Credentialing Resource Center Connection

In this week’s column, Anne Roberts, CPMSM, CPCS, discusses what happens when a department chief and credentials committee disagree on whether or not to grant privileges to an applicant with a negative peer reference or clinical evaluation.

Many medical staffs, from hospitals small and large, struggle to implement a solid proctoring process. The Joint Commission’s standards regarding focused professional practice evaluations (FPPE) have been in place for a few years now, yet MSPs still look for resources to make their proctoring processes work better.

As our way of helping, we’re offering you a free from: a table for outlining the FPPE process. The table contains information about FPPE tasks, the activities that comprise the task, the time frame for completing them, and the person or department responsible.

How do you reach the hard to reach practitioners on your medical staff? Do you add reminders to their Outlook calendars? Befriend their office assistants? Track them down in the hospital cafeteria?

How should an organization proceed in developing or revising a policy covering advance practice professionals? To simplify matters, if a policy doesn’t currently exsist, the best place to begin is to evaluate and document the current scope of practitioners allowed to practice within the facility. If the organization wants to expand the services offered, it should evaluate other additional disciplines that the leaders may wish to consider adding and include these disciplines in the policy.