How does your medical staff team handle a situation in which a physician with documented red flags resigns during an investigation or prior to an investigation?
Who can be a credentials committee member? CMS and accrediting bodies only refer to the general function of a credentials committee. They do not specify the committee structure or provide requirements for membership on the committee. Your organization’s medical staff bylaws and/or credentialing...
By having your medical staff members fill out a conflict of interest disclosure form every year, the medical staff will be kept abreast of any relationships that might be considered a conflict. Here is some sample conflict of interest policy language you can customize for your own organization’s...
Medical staff policies are intended to strengthen a hospital or health system by describing preferred practices, setting practitioner and staff expectations, promoting standardization, and providing guidance through the maze of healthcare regulations, accreditation standards, and third-party...
According to CMS, privileges are not to be granted for tasks/procedures/activities that are not conducted within the hospital—regardless of the practitioner’s ability to perform. Therefore, when developing your core privileging system, list only those services and procedures that your hospital...
Credentialing Resource Center Journal - Volume 31, Issue 10
The Patient Safety and Quality Improvement Act of 2005 (PSQIA) established a voluntary reporting system designed to enhance the data available to assess and resolve patient safety and healthcare quality issues, according to HHS officials. It first became effective in 2009. Government officials...