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Credentialing Resource Center Connection

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National credentialing and privileging expert Sally J. Pelletier, CPCS, CPMSM, delivers useful and timely information in her weekly " Credentialing Resource Center Connection" column.

January 14, 2010 ( Volume 12, Issue 2)

Learning lessons continue in Marion VA case
In this week’s column, Emily Berry, associate editor, revisits the lessons learned in the Marion VA case in light of the recent GAO report, “VA HEALTH CARE: Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes.”

Poll question: What's in your conflict of interest policy?
Is your organization’s conflict of interest policy prescriptive or filled with open-ended disciplinary options? Take our poll and see how your organization compares to others.

Featured blog post: Audio clip about resources for small hospitals
Visit our blog to listen to an audio clip from Jonathan H. Burroughs, MD, MBA, FACPE, CMSL, a senior physician consultant with The Greeley Company, describing our latest resource for small and Critical Access Hospitals. This four-part Webcast series will be available on-demand in February.

Ask the expert: What do the CMS standards say about the hearing and appeal process?
When it comes to the hearing and appeals process for acute and managed care facilities managing reappointment applications, the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation are silent.

Free form Friday: Medical staff services department reciprocal audit tool
If you’re looking for an inexpensive way to sharpen your MSP skills, try partnering with a medical staff services department in your area to conduct reciprocal audits. It’s a great way to learn new tips and build up your network of professional colleagues. Check out the free reciprocal audit tool on our blog.

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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