Medical Staff

Medical Staff Articles by Topic: Physician Competency

Does your organization have a utilization management ­committee?

  • Medical Staff Briefing, Issue 11, November 1, 2013

    Did you know that, hidden away in the CMS Conditions of ­Participation (CoP), there is an...

Meaningful innovation: Moving past the ­buzzword

  • Medical Staff Briefing, Issue 11, November 1, 2013

    Innovation is a favorite buzzword in healthcare. There are any number of vendors and consultants...

Does your FPPE process address the growing numbers of AHPs applying to your facility?

  • Medical Staff Briefing, Issue 11, November 1, 2013

     The aging of both the current healthcare workforce and the population in general, coupled...

Leadership equation: 7C + 1 = success

  • Medical Staff Briefing, Issue 11, November 1, 2013

    Last month in our series, we explored the fundamentals of increasing communication.

Medical Staff Briefing, November 2013

  • Medical Staff Briefing, Issue 11, November 1, 2013

    Medical Staff Briefing, November 2013

Tip of the week: Don’t underestimate the power of zero

  • Medical Staff Leader Insider, Issue 33, August 25, 2011

    Medical staffs might wonder what to do when the number zero shows up on a physician’s ongoing...

Is there a threshold for incompetence?

  • Medical Staff Leader Insider, Issue 32, August 18, 2011

    The first three weeks of each month, this weekly column from The Greeley Company will address...

Tip of the week: Understanding indicator data sources

  • Medical Staff Leader Insider, Issue 32, August 11, 2011

    There are four main sources of the data: administrative data, clinically documented and coded...

Why M&M conferences are not peer review

  • Medical Staff Leader Insider, Issue 31, August 4, 2011

    The first three weeks of each month, this weekly column from The Greeley Company will address...

Knowing when to pull the plug on a disruptive physician

  • Medical Staff Leader Insider, Issue 12, March 24, 2011

    The first three weeks of each month, this weekly column from The Greeley Company will address...

Tip of the week: How to conduct a performance appraisal

  • Hospitalist Leadership Connection, Issue 9, March 1, 2011

    Ideally, performance feedback should be a positive experience that brings out the best in both the...

Common sense credentialing

  • Medical Staff Leader Insider, Issue 8, February 24, 2011

    The first three weeks of each month, this weekly column from The Greeley Company will address...

Five essential tips for being a better proctor today

  • Medical Staff Briefing, Issue 1, January 1, 2011

    Physicians are no strangers to concurrent proctoring. At some point in his or her career, every...

Criteria-based privileging system: Matching privileges to competence

  • Medical Staff Leader Insider, Issue 39, September 30, 2010

    This weekly column from The Greeley Company addresses current issues in peer review, bylaws and...

E-mail and peer review: Another urban myth?

  • Medical Staff Leader Insider, Issue 31, August 5, 2010

    This weekly column from The Greeley Company addresses current issues in peer review, bylaws and...

Featured blog post: Incident report or educational opportunity?

  • Medical Staff Leader Insider, Issue 29, July 22, 2010

    As the medical affairs office at Children’s Medical Center in Dallas reviewed incident...

Tip of the week: Keep a written log of physician performance

  • Medical Staff Leader Insider, Issue 27, July 8, 2010

    An individual responsible for managing physician employees should keep an ongoing log to track each...

Ask the expert: How should we start designing a physician competency feedback report?

  • Medical Staff Leader Insider, Issue 13, April 1, 2010

    The most critical issue on physician’s minds when it comes to competency data is how the...

Call ’em like you see ’em: Should physicians be allowed to appeal case reviews?

  • Medical Staff Leader Insider, Issue 9, March 4, 2010

    This weekly column from The Greeley Company addresses current issues in peer review, bylaws and...

How to credential pediatricians based on the ABP's new maintenance of certification policy

  • Medical Staff Leader Insider, Issue 7, February 18, 2010

    This weekly column from The Greeley Company addresses current issues in peer review, bylaws and...

