Maggie Palmer, MSA, CPCS, CPMSM, like many MSP leaders, is grappling with proposed changes by the National Committee for Quality Assurance (NCQA) and changes to credentialing in her state of Texas. For MSPs working at NCQA-accredited organizations, it is crucial to be aware that NCQA is...
The Department of Health and Human Services (HHS) recently announced the Office of the National Coordinator for Health Information Technology would be renamed and restructured. This restructuring will affect technology, cybersecurity, data, and AI strategy and policy functions.
Understanding your role and responsibilities during corrective actions and fair hearings can be the first step in relieving stress due to uncertainty. And according to Jack L. Cox, MD, MMM, who has served in various healthcare executive roles, this starts with medical staff leaders developing an...
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Most medical staff bylaws contain a section labeled “definitions.” The value of a definitions section in the bylaws is to ensure clarity in the use of terminology. For example, if a hospital is part of a larger health system, does the term “board” in the bylaws refer to the hospital board or the...
Before beginning any complex process, it is imperative to have a blueprint for that process in place. Such a blueprint for credentialing allows the process to be both efficient and consistent. Making up a process as you go along takes a lot of time and effort, and runs the risk of appearing to...