Sample Forms

Even when your facility has a policy for assessing and adding innovations, there is still a temptation to react to each individual practitioner’s application, rather than to consult the policy. Every request, it seems, comes with its own “special circumstances.” However, such a haphazard...

An expirables audit focuses on materials that expire and that therefore demand frequent verification to ensure ongoing effectiveness. Examples include professional liability insurance, licensure, OIG exclusion queries, DEA registration, clinical privilege forms, in-service educational...

The development of EMTALA compliance checklists and audit tools are important first steps for hospitals to initiate self-monitoring for compliance. Ongoing education and training is also essential. This EMTALA fact sheet is distributed by the HealthAlliance Hospital in Kingston, New York with...

This policy is for organizations that are using their own credentialing process for distant-site telemedicine providers.

Medical staff categories reflect the type and/or level of practice/activity that a hospital’s or healthcare system’s medical staff members carry out within the facility (e.g., based on the kind/number of admissions, patient contacts, or consultations) and help define their roles in medical staff...

An effective prescreen process helps to ensure that nonviable candidates for employment never make it to first base. It also helps to minimize the risk of throwing open the door to due process if an application to the medical staff is offered and then denied after you have formally started to...

Selecting the appropriate template for meeting agendas and minutes can greatly assist in producing quality documentation. A table format is often helpful to the meeting facilitator and appreciated by medical staff members and surveyors alike. This free resource contains excerpts from a sample...

This policy outlines the requirements of medical staff members for complying with FPPE and proctoring expectations.

It is common for physicians to come to work one day saying they want to perform the latest and greatest procedure or use a new technology. If your organization does not currently support the procedure/technology and does not have privileging criteria for it, you need to take a step back and...