Learn where coordination between practices and hospital credentialing departments breaks down, how organizations can reduce rework, and what it takes to keep provider information accurate and current across workflows.
Credentialing Resource Center Journal - Volume 35, Issue 10
A recent case examines the tension between a physician’s efforts to obtain information about a disputed recertification decision and the confidentiality protections afforded to medical peer review.
Through its new accreditation, the National Committee for Quality Assurance (NCQA) is reshaping accreditation around outcomes, community impact, and digital trust. But what does an outcomes-focused accreditation model look like in practice?
Credentialing Resource Center Journal - Volume 35, Issue 10
Skill with artificial intelligence (AI) will emerge as a core professional competency that physicians must maintain as part of modern clinical practice, much like competence in using the electronic health record, interpreting diagnostic studies, or applying evidence-based guidelines.
Credentialing Resource Center Journal - Volume 35, Issue 10
Fragmented oversight across quality, risk, compliance, and patient safety can let warning signs go unnoticed until regulators or plaintiffs’ attorneys connect them after the fact. That same fragmentation can also affect malpractice exposure.
Although civilian health systems operate under different governance structures and requirements, a recent initiative from the Defense Health Agency (DHA) offers lessons for organizations looking to standardize privileging across multiple hospitals.
Credentialing Resource Center Journal - Volume 35, Issue 9
Organizations have a responsibility to continually evaluate the competency of providers—yet in today’s healthcare environment, they should not assume low volume is evidence of incompetence. Instead, low volume should be treated as a signal to examine the available evidence of a provider’s...
As artificial intelligence (AI) continues to become the norm, credentialing professionals will need to determine what AI competency looks like, learn how expectations can vary, and establish processes for documentation and verification.
Credentialing Resource Center Journal - Volume 35, Issue 9
A recent California appellate court decision addresses the evidentiary requirements necessary to sustain a claim against a hospital for negligent credentialing.
