Comply

Credentialing Resource Center Daily

Accreditation standards for practitioners in outpatient settings

February 04, 2016
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.

Don't rush credentialing for temporary privileges and locum tenens

January 14, 2016
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Credentialing Resource Center Daily

Granting temporary privileges and using locum tenens physicians without fully verifying their credentials verification can put healthcare organizations and their patients in danger—clinically and legally. Sally Pelletier, CPMSM, CPCS, advisory consultant and the chief credentialing officer for The Greeley Company, recently discussed the traps organizations can fall into when the credentialing process is rushed.

Sample recredentialing request

January 13, 2016
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Credentialing Resource Center Daily

Recredentialing is the process of reviewing or rechecking a physician’s information every two to three years. The process identifies changes in the physician’s training experience, current competence, or health status that might affect his or her ability to perform services for which he or she is contracted.

Principles every credentials committee member should know

January 12, 2016
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Credentialing Resource Center Daily

The credentials committee plays a critical role in the hospital, medical staff, and quality patient care. Yet medical staffs often assign members who lack adequate training to serve on the credentials committee. The Credentials Committee Essential Handbook clarifies the critical role of the credential committee member and their responsibilities in relation to the medical executive committee, the quality committee, and department chairs. Authors by Richard A. Sheff, MD, and Robert J. Marder, MD, share principles every member of a credentials committee should know. The following is one of those principles:

Credentialing best practices

January 11, 2016
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Credentialing Resource Center Daily

Credentialing will never be easy, but it can and must be done effectively. Understanding and following credentialing best practices will provide a solid foundation for achieving consistent, excellent performance. Marna Sorensen, CMPSM, who has more than 20 years of experience in the medical staff services field, shares the following best practices for credentialing:

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