Peer review is intended to promote open and honest conversations about the performance of physician peers, with the ultimate goal of promoting patient safety and improving care. The protections offered under the Health care Quality Improvement Act (HCQIA) allow these reviews to...
At the beginning of 2012, New Mexico expanded its state laws regarding reporting settlements, judgments, adverse actions, and credentialing actions to the state medical board to include employed physicians.
Credentialing Resource Center Digest - Volume 13, Issue 21
Although a whistleblower and a disruptive physician may seem like they are on opposite ends of the spectrum, there is a very fine line that separates the two categories inside a healthcare facility.
In the 1990s, the term "managed care" had a negative connotation, as patients perceived it as payers' way of encouraging physicians to deny needed healthcare services. But managed care has come a long way since then and is making a comeback in light of pressure from payers and...
Whenever medical staff leaders discuss medical staff engagement and alignment, talk of money isn’t far behind. Whereas 30 years ago, serving in a medical staff leadership role was par for the course, today physicians consider it going above and beyond the call of duty. Many hospitals offer...
Credentialing Resource Center Journal - Volume 21, Issue 4
A medical staff meeting agenda is more than just a piece of paper with an aesthetically pleasing outline. It is a tool to make your meetings efficient and informative, which in turn will keep medical staff involvement in these meetings high. Coordinating meetings and setting...
State medical boards have a duty to provide oversight for physicians in their state, including appropriate disciplinary action when necessary. Unfortunately, recent reports show that many state boards are failing when it comes to punishing doctors after they are reported to the...
Credentialing Resource Center Journal - Volume 21, Issue 3
A smooth onboarding process should always be the goal of an organization. However, healthcare organizations are notorious for having departments that work in silos. Most organizations have configured the functions of recruitment, credentialing and health plan enrollment to...
