Although ongoing professional practice evaluation (OPPE) has been around for about a decade, it is still challenging for institutions to create meaningful data that reflects their practices. This sample advance practice professional reappointment performance profile report that can be used to...
Medical staff governing documents must articulate the standards that practitioners must meet to qualify for medical staff membership. In general, the list of qualifications will address the applicant’s background, experience, ability to perform requested privileges, training, and demonstrated...
Establishing a structure for reviewing OPPE reports can be challenging, especially given that the process requires the resource-intensive and time-consuming task of interpreting data. The medical staff drives the OPPE process; however, medical staff leaders often do not have adequate time to...
Bylaws and policies that don’t sufficiently address temporary privileges—or that leave the door open for corner-cutting—jeopardize organizations’ legal standing and patients’ access to quality care.
“Follow medical staff bylaws requirements for the circumstances under which temporary...
The purpose of the verification process is to ensure that the information provided by the applicant is accurate and to determine whether the applicant’s credentials meet the organization’s criteria, as outlined in its policies. Verifications are performed at both initial credentialing and...
This sample policy ensures that information regarding each practitioner’s scope of privileges is disseminated and made available to all appropriate internal persons or entities and updated as changes in clinical privileges are made. This policy also lays out the steps a hospital staff member...
Advanced practice professionals play an increasingly important role in today’s healthcare industry. Some states allow independent practice by certified registered nurse anesthetists (CRNA). This form is a focused professional evaluation form that a reviewer/supervising MD may use to assess the...
This spreadsheet, created by Johns Hopkins All Children's Hospital is used by the various departments involved in practitioner onboarding to keep track of important information, including the practitioner's start date. The start date can be adjusted based on when other information in this...
An effective audit tool drives consistent receipt and appropriate processing of all necessary credentialing documents. Conducting regular audits ensures practitioner files comply with accreditation standards and promotes survey readiness. Newly recruited medical staff services leaders can use...
This tool summarizes results from audits of individual credentialing files. Studying this high-level overview can help credentialing, medical staff, quality, and hospital leaders track performance patterns, identify improvement opportunities, and promote compliance with internal and external...