Ask the expert: What are best practices for conducting retrospective FPPE?

  • Medical Staff Leader Insider, Issue 48, December 2, 2009

    Standardize the case review method and scoring system to remove bias and make evaluation reports...

The Joint Commission introduces MS.03.01.01: A tougher telemedicine standard, but only for some

  • Medical Staff Leader Insider, Issue 42, October 14, 2009

    The first three weeks of each month, this weekly column from The Greeley Company will address...

Lessons learned: VA quality concerns trigger hospitals to polish peer review practices

  • Medical Staff Briefing, Issue 10, October 1, 2009

    If you read news reports of the troubled brachytherapy program at the Philadelphia VA Medical...

Ask the expert: What tools are available to help an organization obtain and use perception data to evaluate physician competency?

  • Medical Staff Leader Insider, Issue 40, September 30, 2009

    Perception data differ from clinical data in that it is based on how others view our performance in...

Peer review monthly: Board certification and peer review

  • Medical Staff Leader Insider, Issue 40, September 30, 2009

    The first three weeks of each month, this weekly column from The Greeley Company will address...

Most hospitals allow physicians to hold privileges without board certification

  • Hospitalist Leadership Connection, Issue 39, September 29, 2009

    Eighty-two percent of all hospitals whose policies require recertification allow surgeons and...

Ask the expert: Should we address aging practitioners in our bylaws?

  • Medical Staff Leader Insider, Issue 39, September 23, 2009

    At the age of 65, practitioners shall complete an annual examination that addresses their physical...

The aging physician: Balancing safety, respect, and dignity

  • Medical Staff Leader Insider, Issue 39, September 23, 2009

    The first three weeks of each month, this weekly column from The Greeley Company will address...

Tip of the week: Prepare a list of FAQs before distributing physician competency reports for the first time

  • Medical Staff Leader Insider, Issue 36, September 2, 2009

    Putting together a list of frequently asked questions (FAQ) is a useful change management strategy...

Peer Review Monthly: The case of the delayed C-section-Individual vs. system issues in peer review

  • Medical Staff Leader Insider, Issue 36, September 2, 2009

    The first three weeks of each month, this weekly column from The Greeley Company will address...

Special report: Integrating PAs and NPs into hospitalist practice

  • Medical Staff Briefing, Issue 8, August 1, 2009

    Although increased medical school enrollment will help meet future healthcare needs, several...

The changing face of CME: Creating accountability and measuring improvement

  • Medical Staff Briefing, Issue 8, August 1, 2009

    The good old days when physicians could take a tax-deductible vacation disguised as continuing...

Special report: Despite barriers, more inactive physicians seek to reenter work force

  • Medical Staff Briefing, Issue 8, August 1, 2009

    The Association of American Medical Colleges has recommended a 30% increase in total medical school...

Tip of the week: Keep physicians informed of re-entry policy changes

  • Medical Staff Leader Insider, Issue 31, July 29, 2009

    Medical staffs seldom have a policy in place to guide the re-entry process for physicians who have...

Find data to assess the competency of APPs

  • Medical Staff Briefing, Issue 7, July 1, 2009

    Measuring the competence of advanced practice professionals, such as nurse practitioners and...

Credentialing and privileging monthly: Alien invasion or attack of the skeptics?

  • Medical Staff Leader Insider, Issue 24, June 17, 2009

    The first three weeks of each month, this weekly column from The Greeley Company will address...

In the news: Hospitals not reporting practitioners to NPDB

  • Medical Staff Leader Insider, Issue 22, June 3, 2009

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

Evolving physician practices create challenges for state licensing boards

  • Medical Staff Briefing, Issue 6, June 1, 2009

    A report published in the February Pediatrics, reveals that only 34% of state licensing boards...

Ask the expert: When credentialing physicians, how many malpractice suits are too many?

  • Medical Staff Leader Insider, Issue 20, May 20, 2009

    I don’t know that there’s a number that would take care of each and every concern that...

