FPPE and OPPE Best Practices: What We Have Learned in the First Three Years
|
|
|
- Cory Robinson
- 8 years ago
- Views:
Transcription
1 FPPE and OPPE Best Practices: What We Have Learned in the First Three Years Todd Sagin, M.D., J.D.
2 Competency
3 FPPE/OPPE & the Determination of Competency What is FPPE? Focused professional practice evaluation is a process whereby the organization evaluates the privilege-specific competence of the practitioner who does not have documented evidence of competently performing the requested privilege at the organization. 3
4 Are They Serious??? Do we have to confirm competence for every privilege requested? 4
5 FPPE/OPPE & the Determination of Competency What is OPPE? Routine monitoring of current competency for current medical staff members (peer review) 5
6 FPPE and OPPE Joint Commission requires: Measures that are clearly defined Who reviews is clearly defined Indicators/triggers/issues are clearly defined Process is clearly defined Results are used in credentialing Application of FPPE and OPPE to all privileged practitioners
7 FPPE and OPPE require a heightened degree of collaboration between: Medical staff services professionals Quality department staff Medical staff leaders IT support staff
8 Can we KISS FPPE and OPPE? FPPE simplicity should be a goal for routine FPPE OPPE this is getting more and more complicated as performance data becomes not just an indicator of competence, but increasingly is evidence of reimbursable quality
9 FPPE and OPPE Joint Commission requires: Measures that are clearly defined
10 Evaluation methodologies Chart Review Monitoring clinical practice patterns Simulation Proctoring (prospective, concurrent, retrospective) External peer review Discussion with peers or other individuals involved in patient care
11 FPPE and OPPE Joint Commission requires: Measures that are clearly defined Who reviews is clearly defined Department chairs? A committee? (credentials?/peer review?/mec?) Designated individual(s)?
12 FPPE and OPPE Joint Commission requires: Measures that are clearly defined Who reviews is clearly defined Indicators/triggers/issues are clearly defined
13 Types of data for FPPE/OPPE Case reviews by peers M&M or CPC findings References from proctors or other first hand observers Complaints and incident reports Malpractice suits Sentinel Events/Root cause or FMEA investigations Tracked performance monitors/indicators 13
14 JC defines triggers as unacceptable levels of performance within established defined criteria. Defined # of events occurring Defined # of individual peer reviews w/ adverse determinations Elevated infection rates Sentinel events Increasing LOS compared to others Increasing # returns to surgery Patterns of unnecessary tests/treatments Failure to follow approved clinical practice guidelines Etc.
15 FPPE and OPPE Joint Commission requires: Measures that are clearly defined Who reviews is clearly defined Indicators/triggers/issues are clearly defined Process is clearly defined
16 For FPPE The period of FPPE can be either of the following: Time Procedure/admission/activity oriented The duration of FPPE may be tiered for different levels of documented training and experience: Practitioners coming directly from an outside residency program (unknown data) Practitioners coming directly from the organization s residency program (have data) Practitioners coming with a documented record of performance of the privilege & its associated outcomes versus those with no record
17 For FPPE & OPPE For OPPE review data at least q 6 months. (Twelve months is periodic rather than ongoing). Determine what is acceptable/not acceptable/requires FPPE. Define when EPR will be utilized Define the measures to resolve performance issues: Education Counseling, mentoring Impairment program Remediation program Suspension Revocation of membership and/or privileges
18 FPPE and OPPE Joint Commission requires: Measures that are clearly defined Who reviews is clearly defined Indicators/triggers/issues are clearly defined Process is clearly defined Results are used in credentialing - must describe how data get into the file & are used Application of FPPE and OPPE to all privileged practitioners
19 Some FAQs- Do we have to utilize the 6 competencies? What documents will surveyors look for when onsite? Credentials files, bylaws, policies, MEC minutes Is zero data OK?
