The idea behind collecting peer references for initial appointment and reappointment is the same: to obtain confirmation of competency for requested privileges and acceptability for staff membership.This sample questionnaire may be adapted for a variety of professional references, such as...
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...
Medical staffs would not want to see any one individual force a proposed bylaws amendment through the voting process because this could jam up the medical staff and board with amendments that don’t have significant support. In the past, any individual could propose an amendment, which was then...
Effective meeting management is the result of a skillful blending of diplomacy and proven management skills and techniques. For each meeting, physician leaders should be well prepared and identify reasonable objectives and emphasize the importance of the committee or department’s contributions...
