Credentialing & Privileging

Credentialing & Privileging Articles by Topic: Physician Competency

Tip of the week: Use categories to delineate privileges in medical areas

  • Credentialing Resource Center Connection , Issue 33, August 19, 2010

    Categorization, sometimes referred to as categories or levels of privileges, identifies major...

Ask the expert: Why are hospitals responsible for negligent credentialing?

  • Credentialing Resource Center Connection , Issue 33, August 19, 2010

    A majority of courts in the United States have recognized expressly that a hospital has a duty to...

How much does credentialing cost?

  • Credentialing Resource Center Connection , Issue 33, August 19, 2010

    Does your medical staff services department track how much it costs to credential each individual...

Ask the expert: How should medical staffs document and retain FPPE results?

  • Credentialing Resource Center Connection , Issue 31, August 12, 2010

    Medical staffs should require proctors to complete formal documentation of their activities and...

Last few days to apply to be a 2011 CRC Symposium speaker

  • Credentialing Resource Center Connection , Issue 31, August 12, 2010

    Still working on your application to speak at the 2011 Credentialing Resource Center Symposium...

42% of physicians face medical liability claims, according to AMA study

  • Credentialing Resource Center Connection , Issue 31, August 12, 2010

    How often do you uncover a medical liability claim in the course of credentialing physicians...

Poll question: Age limits around ED call coverage

  • Credentialing Resource Center Connection , Issue 31, August 5, 2010

    Do you have age or age related limits around ED call coverage? Take the poll on the...

What makes a medical witness an expert in the court’s eye

  • Credentialing Resource Center Connection , Issue 31, August 5, 2010

    Although the Supreme Court of Missouri ruled that practitioners from different specialties can...

Featured blog post: Physicians will report impaired peers, in theory

  • Credentialing Resource Center Connection , Issue 29, July 22, 2010

    Physicians support the idea of reporting their impaired peers to the appropriate authorities, but...

Featured blog post: Have your practitioners participated in a practitioner reentry program?

  • Credentialing Resource Center Connection , Issue 27, July 8, 2010

    Occasionally, practitioners need additional education in a formal setting in order to meet...

CRC Platinum subscribers exclusive content: Download 20 updated core privilege forms

  • Credentialing Resource Center Connection , Issue 26, July 1, 2010

    The benefits of having a Platinum level subscription to the Credentialing Resource Center include...

Tip of the week: Manage poor practitioner performance on an ongoing basis, not just at reappointment

  • Credentialing Resource Center Connection , Issue 24, June 17, 2010

    If a feedback report shows that a practitioner isn’t meeting performance expectations and the...

Poll results: Has your medical staff ever held a meeting to resolve a privilege dispute?

  • Credentialing Resource Center Connection , Issue 24, June 17, 2010

    Last week we asked readers: Has your medical staff ever held a meeting to resolve a privilege...

Featured blog post: Poll question: Has your medical staff ever held a meeting to resolve a privileging dispute?

  • Credentialing Resource Center Connection , Issue 23, June 10, 2010

    We want to know if your medical staff ever held a meeting to resolve a privileging dispute. Take...

Featured blog post: Greeley Medical Staff Institute Symposium - have you signed up yet?

  • Credentialing Resource Center Connection , Issue 20, May 20, 2010

    Looking for more tips on OPPE, employed physician contracts, and ED coverage? Look no further than...

VA’s response to OIG reports: limit surgeries at some centers

  • Credentialing Resource Center Connection , Issue 19, May 13, 2010

    The Department of Veterans Affairs (VA) implemented three different levels of surgical care that...

Featured blog post: CRC Symposium photo slideshow

  • Credentialing Resource Center Connection , Issue 19, May 13, 2010

    Thank you to everyone who helped make our 13th Annual Credentialing Resource Center Symposium a...

When extending FPPE becomes reportable

  • Credentialing Resource Center Connection , Issue 18, May 4, 2010

    In this week’s column, Anne Roberts, CPMSM, CPCS, discusses the scenarios when extended FPPE...

Briefings on Credentialing, May 2010

  • Credentialing Resource Center, Issue 5, May 1, 2010

    Briefings on Credentialing, May 2010

Dos and don’ts for credentialing and assessing locum tenens providers

  • Credentialing and Peer Review Legal Insider, Issue 5, May 1, 2010

    As the physician shortage increases, locum tenens physicians often are the saving grace of...

