As regulatory bodies such as the Centers for Medicare and Medicaid Services make policy changes that allow for greater reimbursement, and more practitioners start to employ telemedicine services, the telehealth industry is seeing unprecedented growth—largely in response to the COVID-19 pandemic...
Credentialing Resource Center Journal - Volume 29, Issue 9
A healthcare organization’s culture is what drives behavior, which in turn drives outcomes. If the organization as a whole has embraced a culture that encourages adverse-event reporting without punitive consequences, while at the same time requiring the assumption of responsibility when an...
The process of a hearing following the medical executive committee’s (MEC) recommendation is an important right that must be spelled out in the bylaws. The hearing process will be explored in depth in four separate installments. This month, we will examine the initiation and notice of a fair...
Credentialing Resource Center Journal - Volume 29, Issue 9
Once the medical staff and governing board grant a practitioner clinical privileges, the medical staff is then responsible for ensuring that the practitioner maintains current clinical competence for all privileges granted by monitoring and reviewing the quality of care provided by the...
Credentialing Resource Center Journal - Volume 29, Issue 9
Mary, a medical staff quality coordinator, has been charged with gathering activity information for all practitioners for ongoing professional practice evaluation (OPPE). Mary requests the data from several departments, including admitting, information systems, medical records, pharmacy, and...
One of the key committees for many medical staffs is the peer review committee. This may either be a single committee for the entire medical staff whose members are appointed by the medical staff president, or several departmental committees whose members are appointed by either the medical...