Credentialing & privileging column: Write now or forever hold your peace

  • Medical Staff Leader Insider, Issue 20, May 20, 2009

    Communicating reference information about physicians has always been a challenge for medical staff...

Ask the expert: Our medical staff received a clean application that is just waiting for the medical executive committee and the board to review. Can we grant this physician temporary privileges?

  • Medical Staff Leader Insider, Issue 19, May 13, 2009

    Temporary privileges may be granted for up to 120 calendar days when a practitioner applying for...

Tip of the week: Distribute physician feedback reports every six months

  • Medical Staff Leader Insider, Issue 18, May 6, 2009

    The most practical approach is to distribute feedback reports every six months. This provides...

Featured column: Tips for using outside peer reviewers

  • Medical Staff Leader Insider, Issue 17, April 29, 2009

    Medical staff leaders are often daunted at the prospect of engaging and paying outside peer...

Featured column: Credentialing and car care: Pay me now or pay me later

  • Medical Staff Leader Insider, Issue 15, April 15, 2009

    Fram, an after-market automotive parts manufacturer, once made a car care commercial that made this...

Ask the expert: What policies should I have in place for clinical observers?

  • Medical Staff Leader Insider, Issue 14, April 8, 2009

    Clinical observers are a category of practitioners that organizations tend to overlook. It is...

Ask the expert: Do managed care organizations require that practitioners with whom they contract hold clinical privileges or membership at an accredited hospital?

  • Medical Staff Leader Insider, Issue 13, April 1, 2009

    Today, many MCOs do not require practitioners to hold clinical privileges or be on the medical...

Peer Review Monthly: How are George Foreman and The Joint Commission alike?

  • Medical Staff Leader Insider, Issue 13, April 1, 2009

    Many people are not aware that former heavy-weight boxing champion George Foreman has 10...

Editor's pick: Free medical staff policy: Placing the burden on the applicant

  • Medical Staff Leader Insider, Issue 12, March 25, 2009

    Your medical staff should have a policy that places the burden on the applicant to prove his or her...

Ask the expert: Does probation involve restricting physician's privileges?

  • Medical Staff Leader Insider, Issue 11, March 18, 2009

    Do you get confused between a sanction and probation? Reprimand and warning? Greeley expert...

Medical groups are helping physicians delay retirement, says AMGA

  • Medical Staff Leader Insider, Issue 11, March 18, 2009

    More medical groups are offering part-time schedules or decreased responsibilities to keep veteran...

Peer Review Monthly: No data is useful data

  • Medical Staff Leader Insider, Issue 6, February 11, 2009

    When defining indicators to measure physician competence, medical staffs have stumbled on the...

Tip of the week: Don't expedite the credentialing procedure for red-flag applicants

  • Medical Staff Leader Insider, Issue 5, February 4, 2009

    Once the medical staff services department receives a completed application from a physician and...

Physicians still recovering from Katrina

  • Medical Staff Leader Insider, Issue 5, February 4, 2009

    Dr. Anna Pou, who stayed with her patients at Memorial Medical Center in New Orleans for several...

Ask the expert: What would you consider or define as a privilege restriction and who can or should be able to impose such a restriction?

  • Medical Staff Leader Insider, Issue 4, January 28, 2009

    Whether a decision is considered a "restriction" is sometimes in the eye of the beholder...

Managing the Disruptive Physician Part 1: Why is managing disruption so important?

  • Medical Staff Leader Insider, Issue 4, January 28, 2009

    This five-part series, authored by Jonathan Burroughs, MD, MBA, CMSL, senior consultant with The...

Ask the expert: When a physician requests a fair hearing, how long does the medical staff have to react?

  • Medical Staff Leader Insider, Issue 3, January 21, 2009

    Under the Health Care Quality Improvement Act, if a physician requests a hearing, he or she must be...

Ask the expert: Should physicians get paid to do routine proctoring? If so, does the hospital, the individual being proctored, or the medical staff organization foot the bill?

