Credentialing, Privileging, Competency, and Peer Review

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Author :
Publisher : Joint Commission Resources
ISBN 13 : 9780866887908
Total Pages : 190 pages
Book Rating : 4.8/5 (879 download)

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Book Synopsis Credentialing, Privileging, Competency, and Peer Review by :

Download or read book Credentialing, Privileging, Competency, and Peer Review written by and published by Joint Commission Resources. This book was released on 2003 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Assessing the Competency of Low-Volume Practitioners

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Author :
Publisher : HC Pro, Inc.
ISBN 13 : 1601465688
Total Pages : 147 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Assessing the Competency of Low-Volume Practitioners by : Mark Allan Smith

Download or read book Assessing the Competency of Low-Volume Practitioners written by Mark Allan Smith and published by HC Pro, Inc.. This book was released on 2009-03 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 :
Publisher : Aspen Publishers
ISBN 13 :
Total Pages : 234 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Physician Credentialing and Peer Review Answer Book by : Patricia A. Younger

Download or read book Physician Credentialing and Peer Review Answer Book written by Patricia A. Younger and published by Aspen Publishers. This book was released on 1995 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Credentialing and Privileging Your Medical Staff

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Publisher :
ISBN 13 : 9781599400914
Total Pages : 143 pages
Book Rating : 4.4/5 (9 download)

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Book Synopsis Credentialing and Privileging Your Medical Staff by : Jcr

Download or read book Credentialing and Privileging Your Medical Staff written by Jcr and published by . This book was released on 2007 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Credentialing Coordinator's Handbook

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Publisher : HC Pro, Inc.
ISBN 13 : 1601460554
Total Pages : 239 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis The Credentialing Coordinator's Handbook by : Anne Roberts

Download or read book The Credentialing Coordinator's Handbook written by Anne Roberts and published by HC Pro, Inc.. This book was released on 2007 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt:

2022 Hospital Compliance Assessment Workbook

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Publisher :
ISBN 13 : 9781635852448
Total Pages : pages
Book Rating : 4.8/5 (524 download)

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Book Synopsis 2022 Hospital Compliance Assessment Workbook by : Joint Commission Resources

Download or read book 2022 Hospital Compliance Assessment Workbook written by Joint Commission Resources and published by . This book was released on 2021-12-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Credentialing, Privileging, and Medical Staff Governance

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Publisher :
ISBN 13 : 9781683088127
Total Pages : 269 pages
Book Rating : 4.0/5 (881 download)

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Book Synopsis Credentialing, Privileging, and Medical Staff Governance by : Sheri Patterson

Download or read book Credentialing, Privileging, and Medical Staff Governance written by Sheri Patterson and published by . This book was released on 2018 with total page 269 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Comprehensive Guide to Credentialing and Privileging for Ambulatory Surgery

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Author :
Publisher : HC Pro, Inc.
ISBN 13 : 9781578395347
Total Pages : 296 pages
Book Rating : 4.3/5 (953 download)

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Book Synopsis The Comprehensive Guide to Credentialing and Privileging for Ambulatory Surgery by : Laura Harrington

Download or read book The Comprehensive Guide to Credentialing and Privileging for Ambulatory Surgery written by Laura Harrington and published by HC Pro, Inc.. This book was released on 2005 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Criteria-Based Core Privileging

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Publisher :
ISBN 13 : 9781683080640
Total Pages : 0 pages
Book Rating : 4.0/5 (86 download)

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Book Synopsis Criteria-Based Core Privileging by : Todd Meyerhoefer

Download or read book Criteria-Based Core Privileging written by Todd Meyerhoefer and published by . This book was released on 2016-05-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A criteria-based core privileging system ensures consistency, flexibility, efficiency, and objectivity. However, transitioning to core privileges can be a daunting and overwhelming task. Criteria- Based Core Privileging: Guide to Implementation and Maintenance helps take the hassle out of that transition. Acting as a how-to guide, this book provides the necessary steps for medical staff and credentialing leaders to successfully adopt a criteria-based system. In addition, it also lays out a road map to overcome the biggest challenges along the way, including obtaining buy-in from physicians and hospital leaders. This book will help medical staff leaders: - Develop a criteria-based core privileging system that is flexible, efficient, consistent, and objective - Identify key tips on how to obtain staff buy-in - Identify a clear path of transition to criteria-based privileging - Discuss how to apply criteria-based privileging to various practitioner categories - Handle privileging requests for new procedures and technology

Core Privileges for Physicians

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Publisher : HC Pro, Inc.
ISBN 13 : 1601460945
Total Pages : 796 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Core Privileges for Physicians by : Vicki L Searcy

Download or read book Core Privileges for Physicians written by Vicki L Searcy and published by HC Pro, Inc.. This book was released on 2008 with total page 796 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Credentialing and Privileging Toolbox

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Publisher :
ISBN 13 : 9781683082033
Total Pages : pages
Book Rating : 4.0/5 (82 download)

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Book Synopsis The Credentialing and Privileging Toolbox by : Merella Schandl

