When credentialing/medical staff services team members are scattered across multiple locations, distributing an e-newsletter can keep communication flowing and provide information about important department developments, including regulatory or medical staff–driven revisions to credentialing...
Many advanced practice professional (APP) disciplines may be evaluated utilizing the same quality indicators as their physician counterparts (e.g., certified registered nurse anesthetist and anesthesiologist; certified nurse midwife and OB-GYN) and by utilizing the same review forms that are...
To engage in credentialing by proxy for telemedicine practitioners, originating-site hospitals/critical access hospitals must explicitly recognize the option in their medical staff governing documents (e.g., bylaws and/or policy). This resource provides sample language to get you started.
Collegial interventions are not considered disciplinary measures or formal “corrective actions;” rather, they are considered peer review activities that are directed at improving a practitioner’s performance.
This policy enumerates various collegial interventions that can help...
Charged with revamping its OPPE and FPPE processes, Ascension Borgess Health in Kalamazoo, Michigan, hired a medical staff quality specialist who used the tools of Lean Six Sigma to complete the project. The forms attached here are some of the tools she used to assess the current state and...
Banner Health’s credentials verification organization (CVO) provides this reference tool to client physician practices. The document contains general best practices for completing medical staff applications, as well as pointers for dealing with the Phoenix-based health system CVO’s specific...
Banner Health’s credentials verification organization (CVO) shares this educational PowerPoint with client physician practices during in-person meetings and conference calls. The Phoenix-based health system CVO developed the resource as part of a sweeping customer engagement initiative. Click...
A time-management study based on the functions assigned to the medical staff office and the time it takes to perform each of those elements is a great tool for validating a request for additional staff. To determine exactly what tasks the medical staff office carries out on a daily basis, the...
The basic work of the credentials committee will depend on the credentialing process model the organization uses. Regardless of the process, the roles and responsibilities of the credentials committee need to be laid out either in the medical staff bylaws or policies and procedures. This chart...
Without a thorough credentialing process, medical staff leaders and MSPs may allow underqualified or undesirable practitioners to receive clinical privileges. Loss of licensure, significant malpractice activity, and poor clinical references are obvious targets of scrutiny. But what about the...
