This table illustrates sample credentialing requirements that a health system’s various facilities and payers may hold for a general surgeon. Adapt this resource to fit your organization’s specific circumstances, and use it to educate recruiters about the qualifications candidates must possess....
Upon receipt of a completed application for membership and/or privileges, the medical staff services department (MSSD) will verify current licensure, education, relevant training, and current competence from the primary source whenever feasible, or from a credentials verification organization.
Many MSPs have questions regarding what information to keep and how long to store it. This policy outlines the requirements of documents that must be present in each medical staff credentialing and privileging file, as well as a control process for logging when those files are checked in and out...
Regulators continue to put pressure on hospitals to ensure physician competence through an effective peer review process. Medical staff leaders are charged with organizing and managing a robust approach to peer review. This policy outlines one approach to the challenge of medical staff peer...
This policy provides for the confidentiality of records maintained by the Hospital medical staff and medical staff office (MSO). This includes the minutes of all medical staff committees and all correspondence between medical staff leaders and medical staff personnel and individual members of...
In terms of workforce efficiency, the fewer tasks that are handed off, the better. It may sometimes seem smart to divvy up tasks among teams to increase efficiency. However, that practice can backfire, creating more work, more confusion, and longer turnaround times. This figure shows how to make...
For MSPs, tracking low-volumeadvanced practice practitioners (APP) seems like a balance between relying on technology and manual efforts to collect data. Use this form as a tool to augment and satisfy the APP OPPE review process, specifically in the absence of meaningful, harvestable clinical...
