Advances in healthcare delivery continue at an exponential speed. Technologies, procedures, and treatments that were not even dreamed of several years ago are now realities. It is certain that, as a medical staff leader, you will be faced with the inevitable request from one of your medical...
Beyond programs for individuals who are actively engaged in clinical education and training, many healthcare organizations provide observation/shadowing opportunities for high school and college students who are considering a career in the medical field. Relevant policies should address the...
Most hospitals have one or more exclusive contracts with members of the medical staff to ensure round-the-clock coverage for a particular service. Physicians who find themselves ineligible to hold certain privileges as a result of an exclusive arrangement may sue the hospital. Therefore, medical...
Although writing meeting minutes is a tedious task for MSPs, no one can argue their importance. Minutes are an official record of what happened during a meeting, and their principal purpose is to provide committee members, staff, and others with a:
Ensure a comprehensive and consistent red flag file review with a set list of questions, says Linda Waldorf, BS, CPMSM, CPCS, director of the central credentialing office (CCO) at the University of North Carolina Healthcare System in Chapel Hill. Having a uniform and transparent process makes it...
Across settings, organizations are granting official practice authorization using delineation of privilege (DOP) forms that are incomplete, or that seem to be so, according to the AAAHC Quality Roadmap 2016...
A “no-retaliation” policy makes it clear that reporting improper conduct is a duty of all staff members. It articulates the disciplinary consequences of any effort to punish an employee for carrying out this duty. Hospital leadership must enforce the policy vigorously; otherwise, their...
The verification process for advanced practice professionals (APP) mimics the process for members of the medical staff in principle and within the designated time frames. Upon receipt of an application from an APP, there are several steps the medical staff office must take. Download these sample...
The process of a hearing following the MEC’s recommendation for corrective action is an important right that must be spelled out in the bylaws. It is essential that this section of the bylaws is carefully thought out, drafted with precision, and kept in strict compliance with the minimum...
Despite moves for transparency around healthcare quality and finances, there remain areas where strict confidentiality is not optional. It is required, period. For this reason, many medical staffs have adopted an overarching and general “Practitioner Attestation Confidentiality Statement,” such...