20 From The Joint Commission: It is also important to remember that zero data is in fact data. Zero data can actually be evidence of good performance, e.g., no returns to the OR, no complications, no complaints, no infections, etc. from The Joint Commission Website: posting Nov
21 Some FAQs- Do we have to utilize the 6 competencies? What documents will surveyors look for when onsite? Credentials files, bylaws, policies, MEC minutes Is zero data OK? Does data have to be department specific?
22 OPPE Standard: The type of data to be collected would need to be defined by individual medical staff departments and approved by the organized medical staff. The standards require an evaluation for all practitioners not just those with performance issues. from The Joint Commission Website: posting Nov
23 Some FAQs- Do we have to utilize the 6 competencies? What documents will surveyors look for when onsite? Credentials files, bylaws, policies, MEC minutes Is zero data OK? Does data have to be department specific? Should a physician be placed on call for a specialty prior to validation of competency? Can business associates evaluate one another?
24 Use of Practitioner Performance Reports What should be included? How often should they be distributed? Where should they be filed? Should they be signed off by the practitioner and a medical staff leader? 24
25 Proctoring Prospective Concurrent Retrospective External Review
26 The Challenges of Proctoring Who should proctor and who should not? Is proctoring protected peer review? Discoverable? Is the proctor indemnified? Immune from suit? Should there be a written agreement between the hospital and proctor? Should a proctor be paid? If yes, by whom? 26
27 The Challenges of Proctoring Ethical Issues What should patients be told? What should staff be told? When and how should a proctor intervene in a case? When should proctoring be discontinued? 27
28 Case Scenarios Dr. Jones has difficulty with the case and asks Dr. Smith (proctor) to assist. Should he? Dr. Jones has difficulty with the case but declines Dr. Smith s assistance. What should Dr. Smith do? Dr. Jones decides to undertake a controversial approach to surgery in the case. Dr. Smith disapproves. What should he do? 28
29 Questions?
STATEMENT BY ALAN RAPAPORT, M.D., M.B.A. PHYSICIAN SURVEYOR THE JOINT COMMISSION BEFORE THE NEW MEXICO HEALTH AND HUMAN SERVICES COMMITTEE
STATEMENT BY ALAN RAPAPORT, M.D., M.B.A. PHYSICIAN SURVEYOR THE JOINT COMMISSION BEFORE THE NEW MEXICO HEALTH AND HUMAN SERVICES COMMITTEE AUGUST 13, 2012 Background I would like to take this opportunity
The role of behavioral health providers in a clinical quality management system. COL John C. Bradley, M.D. US Army
The role of behavioral health providers in a clinical quality management system COL John C. Bradley, M.D. US Army How do we incorporate a full range of behavioral health providers in a clinical quality
Standards and National Patient Safety Goals: What s new for Critical Access Hospitals in 2012
Standards and National Patient Safety Goals: What s new for Critical Access Hospitals in 2012 Susan Hill, RN, Critical Access Hospital Surveyor John Herringer, Associate Director, Standards Interpretation
Required Clinical Privileging Criteria for Robotic Surgery
Required Clinical Privileging Criteria for Robotic Surgery Initial Privileging No Previous existing newly trained on Completion of Formal Training (e.g., trained at Baseline Qualifications NOTE: All physicians,
MAMSS 2010 FALL EDUCATIONAL CONFERENCE LOW-VOLUME/NO-VOLUME PRACTITIONERS WHAT S THE SOLUTION FOR YOUR HOSPITAL?
MAMSS 2010 FALL EDUCATIONAL CONFERENCE LOW-VOLUME/NO-VOLUME PRACTITIONERS WHAT S THE SOLUTION FOR YOUR HOSPITAL? Michael R. Callahan Partner Katten Muchin Rosenman michael.callahan@kattenlaw.com Telephone:
The Joint Commission gratefully acknowledges the financial support provided by Hospira, Inc. for the development of this BoosterPak.
