The physician chairperson performance measurement form is a tool for measuring and documenting performance, discussing professional and organizational development, and setting goals and objectives. The tool is designed to facilitate communication and feedback, the most critical element in the...
Brand-new to CRC? Looking for a sneak peek into what an upgraded membership would bring? Need a refresher on how to access the arsenal of expert analysis, training resources, and networking opportunities already at your disposal? Whatever your goals, the CRC team has you covered. Peruse the...
The operational process of credentialing a practitioner to participate in a health plan’s network has
some similarities to a hospital’s credentialing processes; however, there are also important distinctions.
The following table highlights some of the key differences between health...
Credentialing practitioners for managed care enrollment can be tricky. Using a checklist, like the one here, will ensure you don't miss any steps in the process and that you are following the proper timelines for verification.
Before sending peer review information, a medical staff should first look at state laws to ensure it has a mechanism in place to make disclosures in a confidential manner. For example, Texas allows committee-to-committee disclosures, so for medical staffs in that state, it’s a best practice to...
Knowing what the standards say regarding who can provide a recommendation is the science behind peer references. The art is establishing best practices that support the capture of information from the best possible sources. For a full description of each accreditor’s standards for peer...
The credentialing process for advanced practice professionals (APP) is basically the same as for other practitioners. However, APPs do come with their own set of challenges. State scope-of-practice and professional licensure laws are disparate and changing rapidly. In addition, hospital policies...
The objective of this policy is to promote optimal patient care by promoting a safe, cooperative, and professional healthcare environment by preventing or eliminating, to the extent possible, behavior that disrupts the efficient and effective operation of the hospital.
A practitioner practicing outside the scope of privileges indicates an immediate threat to patient health and safety as determined by the Centers for Medicare & Medicaid Services (CMS) and other organizations. Therefore, it is important for everyone in your organization to know who has what...
