Credentialing Privileging Competency And Peer Review
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Credentialing Privileging Competency And Peer Review
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Author :
language : en
Publisher: Joint Commission Resources
Release Date : 2003
Credentialing Privileging Competency And Peer Review written by and has been published by Joint Commission Resources this book supported file pdf, txt, epub, kindle and other format this book has been release on 2003 with Clinical competence categories.
Assessing The Competency Of Low Volume Practitioners
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Author : Mark Allan Smith
language : en
Publisher: HC Pro, Inc.
Release Date : 2009-03
Assessing The Competency Of Low Volume Practitioners written by Mark Allan Smith and has been published by HC Pro, Inc. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009-03 with Medical categories.
The Joint Commission requires that hospitals verify physician competence using performance data. Yet organizations often have little or no data related to the competency of low- and no-volume physicians. Medical staff leaders are therefore challenged to develop a strategy that guides the hospital's relationship with low- and no-volume providers, and medical staff services departments are challenged to establish systems to verify physician competence. This fully updated book offers the necessary tools and strategies for medical staff leaders and professionals to manage the increasing number of
Physician Credentialing And Peer Review Answer Book
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Author : Patricia A. Younger
language : en
Publisher: Aspen Publishers
Release Date : 1995
Physician Credentialing And Peer Review Answer Book written by Patricia A. Younger and has been published by Aspen Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Hospitals categories.
Find the answers to questions most often asked by hospitals regarding the mechanics of the Credentialing process, such as involvement of the medical staff, board of trustees, and administrative personnel. It also guides the decision maker regarding the subjective judgment calls required during the process, such as whether to hire a practitioner who has a disciplinary history, what privileges to grant during the provisional period, and how to conduct the reappointment process. Includes state-by-state breakdown of laws applicable to discoverability and admissibility of medical staff committee records. Lists 350 questions, categorized by topic, with answers immediately following. Appendix lists each statute and regulation.
The Fppe Toolbox Second Edition
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Author : Juli C. Maxworthy
language : en
Publisher: Business & Legal Reports, Inc.
Release Date : 2015-05-28
The Fppe Toolbox Second Edition written by Juli C. Maxworthy and has been published by Business & Legal Reports, Inc. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-05-28 with Employees categories.
The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance, Second Edition Juli Maxworthy, DNP, MSN, MBA, RN, CNL, CPHQ, CPPS, CHSE In order to be compliant with The Joint Commission's requirements of establishing and tracking practitioner competency using measurable data, MSOs must apply and adopt a standard framework defining the dimensions of privileged practitioners' performance. But just like all healthcare regulations, the focused professional practice evaluation (FPPE) of providers is a process that is constantly changing and being refined. With an evolving provider landscape and commensurate legal findings, knowing how to collect, organize, and document FPPE data is critical for all facilities. Failing to gather and organize sufficient FPPE data in a standardized way presents risks including redundancy, inconsistency across specialties, and inadequate articulations for practitioners regarding their role in FPPE. The second edition of The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance provides an up-to-date, comprehensive resource with the forms and tools MSOs need to conduct and manage FPPE. This book provides compliant and customizable forms, policies, letters, scorecards, and reports that can be utilized in facilities of all types and sizes. Author Juli Maxworthy, DNP, MSN, MBA, RN, CNL, CPHQ, CPPS, CHSE, shares her expert knowledge so MSPs can create a cohesive competency documentation process at their organization. This toolbox offers sample tools you can adapt for use in your own facility without making you wade through lengthy background information, including: Case studies describing how your peers implemented FPPE FPPE policy documents FPPE language excerpted from peers' bylaws documents or policies and procedures Department-specific proctoring forms Inpatient and outpatient proctoring forms FPPE documents for HFAP-accredited facilities Forms that work for initial appointment and for-cause FPPE, and documents that illustrate the OPPE-FPPE connection Notification to a practitioner--successful conclusion of provisional staff status and advancement of staff category A letter to a physician requesting his or her service as proctor Physician competency data scorecards Retrospective, concurrent, and prospective proctoring guidelines This book: Saves time--medical staff offices don't need to develop an FPPE system from scratch or spend hours researching and updating their organizations' outdated forms Eliminates the hassle of having to research FPPE forms and policies from multiple sources Enables MSPs to download, adapt, and use the most up-to-date FPPE forms at their organization Provides tips on implementing the forms and applying FPPE data to credentialing and privileging decisions in the future Includes field-tested FPPE policies and forms in use now at medical staff services departments nationwide Five organizations have FPPE down to a science, and they've shared their policies and forms in this book. These all-new, downloadable forms cover all aspects of FPPE for new applicants and for cause, from proctoring and other practitioner evaluation methods to quality indicators to compliance with The Joint Commission and HFAP standards.
The Medical Staff Services Handbook
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Author : Cindy Gassiot
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2011-08-24
The Medical Staff Services Handbook written by Cindy Gassiot and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-08-24 with Education categories.
