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Credentialing & Privileging

Credentialing & Privileging

Medical staff services professionals turn to HCPro, Inc., and its sister company, The Greeley Company, for practical advice, training resources, breaking news, and sample tools to help improve credentialing, privileging, and a wide array of medical staff services concerns, including compliance with The Joint Commission and other accreditors and regulators.

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  • Updating your bylaws

    You medical staff governance documents may fail to provide clear guidance, be noncompliant with accreditation standards, or create liability for your hospital if they are inadequate for today’s care environment. During the webcast Medical Staff Governance Documents: The Increasing Importance of Contemporary Bylaws, Todd Sagin, MD, JD, offered best practices for contemporary medical staff bylaws and guidance on how to best address hot-button issues that create liability or controversy for medical staffs. Sagin also took questions from the audience. Read more.

  • Completion of history and physical examination bylaws language

    This week in CRC Daily, focuses on bylaws. Today’s excerpt from The Guide to Medical Staff Bylaws addresses the Centers for Medicare & Medicaid Services’ requirement that medical staff bylaws address who can perform the history and physical examination and in what time frame the history and physical exam must be completed. The Joint Commission also adopted this requirement in 2009. The following is sample bylaws language that addresses the completion of history and physical examination. Read more.

  • OPPE for physicians with no data

    This week’s tip comes from Credentialing A to Z. OPPE isn’t without its difficulties and having a physician with no activity in your facility is one of them. You are required to collect data for evaluation of all privileged providers so what can you do? Is it acceptable to use data from another hospital for evaluation in your OPPE process? Read more.

  • The quality management department's role in peer review

    Why do so many organizations struggle with peer review? During the recent webcast, “Peer Review: Seven Challenges and Realistic Solutions,” which is now available on-demand, speakers Robert J. Marder, MD, and Mark Smith, MD, MBA, FACS, dissected major issues that plague the peer review process. They also answered peer review questions from the audience regarding data collection, peer review committee meetings, and process improvement. Read on to see their response to a question about the role of the quality management department. Read more.

  • Patient safety work product privilege at center of possible Supreme Court case

    Hospitals and patient safety organizations (PSO) across the country are eagerly awaiting to see if the U.S. Supreme Court will hear a case that address the question of the scope of privilege and confidentiality protections afforded under the federal law to reports, analyses, and studies relating to a hospital's patient safety activities, which are collected within its patient safety evaluation system and reported to a PSO. The other question is whether this federal law, known as the Patient Safety and Quality Improvement Act of 2005 (PSQIA), preempts state law that otherwise would permit the discovery of this sensitive information.

  • Board certification, MOC, and competence

    In October, the American Board of Medical Specialties (ABMS) announced it approved new language regarding reporting physician status in the Maintenance of Certification (MOC) program. Jennifer Michael, chief information officer for ABMS, answers what the change in language means for physicians and MSPs.

Credentialing & Privileging Blog

Medical services professionals, credentialers, and medical staff leaders hear from Credentialing Resource Center experts in the trenches on credentialing and privileging.

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  • The Future of the Medical Staff

    In a 90-minute webcast titled The Future of the Medical Staff: Implementing Change in a Challenging Environment, expert Richard A. Sheff, MD, will address specific actions medical staff leaders and MSPs must take to manage unavoidable change in an increasingly challenging environment. Sheff will focus on common problems, such as improving quality healthcare while reducing costs and looking to the future, by discussing the evolution of new medical staff models. This will be followed by a live Q&A.

    Join us for this webcast on Wednesday, April 15, 2015 at 1 PM ET. At the conclusion of the program, participants will be able to:

    • Make the case that their medical staff needs to change to remain relevant
    • Identify opportunities and develop strategies for helping physicians change clinical practice patterns to improve quality and reduce costs
    • Design an approach to strengthening medical staff leaders’ knowledge, skills, and performance in leading the medical staff through change
    • Describe the evolving role of MSPs in the medical staff of the future

    For more information about this webcast or to register, click here.