We often confuse management with leadership, and the two can look very similar, especially when we have a manager who is also a skilled leader. Unfortunately, the two do not always appear side by side, and we may encounter managers who cannot lead as well as leaders who cannot...
Fitness, nutrition, sleep, and health. These important topics are often what drove many physicians to the field of medicine in the first place. Yet, ironically, it is difficult for physicians to nurture their own physical wellness on the path to becoming healers themselves. Use this sample...
The revenue cycle is made up of numerous functions spread across several departments. The following is an introduction to the department’s essential responsibilities.
Preregistration: The patient’s demographic information and occasionally some limited health history are...
Most states recognize a hospital’s duty to exercise reasonable care in granting privileges. Although the hospital is not automatically liable for a practitioner’s negligence, it can be held liable for negligent credentialing if the determination is made that a plaintiff’s injury would not have...
The onset of COVID-19 introduced significant credentialing challenges that healthcare organizations had not faced in prior emergency/disaster situations. What was different about the pandemic?
For one, it hit a large portion of the United States all at once; for another, it has lasted...
Prescription drug monitoring programs (PDMP) are state databases that track prescriptions for controlled substances. Both prescribers and pharmacists have access to PDMPs; in fact, pharmacists are required to enter filled prescriptions into PDMPs prior to dispensing, and in some states,...
Mary Barr, CPMSM, was new to her position as director of medical affairs at St. John Medical Center. With extensive experience as an MSP, Mary initially focused her attention on the scope of credentialing and privileging of current medical staff members, advanced practice professionals, and new...
The following figure provides some examples of physician indicators of performance that apply to the ambulatory setting. The Six General Competencies adapted from the Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Medical Specialties (ABMS) joint...
Once a hospital has established which sites require practitioners to be privileged, the medical staff needs to evaluate the scope of services provided at the...
A key element that bylaws should address is the rights and due process that are to be afforded to medical staff members. This section could begin with a statement of member rights followed by an outline of initial collegial intervention and a progressive description of next steps when current...
