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...

Convincing practitioners to comply with deadline-driven activities can be a challenge. Instituting strong bylaws is a good first step. This tool provides sample bylaw language regarding timely completion of medical record documentation.

Editor's note: This form is featured in the new...

The malpractice analysis form should be given out with your medical staff application. This form is used to help MSPs and physician leaders determine if claims are outside the norm and require further investigation. The questions/numbers on this form are just suggestions; you should adjust them...

Measuring medical staff professionals' performance promotes ongoing excellence and retention. Job descriptions and performance assessments should inform training and development initiatives, including orientation. Beyond regular assessments, MSP leaders should investigate performance issues as...

Navigating appointment processes, with their patchwork of expiration dates and verification expectations, can be difficult for ambulatory facilities, which often lack the dedicated credentialing presence and big-ticket resources of their acute care counterparts. To stay ahead of critical...

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