized manner. Such forms also help to ensure that each proctor comments on all pertinent elements in case management. Some medical staffs create separate forms—one to report observations from a procedural encounter and another to report on observations regarding a cognitive encounter. Today’s free resource is a sample proctor reporting form related to cognitive privileges.

Keep tabs on recent developments in the advanced practice professional arena

August 02, 2016 | Credentialing Resource Center Daily

Check out The Complete Guide to OPPE and FPPE, a brand new go-to resource for making sense of professional practice evaluation scenarios that don’t fit squarely into traditional frameworks, such as telehealth providers, low-volume practitioners, and the growing ranks of advanced practice professionals.

2015 NPDB Guidebook update’s FPPE implications still hazy

August 01, 2016 | Credentialing Resource Center Daily

The Healthcare Quality Improvement Act of 1986, which formed the legislative impetus for the NPDB, specifies that organizations must report a physician's "surrender of clinical privileges" while the individual is under investigation for potential incompetence or improper conduct, or in return for not initiating such activity. In the updated Guidebook, however, the NPDB classifies a voluntary (and often temporary) agreement to limit privileges during an investigation as surrender, which some experts call an overreach. 

Create an OPPE/FPPE task force

July 28, 2016 | Credentialing Resource Center Daily

Although hospital organizational structures vary widely, an OPPE/FPPE program requires cross-departmental collaboration in virtually any environment. The best way to foster this teamwork is through a dedicated task force composed of members from several departments. The OPPE/FPPE task force should be interdisciplinary, meaning that it must contain representatives from the relevant administrative departments at the hospital and from the medical staff, such as the following:

Policy for proctoring

July 27, 2016 | Credentialing Resource Center Daily

As fewer physicians take on voluntary duties, such as proctoring, your organization might struggle to find physicians who will serve as proctors. One suggestion is to make proctoring a medical staff duty that is spelled out in your governing documents. Today's free resource is a rules and regulations document regarding proctoring from St. Jude's Medical Center in Fullterton, California. It states that staff members will serve as proctors to fulfiil their peer review responsibilities.