Rev. ed. of: The medical staff services handbook / [edited by] Cindy A. Gassiot, Vicki L. Searcy, Christina W. Giles. c2007.
Credentialing And Privileging Your Medical Staff
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Author : Jcr
language : en
Publisher:
Release Date : 2007
Credentialing And Privileging Your Medical Staff written by Jcr and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Health facilities categories.
The Medical Staff Professional S Handbook
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Author : Anne Roberts
language : en
Publisher:
Release Date : 2011-06-23
The Medical Staff Professional S Handbook written by Anne Roberts and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-06-23 with categories.
The Medical Staff Professional''s Handbook The essential medical staff professional''s job manual Let your experienced peers provide you with the guidance and training you need to tackle your toughest challenges.The Medical Staff Professional''s Handbook is a comprehensive job manual developed by medical staff professionals (MSPs) Anne Roberts, CPMSM, CPCS, and Maggie Palmer, MSA, CPMSM, CPCS. While providing much-needed education for new MSPs, this book and downloadable toolkit also offer veterans new ideas, tips, sample policies, customizable forms, and advice for improving medical staff and credentialing processes. After reading this book, you will be able to: Define the roles, tasks, and expectations for MSPs to clearly identify their priorities Manage FPPE and OPPE processes to effectively assess physician competency Streamline and improve credentialing and privileging processes with dozens of customizable forms and sample tools Comply with accreditation and regulatory standards by understanding the MSP''s role in accreditation and the consequences of noncompliance Discover important tips to save time and increase efficiency on daily medical staff office tasks Support the medical staff and communicate with leadership Table of ContentsAbout the Authors Introduction Acronyms and Abbreviations Section I: The Successful Medical Staff Professional Chapter 1: Roles and Responsibilities of Medical Staff Professionals The Responsibilities of MSPs Who MSPs Support in the Organization Chapter 2: Managing External and Internal Relationships Navigating External Relationships Navigating Internal Relationships Chapter 3: Review of Credentialing, Privileging, and Medical Staff Standards History of Regulatory Agencies How the Standards Apply to MSPs Joint Commission Requirements What MSPs Should Expect During Accreditation Surveys Chapter 4: Legal and Regulatory Considerations for Medical Staff Professionals Managing Bylaws Rules and Regulations Corrective Action and Due Process Policies and Procedures HCQIA of 1986 NPDB Healthcare Integrity and Protection Data Bank Sharing Information Credentialing Interrogatories Attestation, Acknowledgments, and Release Forms Criminal Background Checks Disruptive and Impaired Practitioners Section II : Effective Credentialing and Privileging Chapter 5: The Credentialing Process Credentialing Basics Rules to Guide Your Credentialing Process Roles and Responsibilities During the Credentialing Process The Application Process Collecting and Verifying Information Review and Approval Process Chapter 6: Credentialing Responsibilities After the Initial Application Orientation for Patient Care Organizations Credentials Expiration Tracking and Ongoing Monitoring Tips for Avoiding Claims of Negligent Credentialing Chapter 7: The Privileging Process Implementing a Privileging Process Developing Clinical Privilege Delineations Granting Clinical Privileges Based on Competency Final Recommendations for Privileges Chapter 8: Reappointment Initiating the Reappointment Process Accepting the Application Performing Primary Source Verification Creating the Reappointment Profile Quality Review, Ongoing Evaluation, and Monitoring Review and Approval Chapter 9: Credentialing and Privileging Hurdles Low- and No-Volume Practitioners Allied Health Practitioners Telemedicine Practitioner Data and Document Confidentiality Leaves of Absence Paperless/Paper-Light Credentialing System Transition New Technology Privileging Chapter 10: Temporary, Emergency, and Disaster Privileges and Expedited Board Approval Temporary Privileges Emergency Privileges Disaster Privileges Fast-Track or Expedited Credentialing Section III : Measuring Practitioner Competency Chapter 11: Focused Professional Practice Evaluations Requirements for an FPPE Policy and Process Developing FPPE Criteria FPPE at Initial Granting of Privileges Tracking Completion of FPPE FPPE for Additional Privileges FPPE for Cause (Ongoing Professional Practice Evaluation, Peer Review, Leave of Absence Reinstatement) Chapter 12: Ongoing Professional Practice Evaluations Developing a Systematic Approach to OPPE Developing Quality Indicators Periodic Performance Feedback Reports Section IV : Sample Forms and Policies Credentialing Sample Forms Privileging Sample Forms Reappointment Sample Forms Competency Sample Form Continuing Education This book has been approved by the National Association Medical Staff Services for 5 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.
The Medical Staff Leaders Practical Guide
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Author : William K. Cors
language : en
Publisher: HC Pro, Inc.
Release Date : 2007
The Medical Staff Leaders Practical Guide written by William K. Cors and has been published by HC Pro, Inc. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2007 with Health services administration categories.