Poll results: Most medical staffs take behavioral evaluations as seriously as clinical evaluations

  • Credentialing Resource Center Connection , Issue 15, April 15, 2010

    Last week, we asked readers, “How does your medical staff tend to deal with practitioners...

Ask the expert: Can an ambulatory care facility delegate credentialing?

  • Credentialing Resource Center Connection , Issue 14, April 8, 2010

    If the ambulatory care facility (ACF) is affiliated with a hospital or health system network, it...

Poll: Managing good clinicians with behavioral problems

  • Credentialing Resource Center Connection , Issue 14, April 8, 2010

    It can be challenging for medical staffs to address issues that don’t have clear, black and...

April contest winner: Sample exit reference tool

  • Credentialing Resource Center Connection , Issue 14, April 8, 2010

    Congratulations to Becky J. Peitz RN, CPCS, CPMSM, our April contest winner! Her sample exit...

Don’t forget to ask "Why?"

  • Credentialing Resource Center Connection , Issue 13, April 1, 2010

    In this week’s column, Emily Berry, associate editor, reminds MSPs to ask what the medical...

Briefings on Credentialing, April 2010

  • Credentialing Resource Center, Issue 4, April 1, 2010

    Briefings on Credentialing, April 2010

Tip of the week: Learn residency key words to help with verification requests

  • Credentialing Resource Center Connection , Issue 12, March 25, 2010

    The following are helpful vocabulary words to know to ensure your verification requests collect the...

Ask the expert: How should the medical staff respond to unfavorable recommendations from the board about an applicant?

  • Credentialing Resource Center Connection , Issue 12, March 25, 2010

    If the final recommendation from the board is unfavorable to the applicant, the organization should...

Survey: What's your privileging process like?

  • Credentialing Resource Center Connection , Issue 10, March 18, 2010

    We’ve got 6 quick questions to ask you if you’ve got a few seconds to take our survey...

Don't forget to enter to win free admission to the CRC Symposium!

  • Credentialing Resource Center Connection , Issue 10, March 11, 2010

    Are you feeling lucky? Vegas lucky? Then enter our contest to win free admission to the...

OPPE: The who, what, where, and when

  • Credentialing Resource Center Connection , Issue 10, March 11, 2010

    In this week’s column, Anne R. Buss, CPMSM, CPCS, advises readers how to simplify the OPPE...

Featured blog post: New simulation training for robotic-assisted surgeons

  • Credentialing Resource Center Connection , Issue 9, March 4, 2010

    Most surgeons who perform robotic-assisted surgeries using the da Vinci™ robotic surgical...

From the archives: Ensuring data integrity is essential

  • Credentialing Resource Center Connection , Issue 9, March 4, 2010

    As many organizations continue to struggle with the integrity of physician activity data, I wanted...

Credentialing & Peer Review Legal Insider March 2010

  • Credentialing and Peer Review Legal Insider, Issue 3, March 1, 2010

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Poll Results: 43% not very confident NPDB contains up-to-date information

  • Credentialing Resource Center Connection , Issue 8, February 25, 2010

    Last week’s poll question asked “How confident are you that the NPDB contains up to...

Poll Question: How confident are you that the NPDB contains up-to-date information?

  • Credentialing Resource Center Connection , Issue 7, February 18, 2010

    In light of Section 1921 updates, a recent newspaper article took a closer look at practitioner...

Featured blog post: American Psychiatric Association updates diagnosis manual, should your privileging forms follow?

  • Credentialing Resource Center Connection , Issue 6, February 11, 2010

    The American Psychiatric Association released a draft update of its manual used to diagnose and...

Ask the expert: What are CMS’s board certification requirements for initial credentialing?

  • Credentialing Resource Center Connection , Issue 6, February 11, 2010

    CMS standards do not specifically mention board certification. Nor is this criterion included in...

Tasting the alphabet soup of proctoring requirements

  • Credentialing Resource Center Connection , Issue 6, February 11, 2010

    In this week’s column, Anne R. Buss, CPMSM, CPCS, discusses the complexities of FPPE and...

Enter to win a free registration to the 2010 Credentialing Resource Center Symposium

  • Credentialing Resource Center Connection , Issue 4, February 4, 2010

    Each month, we will give away one free registration to the upcoming Credentialing Resource Center...

Doctor who covered up wrong-site surgery is back on the job

  • Credentialing Resource Center Connection , Issue 5, February 4, 2010

    The New Jersey Board of Medical Examiners found Santusht Perera, MD guilty of wrong-site surgery at...