Standards BoosterPak for Focused Professional Practice Evaluation/ Ongoing Professional Practice Evaluation (FPPE/OPPE) The Joint Commission gratefully acknowledges the financial support provided by Hospira,
BoardroomBasics. Medical Staff Credentialing INSIDE. KNOWLEDGEPoints. Knowledge Resources for Health Care Governance Effectiveness
BoardroomBasics Knowledge Resources for Health Care Governance Effectiveness Medical Staff Credentialing INSIDE Overview 1 What is Credentialing and Privileging? Roles and Responsibilities of Key Individuals
Online Supplement to Clinical Peer Review Programs Impact on Quality and Safety in U.S. Hospitals, by Marc T. Edwards, MD
Online Supplement to Clinical Peer Review Programs Impact on Quality and Safety in U.S. Hospitals, by Marc T. Edwards, MD Journal of Healthcare Management 58(5), September/October 2013 Tabulated Survey
Guidelines for Updating Medical Staff Bylaws: Credentialing and Privileging Physician Assistants (Adopted 2012)
Guidelines for Updating Medical Staff Bylaws: Credentialing and Privileging Physician Assistants (Adopted 2012) Executive Summary of Policy Contained in this Paper Summaries will lack rationale and background
CHRISTUS Santa Rosa HOSPITAL MEDICAL STAFF MEMBERSHIP, CREDENTIALING, PRIVILEGING AND DUE PROCESS MANUAL TABLE OF CONTENTS
CHRISTUS Santa Rosa HOSPITAL MEDICAL STAFF MEMBERSHIP, CREDENTIALING, PRIVILEGING AND DUE PROCESS MANUAL TABLE OF CONTENTS I. APPOINTMENT AND REAPPOINTMENT PROCEDURE II. PROCEDURES FOR DELINEATING PRIVILEGES
NORTHWEST TEXAS HEALTHCARE SYSTEM
P. O. Box 1110 Amarillo, TX 79175 NORTHWEST TEXAS HEALTHCARE SYSTEM MEDICAL STAFF BYLAWS Policies and Procedures/General Policy: Medical Staff Peer Review Process POLICY STATEMENT: Medical Staff Quality
IHA Dialogue on Discipline
IHA Dialogue on Discipline Two Perspectives on Physician Discipline & Implementing New Peer Review Legislation Presented By Michael R.Callahan Thomas P. Conley INTRODUCTIONS 2 PROGRAM FACULTY Michael R.
As She Lay Dying: How I Fought to Stop Medical Errors From Killing My Mom
Promoting a Culture of Quality Jonathan Welch, M.D. Brigham and Women s Hospital Boston, Mass. S. Allan Adelman, Esq. Adelman, Sheff & Smith, LLC Annapolis, Md. As She Lay Dying: How I Fought to Stop Medical
MEDICAL STAFF RULES & REGULATIONS
MEDICAL STAFF RULES & REGULATIONS PURPOSE: Rules and Regulations shall set standards of practice that are to be required of each individual exercising clinical privileges in the hospital, and shall act
Applicant Name: Please Print
DETROIT MEDICAL CENTER DEPARTMENT OF UROLOGY DELINEATION OF ADULT PRIVILEGES QUALIFICATIONS: Effective July 1, 2009, all new applicants to the DMC will be required to be board certified (or in the active
For each proctoring situation the group recommending proctoring must specify:
Category: Subject: Purpose: Principles Medical Staff Proctoring Policy To objectively assess a practitioner s clinical competence related to a specific procedure or type of procedures. Training provided
Darryl S. Weiman, M.D., J.D.
By Darryl S. Weiman, M.D., J.D. Federal Tort Claims Act Passed by Congress in 1946 to reduce the negative impacts of the doctrine of sovereign immunity Designed to eliminate the practice of congressman
What is Telemedicine?
