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Credentialing exists to protect patients

Credentialing Resource Center Connection, October 19, 2006

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Given the complex dynamics of the structure of medical staffs large and small, the acceptance of one simple principle-"Credentialing exists to protect patients"-is sure to create a common goal for both the medical staff and management of the organization.  To the patient, this statement would seem to be the only goal.  However, to those of us aware of the complexities of medical staff organizations and the difficulties faced by senior management, this simple statement is an expectation that at times is increasingly more difficult to meet.  

Among the myriad of issues facing the safe delivery of healthcare:  

* Economics of survival, for the facility as well as the practitioner. In an increasingly competitive environment, competition comes not only from other organizations, but also from other medical staff members

* Decisions influenced by a political agenda rather than patient care

* Continuous scrutiny by regulators and accrediting agencies, and the cost of adherence to requirements that appear not to enhance patient care

* Rising expectations of the patient, especially as Baby Boomers become even greater consumers of healthcare services  

These issues are only a few of the factors that influence recommendations and decisions of medical staff leaders.  Perhaps a lesson from Vince Lombardi, the esteemed coach of the Green Back Packers (it is football season, after all), may provide some guidance for all.  At the beginning of each season, Vince would assemble his team and begin with the basics, starting with:  "This is a football."  

Perhaps reminding ourselves of, and committing to, the goal that "credentialing exists to protect patients" will simplify what appears to be a complex issue or decision. Effective medical staff leaders, senior management, and medical staff professionals all have the opportunity to return to the basics through reiterating this goal, perhaps as a goal statement on credentials committee or medical executive committee agendas, by a verbal reminder strategically said during a weighty discussion, or by being a consistent patient advocate.

It is through this focus that we will protect the patient and improve quality of care.

All the best,

Carol Cairns, CPMSM, CPCS

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