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- Are your bylaws rooted in the last century?
Medical staffs are discovering their governance documents are inadequate for today’s care environment. These trusted documents may now fail to provide clear guidance, be noncompliant with accreditation standards, or create liability for the hospital. However, a full bylaws review is time-consuming and futile without a clear understanding of the revision process or the purpose behind the bylaws. Read more.
- Focus on medical staff bylaws
Today starts a week of bylaws coverage. This Credentialing Resource Center Daily installment highlights sample bylaws language for an application request procedure. A hospital may require an application to submit a written request or complete a pre-application, although many medical staffs have discontinued the use of pre-applications. Read more.
- MSPs will find familiar concepts in new HFAP requirements
New OPPE and FPPE standards for acute care and critical access hospitals accredited by the Healthcare Facilities Accreditation Program (HFAP) may look somewhat familiar to many hospitals. Most facilities conduct competence assessment and peer evaluation in one form or another. Now, however, they must implement structured ongoing and focused processes for assessing physician competence to stay HFAP-accredited. The new standards, took effect in January 2015. Read more.
- Meeting the direct communication requirement in a multi-hospital system
Last year, CMS issued a Final Rule that hospitals are not required to have physicians as members of its governing board. Instead, a hospital can opt for regular, “direct consultation” with the individual who is responsible for overseeing the medical staff (e.g. medical staff president). In November, Michael R. Callahan, Esq., senior partner in the healthcare practice of Katten Muchin Rosenman, LLP, in Chicago, conducted a webcast, Final CMS CoPs: Navigating Revised Medical Staff Standards and New Requirements. He also answered questions from the audience, including how to implement the direct consultation requirement. Read more.
- What CMS requires for verifying postgraduate training
In the book Verify and Comply: Credentialing and Medical Staff Standards Crosswalk, sixth edition, co-author Carol S. Cairns, CPMSM, CPCS, shares tips and best practices for complying with CMS CoPs and other accrediting bodies’ standards. Below is her advice for verifying a medical staff member’s postgraduate training on initial application. Read more.
- Sample chart to stay in compliance with CoPs
Today’s free resource is a crosswalk from Verify and Comply: Credentialing and Medical Staff Standards Crosswalk, sixth edition. Co-author Kathy Matzka provides a sample chart that you can use to compare your bylaws to medical staff requirements under CMS Conditions of Participation. Read more.
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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