Even the most experienced professionals occasionally make mistakes and miss critical steps—it’s human nature. In the credentialing arena, staff may complete a required activity (e.g., primary source verification of licensure) but forget to document the outcome in the applicant’s file....
The key to successful onboarding is global understanding among program administrators about why the process exists and what effects it has on the practitioner and the organization. In addition, the program’s end users (new practitioners) must learn how to be successful in providing care for...
This tool can be used to capture feedback from the full range of stakeholders who contribute to medical staff appointment and privileging decision-making, from the department chair’s initial recommendation through the governing body’s official authorization. Given its summary of key steps in the...
This is a provider orientation checklist to make sure you get all of the information you need to credential a provider. Although most of the information on the checklist will not come as a surprise, it is helpful to have a visual reminder during the credentialing process to make sure even the...
Most accreditors allow hospitals to grant temporary privileges to fulfill an important patient care, treatment, or service need, such as when a patient requires care involving specific clinical skills that are not currently available on the medical staff. Because the documentation of this need...
Staff engagement is key to retaining talent and boosting productivity. Leaders at Banner Health CVO in Phoenix have engaged a team of nearly 50 remote employees by inviting them to be part of performance improvement efforts, asking for their feedback, and encouraging their professional...
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...
