Share your outstanding tools with peers across the industry!

November 17, 2016
Credentialing Resource Center Digest

Development of The Credentialing and Privileging Toolbox is underway! The 2017 title will feature first-class, field-sourced credentialing and privileging resources, along with expert commentary on what makes them so great. Think The OPPE Toolbox and The FPPE Toolbox but with practitioner vetting–focused tools. Send your best credentialing and privileging creations our way, and if they’re selected for publication, we’ll provide you with a complimentary copy of The Credentialing and Privileging Toolbox.*

Because we’re looking to assemble a collection of forms, policies, letters, plans, reports, and related tools that reflect the diversity and breadth of the practitioner vetting landscape, we welcome resources from credentialing and privileging entities of all shapes and sizes. Email your files (and any questions) to CRC Editor Delaney Rebernik at drebernik@hcpro.com. Please submit materials by November 28, 2016, for priority consideration. 

The following is a list of form types and subject matter that we’re especially interested in: 

1. Execution of Credentialing and Privileging

Sample tools, forms, and processes related to the following:

  • Physicians
  • Non-physician practitioners
  • Residents (including rotating/visiting residents)
  • Telemedicine
  • Robotics
  • Disaster Privileging
  • Emergent Privileging
  • Temporary Privileging
  • CVOs

2. Governance

Sample manuals, bylaws, policies, procedures, protocols, and privileging criteria related to the following:

  • Credentialing approval and review
  • Recredentialing
  • Delegated credentialing
  • Orientation of new practitioners
  • Record management and retention
  • Telemedicine
  • Key functions of governing entities (e.g., credentials committee, MEC, board)
  • Collaboration between entities involved in credentialing and privileging
  • Peer review and competence assessment
  • Legal considerations
  • Medical staff membership and privilege categories

3. Administration, Organization, and Process Improvement

Guidance, flow charts, templates, and models related to the following:

  • Lean improvement
  • Onboarding of new practitioners
  • Meeting management
    • Board
    • MEC
    • Credentials committee
    • AHP committee
    • New technology committee
  • Going paperless

4. Communication

Sample letters, tools, and templates related to the following:

  • Status of applications (e.g., submitted, incomplete)
  • Status of medical records
  • Renewal of application (i.e., recredentialing)
  • Annual membership fees
  • Suspensions
  • Minutes from credentialing–related meetings
  • Collaboration with other key departments (e.g., HR, quality, IT, HIM, risk)
  • Online information and resources for healthcare professionals

5. Staffing for Credentialing and Privileging Positions Across the Continuum

Job descriptions related to the following:

  • Director, Medical Staff Services (Medical affairs, CVO, managed care)
  • Manager, Medical Staff Services (Medical affairs, CVO, managed care)
  • Supervisor, Medical Staff Services (Medical affairs, CVO, managed care)
  • Coordinator, Medical Staff Services (Credentialing, provider enrollment)
  • Specialist, Credentialing
  • Administrative Secretary
  • CMO/VPMA
  • Medical Staff President
  • Medical Staff Vice President
  • Medical Staff Secretary-Treasurer
  • Medical Staff Committee Chair (e.g., credentials, MEC, AHP)
  • Medical Staff Committee Member (e.g., credentials, MEC, AHP)

6. Strategy for Addressing Top Focus Areas and Trouble Spots

Case studies, processes, guidance, sample forms, and other resources related to the following:

  • Partnering with key departments (e.g., HR, quality, IT, HIM, risk)
  • Addressing red flags
  • APPs/AHPs
  • Telemedicine
  • Robotics
  • Emerging disciplines
  • Negligent credentialing

7. Compliance

Guidance, sample forms, reports, and other resources related to the following:

  • Regulatory and accreditation standards
  • Volumes
  • Audits (including electronic)
  • Analytical data supported through quality personnel and medical staff 

 

*File submission does not guarantee publication. Contributors will be notified and asked to sign an official release form prior to the publication of any resources that they submit. Please ensure that you have the necessary permissions before sharing documents.  

Found in Categories: 
Credentialing, Medical Staff Bylaws, Polices, and Procedures, Medical Staff Leadership and Governance, Medical Staff Services Department, Privileging, Telemedicine