  • Medical Staff Leader Insider, Issue 2, January 14, 2009

    When the Joint Commission introduced focused professional practice evaluation (FPPE), it greatly...

Helping physicians see FPPE as a tool, not a weapon

  • Medical Staff Leader Insider, Issue 2, January 14, 2009

    In 2007, The Joint Commission gave hospital medical staffs a gift: a framework to measure quality...

Ask the expert: If the medical executive committee decides it needs to investigate a physician's conduct or competence, who should conduct this investigation?

  • Medical Staff Leader Insider, Issue 1, January 7, 2009

    It is often most practical for the medical executive committee to assign the duty of...

Peer Review Monthly: Peer review and the culture of safety

  • Medical Staff Leader Insider, Issue 1, January 7, 2009

    With the 2009 Joint Commission leadership standards calling for organizations to create a culture...

Ask the expert: When should the medical staff consider external peer review?

  • Medical Staff Leader Insider, Issue 48, December 17, 2008

    External peer review isn’t appropriate for all situations,  but at times, it can be the...

Peer Review Monthly: The M&M model is no substitute for peer review

  • Medical Staff Leader Insider, Issue 47, December 10, 2008

    Robert Marder, MD, CMSL, vice president of The Greeley Company, shares why M&M conferences are...

Tip of the week: Define physician competency measures

  • Medical Staff Leader Insider, Issue 44, November 12, 2008

    When defining physician competency measures, make sure physicians are involved. Afterall, if...

Ask the expert: Is peer review of individual cases considered perception data?

  • Medical Staff Leader Insider, Issue 44, November 12, 2008

    Although peer review may seem like it would be considered perception data, our experts say...

Peer Review Monthly: What should you call your peer review committee?

  • Medical Staff Leader Insider, Issue 44, November 12, 2008

    Robert Marder, MD, CMSL, vice president of The Greeley Company, a division of HCPro, Inc., in...

Ask the expert: What is an automatic suspension or relinquishment?

  • Medical Staff Leader Insider, Issue 43, November 5, 2008

    Last week, we defined and described the purpose of a precautionary suspension. This week, we...

13 tips to protect your peer review data and streamline your processes

  • Medical Staff Briefing, Issue 11, November 1, 2008

    If the Florida Supreme Court’s March decision to make all physician peer review information...

Ask the expert: What is a precautionary suspension?

  • Medical Staff Leader Insider, Issue 42, October 29, 2008

    Many hospitals have adopted the term precautionary suspension to better reflect the nature of a...

Sounding the alarm on disruptive behavior to meet Joint Commission standards

  • Medical Staff Briefing, Issue 10, October 10, 2008

    We all know that disruptive physician behavior creates a hostile work environment, but now there's...

Peer Review Monthly: Why is peer review hard to do?

  • Medical Staff Leader Insider, Issue 39, October 8, 2008

    Robert Marder, MD, CMSL, vice president of The Greeley Company, a division of HCPro, Inc. in...

Measuring the six core competencies to comply with FPPE and OPPE requirements

  • Medical Staff Briefing, Issue 10, October 1, 2008

    Editor's note: This article is the last in our series aimed at providing medical staffs with...

Peer Review Monthly: Case studies in peer review

  • Medical Staff Leader Insider, Issue 36, September 10, 2008

    Robert Marder, MD, CMSL, shares a case study from a new book he co-authored with Jonathan H...

Competency of the month: Measuring systems-based practice

  • Medical Staff Briefing, Issue 9, September 1, 2008

    Editor's note: In the August MSB, we saw how the University of Pennsylvania Health System assesses...

Practice makes perfect: Physician refresher/re-entry courses

  • Medical Staff Briefing, Issue 9, September 1, 2008

    A long-standing cardiologist on the medical staff hasn't been performing up to par. The chair of...

Post-Kadlec best practices

  • Medical Staff Briefing, Issue 9, September 1, 2008

    The recent Kadlec decision has medical staff offices (MSO) nationwide wondering how to prevent a...