Kathy Matzka, CPMSM, CPCS www.kathymatzka.com 1 What is Telemedicine? the provision of clinical services to patients by physicians and practitioners from a distance via electronic communications Source:
MEDICAL STAFF BYLAWS
MEDICAL STAFF BYLAWS, POLICIES, AND RULES AND REGULATIONS OF EMORY JOHNS CREEK HOSPITAL MEDICAL STAFF BYLAWS Revisions Adopted by the Medical Staff: September 2, 2014 Approved by the Board: September 16,
Documenting Provider Competency: Tips and Tools
Documenting Provider Competency: Tips and Tools Session Code: WE10 Time: 10:30 a.m. 12:00 p.m. Total CE Credits: 1.5 Presented by: Kathy Matzka, CPMSM, CPCS PROVIDER COMPETENCY EVALUATION AND DOCUMENTATION
The Impact of Accountable Care Organizations (ACOs) on Credentialing and Privileging
The Impact of Accountable Care Organizations (ACOs) on Credentialing and Privileging Michael R. Callahan Katten Muchin Rosenman LLP 525 W. Monroe Chicago, Illinois 312.902.5634 michael.callahan@kattenlaw.com
Standard HR.7 All individuals permitted by law and the organization to practice independently are appointed through a defined process.
Credentialing and Privileging of Licensed Independent Practitioners The following standards apply to individuals permitted by law and the organization to provide patient care services without direction
VantagePoint. Medical Staff Credentialing: Eight Strategies for Safer Physician and Provider Privileging
Medical Staff Credentialing: Eight Strategies for Safer Physician and Provider Privileging The Two Tiers of the Credentialing and Privileging Process page 4 Compliance Checklist for Medical Staff Credentialing
Peer Review and the Hospital Employed Physician
Peer Review and the Hospital Employed Physician Session Code: TU05 Time: 8:00 a.m. 9:30 a.m. Total CE Credits: 1.5 Presented by: Catherine Ballard, JD and Jeremy Morris, JD Peer Review and the Hospital
APPLICATION FOR ALLIED PROFESSIONAL STAFF
Office of Medical Affairs 736 Irving Ave Syracuse NY 13210 Phone: 315-470-7646 APPLICATION FOR ALLIED PROFESSIONAL STAFF Circle appropriate category CRNA Medical Physicist Research Assistant CST/Dntal
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER RISK MANAGEMENT PLAN
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER RISK MANAGEMENT PLAN 2013 1 RISK MANAGEMENT PLAN 2013 PROGRAM GOALS The University of Mississippi Medical Center is committed to providing the highest level of
STAMFORD HOSPITAL DEPARTMENT OF RADIOLOGY RULES AND REGULATIONS. Preamble
STAMFORD HOSPITAL DEPARTMENT OF RADIOLOGY RULES AND REGULATIONS Preamble Stamford Hospital and its radiology staff shall maintain radiological facilities and services sufficient to meet the needs of the
Credentials Policy Manual. Reviewed & Approved by MEC 8/13/2012 Reviewed & Approved by Board of Commissioners 9/11/12
Credentials Policy Manual Reviewed & Approved by MEC 8/13/2012 Reviewed & Approved by Board of Commissioners 9/11/12 Credentialing Policy Manual Table of Contents I. Application for Appointment to Staff...1
MEDICAL STAFF BYLAWS OF PIEDMONT MOUNTAINSIDE HOSPITAL
MEDICAL STAFF BYLAWS, POLICIES, AND RULES AND REGULATIONS OF PIEDMONT HEALTHCARE MEDICAL STAFF BYLAWS OF PIEDMONT MOUNTAINSIDE HOSPITAL Adopted by the Medical Staff: April 17, 2013 Approved by the Board:
Medical Peer Review of Physicians for Health Insurance Companies
Model Principles for Medical Professional Review of Physicians within Health Insurance Companies 2010 The following principles are separate from the model principles that apply to medical peer review of
Ambulatory Care Program: The Who, What, When, and Where s of Credentialing and Privileging. The Who, What, When, and Where s