Download or read book The Credentialing and Privileging Toolbox written by Merella Schandl and published by . This book was released on 2017-03-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: MSPs and medical staff leaders do enough vetting for practitioner applications without worrying about tracking down and validating resources that support structurally sound credentialing and privileging processes. Featuring an array of field-sourced, expert-endorsed forms that facilitate regulatory compliance, policy development, and routine credentialing communications, The Credentialing and Privileging Toolbox lightens the administrative load so MSPs and medical staff leaders have more time for duties that foster high-quality care and patient safety. Inspired by our popular OPPE and FPPE toolboxes, The Credentialing and Privileging Toolbox offers a bevy of sample forms, policies, letters, plans, reports, and related resources that healthcare organizations of various scope, size, and service focus are currently using to execute effective practitioner vetting processes. Included tools, which come from in-the-trenches MSPs and medical staff leaders, have been curated and appraised by expert author Merella Schandl. The resulting collection reflects industry best practices, the wide range of modern healthcare entities that credential and privilege practitioners, and the various aspects of a successful vetting approach. Tools are arranged by type and topic for easy navigation. Within each tool, Schandl highlights key components and provides targeted analysis on tailoring the sample to individual facility needs.

The Medical Staff Leaders' Practical Guide

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Publisher : HC Pro, Inc.
ISBN 13 : 1601460546
Total Pages : 271 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis The Medical Staff Leaders' Practical Guide by : William K. Cors

Download or read book The Medical Staff Leaders' Practical Guide written by William K. Cors and published by HC Pro, Inc.. This book was released on 2007 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

The Credentials Committee Manual

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Author :
Publisher :
ISBN 13 : 9781683080756
Total Pages : 0 pages
Book Rating : 4.0/5 (87 download)

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Book Synopsis The Credentials Committee Manual by : Mark A. Smith

Download or read book The Credentials Committee Manual written by Mark A. Smith and published by . This book was released on 2016-05-30 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Best practices for compiling and using data in reappointment decisions, navigating credentialing considerations for nonphysician practitioners, preventing turf battles, and avoiding legal issues

The Credentialing Handbook

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Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834209336
Total Pages : 604 pages
Book Rating : 4.2/5 (93 download)

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Book Synopsis The Credentialing Handbook by : Sheryl Deutsch

Download or read book The Credentialing Handbook written by Sheryl Deutsch and published by Jones & Bartlett Learning. This book was released on 1999 with total page 604 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Credentialing Handbook provides comprehensive, plain-English guida nce to understand and master the provider credentialing process in any health care setting. With sample forms, checklists, flowcharts, and c orrespondence, this practical guide walks you through every aspect of effective credentialing, appointment, and recredentialing. You'll lear n: key steps in the credentialing process; about express credentialin g models; how to credential allied health practitioners; typical time frames and tracking systems; pros and cons of delegating credentialin g, plus more.

AHLA Peer Review Guidebook (AHLA Members)

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Publisher :
ISBN 13 : 9781522116745
Total Pages : pages
Book Rating : 4.1/5 (167 download)

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Book Synopsis AHLA Peer Review Guidebook (AHLA Members) by : Barbara Blackmond

Download or read book AHLA Peer Review Guidebook (AHLA Members) written by Barbara Blackmond and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The newly updated Fifth Edition of Peer Review Guidebook is a comprehensive resource for understanding the peer review process and disciplinary proceedings involving physicians.Peer review in the health care setting has numerous elements, and while there are few fixed definitions, the essence of the process addresses physician credentialing, privileging, and professional evaluation, both ongoing and focused practice evaluation. Health care entities conduct peer review for multiple reasons, including improvement of care, protection of patients from harm, and improvement of physician performance. While the initial process begins when a practitioner applies to be a member of the medical staff or gain privileges at a hospital or other health care provider, latter elements can include potential reduction or denial of privileges to those under review. The critical guidance for peer review is found in the Health Care Quality Improvement Act (HCQIA), which offers immunity from monetary damages for those individuals and institutions that participate in an adverse professional review action relating to the competence or professional conduct of a physician, provided that its procedural requirements are followed.Edited by Barbara Blackmond, Charles J. Chulack, Joshua A. Hodges, Lauren M. Massucci and Daniel Mulholland, this updated edition contains information about HCQIA and its impact on the peer review process, suspension of privileges, injunctive relief from peer review actions and the effect of the privacy rule of the Health Insurance Portability and Accountability Act on peer reviews. The title also provides a multitude of citations to cases, regulations, and other sources. In addition, the appendices include a listing of cases in which physicians have alleged violations of the American Disabilities Act, cases dealing with physician-behavior issues, a comprehensive list of exclusive-contract case law, cases decided under HCQIA , and numerous others that address the peer review process.The eBook versions of this title feature links to Lexis Advance for further legal research options.

Making Healthcare Safe

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Publisher : Springer Nature
ISBN 13 : 3030711234
Total Pages : 450 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Making Healthcare Safe by : Lucian L. Leape

Download or read book Making Healthcare Safe written by Lucian L. Leape and published by Springer Nature. This book was released on 2021-05-28 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.

The Fppe Toolbox, Second Edition

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Publisher : Business & Legal Reports, Inc.
ISBN 13 : 155645340X
Total Pages : 32 pages
Book Rating : 4.5/5 (564 download)

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Book Synopsis The Fppe Toolbox, Second Edition by : Juli C. Maxworthy

Download or read book The Fppe Toolbox, Second Edition written by Juli C. Maxworthy and published by Business & Legal Reports, Inc.. This book was released on 2015-05-28 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.