Credentialing & Peer Review Legal Insider February 2010

  • Credentialing and Peer Review Legal Insider, Issue 2, February 1, 2010

    The latest how-to techniques, and practical working tools to help you credential and conduct peer...

Featured blog post: Implementation of NPDB’s Section 1921

  • Credentialing Resource Center Connection , Issue 4, January 27, 2010

    The National Practitioner Data Bank (NPDB) issued a press release earlier this week about the...

Keeping practitioners cool during high-pressure meetings

  • Credentialing Resource Center, Issue 2, January 22, 2010

    MSPs can help alert medical staff leaders to a potential security risk by telling them about a...

Know your role in testing, treating, and recredentialing practitioners

  • Credentialing Resource Center, Issue 2, January 22, 2010

    Although MSPs may not have the largest role to play in a practitioner’s road to recovery...

Featured blog post: Physician health programs offer high success rate for impaired practitioners

  • Credentialing Resource Center Connection , Issue 3, January 21, 2010

    If you’ve helped arrange treatment for a practitioner with substance abuse problems, chances...

Learning lessons continue in Marion VA case

  • Credentialing Resource Center Connection , Issue 2, January 14, 2010

    In this week’s column, Emily Berry, associate editor, revisits the lessons learned in the...

California orders 104 drug tests per year for some doctors

  • Credentialing Resource Center Connection , Issue 1, January 7, 2010

    Although a recent poll showed most Credentialing Resource Center Connection readers don’t...

Featured blog post: Delaware simulation center offers variety of training experiences

  • Credentialing Resource Center Connection , Issue 1, January 7, 2010

    Christiana Care Health System's VEST Center is one of the latest medical simulation center to open...

Training and proctoring advance practice professionals

  • Credentialing Resource Center, Issue 1, January 1, 2010

    Medical staffs should determine the criteria for APP privileges prior to accepting applications so...

Credentialing & Peer Review Legal Insider, January 2010

  • Credentialing and Peer Review Legal Insider, Issue 1, January 1, 2010

    The latest how-to techniques, and practical working tools to help you credential and conduct peer...

Ask the expert: What are some examples of prospective proctoring that can be used during focused professional practice evaluations?

  • Credentialing Resource Center Connection , Issue 48, December 17, 2009

    There are several types of prospective proctoring. The prospective proctoring for cognitive...

Free form Friday: Table outlining the FPPE process

  • Credentialing Resource Center Connection , Issue 46, December 3, 2009

    Many medical staffs, from hospitals small and large, struggle to implement a solid proctoring...

Acting on negative peer or clinical evaluations

  • Credentialing Resource Center Connection , Issue 46, December 3, 2009

    In this week’s column, Anne Roberts, CPMSM, CPCS, discusses what happens when a department...

How to navigate National Practitioner Data Bank reports effectively: Legal experts offer tips for medical staffs and practitioners

  • Credentialing and Peer Review Legal Insider, Issue 11, November 1, 2009

    Nothing grabs a credentials committee’s attention like a National Practitioner Data Bank...

Credentialing & Peer Review Legal Insider, November 2009

  • Credentialing and Peer Review Legal Insider, Issue 11, November 1, 2009

    The latest 'how-to' techniques, and practical 'working tools' to help you credential and conduct...

Ask the expert: How did the new specialty certification for child abuse pediatrics evolve?

  • Credentialing Resource Center Connection , Issue 43, October 29, 2009

    Have you ever wondered exactly how specialty boards develop new certifications? The evolution...

Editor's pick: FPPE and OPPE are privilege-specific

  • Credentialing Resource Center Connection , Issue 42, October 22, 2009

    FPPE and OPPE requirements raise the bar for anyone involved in privileging. The Joint Commission...

Physician with long history of misconduct finally caught by authorities

  • Credentialing Resource Center Connection , Issue 42, October 22, 2009

    Despite being fired from three hospitals, Michael Roy Sharpe, MD, was never disciplined by a state...

Poll question: What new Clinical Privilege White Papers do you need?

  • Credentialing Resource Center Connection , Issue 42, October 22, 2009

    Thanks to those of you who took our poll in August! We have papers underway for the two procedures...

Editor’s pick: What’s your credentialing software missing?

