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Credentialing Resource Center Journal

 
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January 1, 2009   ( Volume 18, Issue 1) view entire issue
 
Link privileges to resources, says Joint Commission

It seems like a straightforward standard to follow: Hospitals can’t provide services or allow procedures to be performed without first ensuring that the necessary resources are in place or will be within a specified time frame. Yet MS.04.00 (currently MS.06.01.01) landed on The Joint Commission’s Standards and NPSGs with Highest Non-Compliance Rates list for 2007. The accreditor found that 10% of critical access hospitals did not comply with the standard. It was the only medical staff standard on the list.


 
Glens Falls Hospital’s FPPE policy passes Joint Commission survey with flying colors

In January 2008, The Joint Commission implemented its focused professional practice evaluation (FPPE) standard, with which many medical staffs have struggled. This January, Lori Gravelle, medical staff operations manager at Glens Falls (NY) Hospital, is happy to report that her surveyor accepted and complimented the medical staff’s new FPPE program.


 
Why, when, and how to conduct criminal background checks on the medical staff

MSPs walk a fine line when verifying the credentials of medical staff applicants. They want to make sure they leave no stone unturned. On the other hand, they’re human and have limited resources to work with, so whatever search they’re doing needs to be pinpointed. Criminal background checks are a perfect illustration of this balancing act. Naturally, a medical staff would want to know whether an applicant has a criminal history, especially if it could affect patient care. However, if this history was verified by another source, such as a state licensing board, the medical staff may not want to commit resources to a duplicate process.


 

 
Special Reports

 

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Assessing the Competency of Low-Volume Practitioners:
The Joint Commission requires that hospitals verify physician competence using performance data. Yet organizations often have little or no data related to the competency of low- and no-volume physicians. Medical staff leaders are therefore challenged to develop a strategy that guides the hospital's relationship with low- and no-volume providers, and medical staff services departments are challenged to establish systems to verify physician competence. This fully updated book and CD-ROM set offers the necessary tools and strategies for medical staff leaders and professionals to manage the increasing number of low- and no-volume providers and comply with Joint Commission standards.

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