Ambulatory Care Program: The Who, What, When, and Where s of Credentialing and Privileging The Who, What, When, and Where s The Who, What, When, and Where s Note that this was originally documented as
REQUEST FOR PROPOSAL NO. AHS16-1. ADDENDUM No. 1 ANSWERS TO WRITTEN QUESTIONS RECEIVED FROM INTERESTED VENDORS FOR
REQUEST FOR PROPOSAL NO. AHS16-1 ADDENDUM No. 1 ANSWERS TO WRITTEN QUESTIONS RECEIVED FROM INTERESTED VENDORS FOR PROVIDER INFORMATION MANAGEMENT DATABASE OPEN - March 11 th, 2016 RESPONSE TO QUESTIONS
Florida Association Medical Staff Services (FAMSS) 30 th Annual Educational Conference. Current Issues in Negligent Credentialing Part 1
Florida Association Medical Staff Services (FAMSS) 30 th Annual Educational Conference May 4-7, 2011 Current Issues in Negligent Credentialing Part 1 Michael R. Callahan Katten Muchin Rosenman LLP 525
II. INTERDISCIPLINARY PRACTICE COMMITTEE (IPC)
Rules and Regulations and Credentialing and Privileging Policy Advanced Practice Professionals and Ancillary Staff Interdisciplinary Practice Committee I. CATEGORIES The Medical Executive Committee (MEC)
Peer Review in the Courtroom: How a Jury Views the Work of Your Medical Staff Office and Medical Staff Session Code: MN14 Time: 2:45 p.m. 4:15 p.m.
Peer Review in the Courtroom: How a Jury Views the Work of Your Medical Staff Office and Medical Staff Session Code: MN14 Time: 2:45 p.m. 4:15 p.m. Total CE Credits: 1.5 Presenter: Karen Owens, JD and
Disclosures. Learning Objectives. Definitions. Initial Credentialing and Privileging. Who are the Medical Staff? 3/3/2015
Disclosures Advanced Practice Credentialing, Privileging, Onboarding and Professional Practice Evaluation for the PNP Speakers have no financial relationships to disclose. Speakers will not discuss off
The National Practitioner Data Bank
The National Practitioner Data Bank (Data Bank) was created by the Health Care Quality Improvement Act of 1986 and began operation Sept. 1, 1990. Congress intended to encourage professional peer review
PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER DEPARTMENT OF SURGERY Bariatric Surgery
STANDARDS FOR PRIVILEGES In order to be eligible to request clinical privileges for both initial appointment and reappointment, a practitioner must the following minimum threshold criteria. In addition
National Practitioner Data Bank Update: Required Reports and Lessons from Litigation
National Practitioner Data Bank Update: Required Reports and Lessons from Litigation Kimberly W. Daniel, Esquire Hancock, Daniel, Johnson & Nagle, P.C. I. NATIONAL PRACTITIONER DATA BANK OVERVIEW a. The
THE STATE BAR OF CALIFORNIA
OFFICE OF THE CHIEF TRIAL COUNSEL INTAKE 845 SOUTH FIGUEROA STREET LOS ANGELES, CALIFORNIA 90017-2515 TELEPHONE: (213) 765-1000 FAX: (213) 765-1168 http://www.calbar.ca.gov Dear Complaining Witness, In
Ch. 103 GOVERNANCE AND MANAGEMENT 28 CHAPTER 103. GOVERNANCE AND MANAGEMENT A. GOVERNING PROCESS... 103.1
Ch. 103 GOVERNANCE AND MANAGEMENT 28 CHAPTER 103. GOVERNANCE AND MANAGEMENT Subchap. Sec. A. GOVERNING PROCESS... 103.1 Cross References This chapter cited in 28 Pa. Code 101.67 (relating to access by
AMERICAN BURN ASSOCIATION BURN CENTER VERIFICATION REVIEW PROGRAM Verificatoin Criterea EFFECTIVE JANUARY 1, 2015. Criterion. Level (1 or 2) Number
Criterion AMERICAN BURN ASSOCIATION BURN CENTER VERIFICATION REVIEW PROGRAM Criterion Level (1 or 2) Number Criterion BURN CENTER ADMINISTRATION 1. The burn center hospital is currently accredited by The
Office Printed copies are for reference only. Please refer to the electronic copy for the latest version.