  • Credentialing Resource Center Connection , Issue 41, October 15, 2009

    If your medical staff office’s existing credentialing software helps you create and generate...

Stand firm on clinical competency criteria

  • Credentialing Resource Center, Issue 10, October 1, 2009

    Establishing criteria for current clinical competency for physicians is the medical staff’s...

Editor’s pick: Credentialing Resource Center Symposium Speaker Application

  • Credentialing Resource Center Connection , Issue 39, October 1, 2009

    Calling all medical staff professionals and medical staff leaders: Have you mastered your...

Featured blog post: The aging physician: Balancing safety, respect, and dignity

  • Credentialing Resource Center Connection , Issue 39, October 1, 2009

    Our older colleagues deserve to be treated with dignity. The best approach does so while enabling...

Editor's pick: Credentialing Resource Center Symposium Speaker Application

  • Credentialing Resource Center Connection , Issue 38, September 24, 2009

    Calling all medical staff professionals and medical staff leaders: Have you mastered your...

State medical board will hear unprofessional charges against OB-GYN

  • Credentialing Resource Center Connection , Issue 38, September 24, 2009

    Some state medical boards keep their practitioner investigations confidential, and the public only...

The debate continues: Nurses who reported physician to the Texas Medical Board file federal appeal

  • Credentialing Resource Center Connection , Issue 36, September 10, 2009

    While the motion to dismiss criminal charges against two nurses who reported a physician to the...

Georgetown University sued over defamatory NPDB entry

  • Credentialing Resource Center Connection , Issue 35, September 3, 2009

    Carlos F. Gomez, MD brought charges against Georgetown University because of its National...

Featured blog post: Clinical Privilege White Papers poll

  • Credentialing Resource Center Connection , Issue 34, August 27, 2009

    We’re updating several of our Clinical Privilege White Papers and want to hear from you which...

Tip of the week: Present reappointment applicant’s quality file to department chief for review

  • Credentialing Resource Center Connection , Issue 32, August 13, 2009

    MSPs should present the practitioner’s updated quality file to the department chief at the...

MA Supreme Court rules state medical board can access peer review information

  • Credentialing Resource Center Connection , Issue 32, August 13, 2009

    The Massachusetts Board of Registration in Medicine can access confidential peer review information...

Ask the expert: Does DNV approve core privileging?

  • Credentialing Resource Center Connection , Issue 31, August 6, 2009

    Yes. Core privileges are specifically mentioned as an appropriate privileging option in the...

Malpractice trial focuses on physician with temporary privileges

  • Credentialing Resource Center Connection , Issue 31, August 6, 2009

    The malpractice trial began yesterday for John Christian Gunn, MD whose patient Herberta...

CP+ demonstration

  • Credentialing Resource Center Connection , Issue 30, July 30, 2009

    Managing criteria-based privileges is a complex task. Consider a software add-on that will help you...

Questions about Low-Volume/No-Volume Practitioners?

  • Credentialing Resource Center Connection , Issue 28, July 16, 2009

    Credentialing Resource Center subscribers can access a new special report, Low-Volume/No-Volume...

Tip of the week: Affiliation letter safeguards allow you to disclose more information

  • Credentialing Resource Center Connection , Issue 23, June 11, 2009

    “If there is a reason why a disclosing party does not want to provide information [in a...

Poll results: Has your department reported a practitioner to the NPDB?

  • Credentialing Resource Center Connection , Issue 22, June 4, 2009

    Last week, we wrote about a new study that claims that hospitals are not reporting practitioners to...

Editor's pick: What's your credentialing software missing?

  • Credentialing Resource Center Connection , Issue 22, June 4, 2009

    If your medical staff office’s existing credentialing software helps you create and generate...

Featured blog post: Hospitals not reporting to NPDB, study claims

  • Credentialing Resource Center Connection , Issue 21, May 28, 2009

    Hospitals are not reporting practitioners to the National Practitioner Data Bank (NPDB) as often as...

Tip of the week: FPPE is privilege-specific

  • Credentialing Resource Center Connection , Issue 21, May 28, 2009

    Register for a live free Webex demonstration of Core Privilege Plus on Tuesday, June 9 at 1:00 ET...

Featured blog post: CRC Symposium photo slideshow

  • Credentialing Resource Center Connection , Issue 20, May 21, 2009

    Our 12th annual Credentialing Resource Center Symposium may be finished, but the lessons learned...

Featured blog post: How are you spending your CRC Symposium downtime?

