Through University Hospital's medical staff services and credentialing career ladder, an entry-level hire begins as either a credentialing assistant or credentialing quality control specialist and can work his or her way up the departmental rungs as a medical staff services and credentialing...
An approach hospital may use to bring disruptive behavior policies to life is providing every new physician with the same messages from the chief of staff during orientation and the credentials interview. Download this excerpt from a disruptive behavior poilcy from Glendale Adventist Medical...
Medical staff credentialing and peer review requires a hospital to collect data on practitioners that is significant and sensitive. It is important that the hospital use such information only for the purposes for which it was collected. A hospital should take all reasonable measures to protect...
This form is easy to follow and has the required questions. Consider pairing it with a policy and procedure to guide its use and including a section to denote confirmation of the hospital’s assessment/ability to perform a new procedure or treatment, the need for new equipment, etc.
When an outside third party is used to proctor, it is always important to describe the parameters of the working relationship in a formal agreement or contract. This agreement must address the expectation that the proctor’s observations and findings will be kept confidential and patient...
Intuition can be the product of personal or professional experience and should not be swept under the rug. In most cases, an MSL can acquire the necessary details to assuage any remaining doubts and make an informed decision. The CVO should identify any unusual findings that require further...
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...
