Credentialing & Privileging

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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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  • 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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  • 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.