  • Credentialing Resource Center Connection , Issue 19, May 8, 2009

    This week’s poll question is a Credentialing Resource Center Symposium exclusive. We want to...

Avoid negligence lawsuits involving low-volume practitioners

  • Credentialing and Peer Review Legal Insider, Issue 5, May 1, 2009

    The growing low- and no-volume practitioner trend presents challenges for credentialing...

Poll results: Work gap verifications

  • Credentialing Resource Center Connection , Issue 17, April 30, 2009

    The results are in from last week’s poll. We asked readers what work gap length does your...

Privilege suspension, arrest for anesthesiologist accused of steroid trafficking

  • Credentialing Resource Center Connection , Issue 16, April 23, 2009

    A Tulsa, OK anesthesiologist was arrested last week on complaints of possession of anabolic...

Featured blog post: Take our work gap verifications poll

  • Credentialing Resource Center Connection , Issue 16, April 23, 2009

    Most organizations require practitioners to provide a written statement explaining gaps in work...

CP+ Webex demonstration 4/21

  • Credentialing Resource Center Connection , Issue 14, April 9, 2009

    Many medical staff services departments are challenged to redesign clinical privileges in all...

Editor’s pick: Win free registration to the upcoming CRC Symposium

  • Credentialing Resource Center Connection , Issue 14, April 9, 2009

    We know budgets are tight. So, in an effort to make this year’s CRC Symposium in Las Vegas...

Retired physician re-entering the medical staff

  • Credentialing Resource Center Connection , Issue 12, March 19, 2009

    In this week's column, Anne R. Buss, CPMSM, CPCS, explains a curious situation that has...

Most state medical boards don’t track inactive physicians, according to new study

  • Credentialing Resource Center Connection , Issue 9, February 26, 2009

    The majority of state medical boards allow physicians to renew their licenses independent of their...

Tip of the week: Best sources for verifying nursing home affiliations

  • Credentialing Resource Center Connection , Issue 9, February 26, 2009

    Many practitioners have longstanding affiliations with nursing homes, but nursing homes rarely have...

What’s the best way to rollout new privileges?

  • Credentialing Resource Center Connection , Issue 9, February 26, 2009

    In this week’s column, Maureen Coler, Executive Editor, identifies three main ways hospitals...

Ask the expert: How can I define professionalism in medical staff policies?

  • Credentialing Resource Center Connection , Issue 6, February 5, 2009

    The following is a good definition of professionalism: Practitioners are expected to demonstrate...

There's a time and place for expedited credentialing

  • Credentialing Resource Center Connection , Issue 6, February 5, 2009

    In this week’s column, Anne Roberts, CPMSM, CPCS outlines the Joint Commission’s...

Tip of the week: Create a group to evaluate, streamline competency reports

  • Credentialing Resource Center Connection , Issue 5, January 29, 2009

    When considering a change to the format of your physician competency feedback report, assemble a...

Recent court rulings

  • Credentialing and Peer Review Legal Insider, Issue 1, January 1, 2009

    A Georgia appeals court has overturned a lower court’s grant of access to some materials in...

Tip of the week: An easy equation for measuring competency

  • Credentialing Resource Center Connection , Issue 43, November 13, 2008

    Developing competency measurements—either for a new practitioner or during...

Focused Professional Practice Evaluations - Update

  • Credentialing Resource Center Connection , Issue 38, October 9, 2008

    Anne Roberts, CPMSM, CPCS, is the director of medical affairs at Children’s Medical Center of...

Credentialing & Peer Review Legal Insider October 2008

  • Credentialing and Peer Review Legal Insider, Issue 10, October 1, 2008

    Inside: Effective leadership training prevents lawsuits, ensures regulatory compliance Improve...

Ongoing Professional Practice Evaluations - Update

  • Credentialing Resource Center Connection , Issue 36, September 25, 2008

    Anne Roberts, CPMSM, CPCS, is the director of medical affairs at Children’s Medical Center of...

Editor's Pick: Free Core Privileging Plus demo at NAMSS conference

  • Credentialing Resource Center Connection , Issue 35, September 18, 2008

    Planning to attend the NAMSS conference on October 13-15 and need to purchase a new or improved...

Court affirms hospital arbitrarily denied physician's privileges

  • Credentialing & Verification Update, Issue 22, September 8, 2008

    A California appeals court affirmed a trial court's ruling that a hospital unfairly terminated a...