You are a great clinician. But do you have the tools to become a great leader? Physicians who accept or are assigned leadership positions are too often left on their own to develop leadership skills and educate themselves on their responsibilities as medical staff leaders. These physicians may be great clinicians and enthusiastic about taking a leadership position, but neither of these characteristics automatically makes a great leader. Get practical answers for physicians in leadership. The Medical Staff Leaders' Practical Guide, Sixth Edition provides direction for physician leaders in hospitals--those who remain primarily clinicians, but who also accept positions of leadership in the hospital or medical staff organization. It gives an overview of physician leaders' roles and responsibilities in credentialing, privileging, bylaws development, performance improvement, physician management, and board/physician relations. Completely revamped and updated, this essential resource for medical staff leaders includes: - Tools and information needed to fulfill leadership responsibilities for all medical staff leaders, including directors of medical staff offices, vice presidents of medical affairs, medical staff presidents, credentials committee chairs and members, and committee and department chairs - Expanded analysis and strategies for overcoming current medical staff leadership challenges, including merger issues, medical staff development plans, physician practice evaluations, assessing and improving clinical competence, and more - Guidance and how-to advice on creating a positive medical staff culture, minimizing distrust or conflict, and improving policies - Tips and insights from experienced medical staff leaders currently working in hospitals How do you keep up with evolving roles? As relationships continue to evolve between hospitals and medical staff, it is especially important for physician leaders to be well-educated about credentialing, privileging, conflicts of interest, medical staff organization, the roles of various physician leaders and committees, performance improvement, and more. This practical guide includes in-depth reviews of the top five medical staff leadership responsibilities: - Medical staff structure and governance - Credentialing and privileging - Peer review and performance improvement - Hospital-medical staff collaboration - Medical staff culture Rise to the challenge of leadership! Written by experienced medical staff leaders currently working in hospitals, The Medical Staff Leaders' Practical Guide, Sixth Edition, gives physicians the tools they need to meet the challenges of a leadership role. The tools and advice in this guide will help you: - Overcome physician apathy, poor meeting attendance, lack of volunteers for leadership positions, and turf battles - Improve peer review, evaluation of physician competency, and physician/hospital relations - Deal with disruptive and impaired physicians, conflicts of interest, exclusive contract problems, accreditation challenges, and emergency department coverage challenges - Create a positive working environment - Gain a better understanding of the credentialing and privileging process Take a look at the table of contents: Introduction: Today's Effective Medical Staff Section I: Medical Staff Structure and Governance - Physician apathy - Poor meeting attendance - Poor medical staff communication - Unprepared leaders - Lack of volunteers for leadership positions - Conflict over member rights and responsibilities Section II: Credentialing and Privileging - Cumbersome and lengthy process - Turf battles - New technology privileges - AHP credentialing and supervision - Information and decision errors - Lack of reappointment data - Unnecessary, lengthy, or costly fair hearings - Lack of criteria for privileges Section III: Peer Review and Performance Improvement - Ineffective peer review - Disruptive conduct - Impaired physicians - Assessing and improving clinical competence - Excessive utilization - Medical records completion - Inappropriate physician practice evaluation Section IV: Hospital-Medical Staff Collaboration - Strained physician-hospital relations - EMTALA and ED coverage - Hospital-physician competition - Economic credentialing - Strained physician-nurse relationships - Costs exceeding reimbursement - Medical errors and patient safety - Ineffective medical staff influence with board and administration - Liability risk - Conflicts of interest - Exclusive contract problems - Corporate compliance challenges - Accreditation challenges - Merger challenges - Lack of effective medical staff development plan Who will benefit from this book? Directors of medical staff offices, vice presidents of medical affairs, medical staff presidents, credentials committee chairs and members, committee and department chairs
Peer Review In Nursing
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Author : Barbara Haag-Heitman
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2011
Peer Review In Nursing written by Barbara Haag-Heitman and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011 with Medical categories.
Peer Review in Nursing: Principles for a Successful Practice is the first nursing publication that approaches the definition and implementation strategies for peer review within an organizational setting. Using a professional model, with shared governance as a framework, the authors discuss the difference between manger initiated staff performance evaluation of the past and the true peer review aspects of professional practice for the future. This text follows in line with the Magnet program requiremet “that nurses at all levels use self appraisal performance review and peer review, including annual goal settings, for the assurance of competence and professional development” page 30 of the 2008 Magnet manual. This unique text teaches nurses the skills they need to demonstrate organizational processes, structures, and outcomes that help insure accountability, competence and autonomy.
2008 Credentials Verification Desk Reference
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Author : Kathy Matzka
language : en
Publisher: HC Pro, Inc.
Release Date : 2008
2008 Credentials Verification Desk Reference written by Kathy Matzka and has been published by HC Pro, Inc. this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical personnel categories.