There are a variety of viable ways to approach the delineation of medical history and physical exam (H&P) privileges. Attached is a sampling of core privilege statements for various disciplines. Some address H&Ps in explicit terms, and others use alternative language.
The Joint Commission has identified the Accreditation Council for Graduate Medical Education’s core competencies as a potential framework for evaluating practitioners who are credentialed and privileged through the medical staff. The competency domains provide the foundation for identifying and...
When moving enrollment activities in house, meticulous organization is essential. Whether you have credentialing software or use simpler computer applications such as Excel or Access, it is important to have solid workflows that allow you to enroll your providers and follow up on the status of...
MSPs and credentialing specialists often have the responsibility to make sure that all of the steps in the credentialing process have been executed in the processing of any particular application. This is a critical responsibility because plaintiff attorneys will often claim that missed steps...
If you have a medical staff leader orientation session or give them a packet of information, have them sign an attestation form saying they received the information. Here is a sample attestation from St. Jude's Medical Center, which it also uses for credit for one of the leadership standards...
Don’t be surprised if practitioners push back or give defensive responses about potential performance issues identified during professional practice evaluation. This free resource provides a few typical examples of complaints that practitioners may offer during the course of an evaluation, along...
As clinic-based provider and hospitalist models have become more prevalent in healthcare, medical staff organizations have been tasked with developing mechanisms in their bylaws that allow clinic practitioners to have some involvement in the care of their patients who are in the hospital without...
This resource provides a great starting point for developing a policy on monitoring sanctions. Users should tailor the general guidelines throughout to their state and bylaws requirements.
Form users should ensure all policy elements comply with the specific spectrum of requirements to which their organization is bound (e.g., all relevant federal, state, accreditation, and certification requirements).
Although the industry is rightfully moving toward paperless credentialing processes and tools, many small and rural hospitals without the funding for automation could benefit from using this audit template to ensure their credentialing and privileging programs are in a continuous state of...