Document Owner: Teresa Onken PI Team: Created: 01/01/1992 N/A Approver(s): Karyn Delgado, Teresa Onken Approved: 12/28/2012 06/01/2011 Location: Saint Joseph Regional Medical Center-Mishawaka POLICY: Department:
CREDENTIALING PROCEDURES MANUAL
CREDENTIALING PROCEDURES MANUAL Page PART I Appointment Procedures 1 PART II Reappointment Procedures 5 PART III Delineation of Clinical Privileges Procedures 7 PART IV Leave of Absence, Reinstatement,
Telehealth Credentialing: From Teleradiology to Telepsychiatry to eicu
Telehealth Credentialing: From Teleradiology to Telepsychiatry to eicu Session Code: MN09 Time: 12:45 p.m. 2:15 p.m. Total CE Credits: 1.5 Presented by: Brian Betner, JD Telehealth Credentialing From Teleradiology
Amerinet Executive Education Series: Collective Learning on Contemporary Healthcare Issues
Amerinet Executive Education Series: Collective Learning on Contemporary Healthcare Issues The VirtualCMO Improving Quality of Care and Patient Satisfaction while Reducing Risk in Rural and Small Community
Ethics and Patient Rights (EPR)
Ethics and Patient Rights (EPR) Standard EPR.1 [Verification of credentials of professional staff] The organization has an effective process for gathering, verifying, and evaluating the credentials (e.g.
Clinical Service: Formation of a New or Enhancement of Inpatient or Outpatient Service QUALITY/SAFETY/RISK POLICY: NUMBER:
QUALITY/SAFETY/RISK POLICY CREATED: REVIEWED: REVISED: Clinical Service: Formation of a New or Enhancement of Inpatient or Outpatient Service NUMBER: SCOPE: APPROVED BY: Chief Clinical Officer, HSD FORMUALTED
Loma Linda University Children s Hospital. EMERGENCY MEDICINE SERVICE Rules and Regulations
I. RESPONSIBILITIES: Loma Linda University Children s Hospital EMERGENCY MEDICINE SERVICE Rules and Regulations The Emergency Medicine Service of Loma Linda University Children s Hospital is responsible
MOONLIGHTING INSTRUCTIONS:
MOONLIGHTING INSTRUCTIONS: Please Complete and Send the Forms on the Following 6 Pages to the Medical Staff Office at Box URMFG 278911. 1) URMC Moonlighting (extra work shift) Request Form, p. 1 of 6 2)
Advancing Pharmacy Practice via Privileging and Credentialing
Advancing Pharmacy Practice via Privileging and Credentialing Ohio Society of Health-System Pharmacists 75 th Annual Meeting April 10, 2014 L Jake Childs, PharmD, BCPS (PGY2 HSPA Resident, Akron General
IX. Network Management
A. ValueOptions' Network Department As part of the efforts to develop a state-of-the-art behavioral health system in Texas, ValueOptions recognizes and acknowledges the provider network is not only crucial
Stanford Hospital and Clinics Lucile Packard Children s Hospital
Practitioners Page 1 of 10 I. PURPOSE To outline individuals who are authorized to provide care as an Allied Health professional as well as describe which categories of individuals who will be processed
Living Through a Sentinel Event Crisis: Lessons Learned from the David Arndt, MD Case
Page 1 6th Annual NPSF Patient Safety Congress Let s Get On With It! May 3-7, 2004 Hynes Convention Center Boston, MA Living Through a Sentinel Event Crisis: Lessons Learned from the David Arndt, MD Case
FAMILY NURSE PRACTITIONER EMERGENCY MEDICINE
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: 08/05/2015 Applicant: Check
How To Handle Unprofessional Behavior
Date: July 20, 2011 Page 1 of 6 Purpose: To support the Allegiance Health mission to lead our community to better health and wellbeing at every stage of life. Allegiance Health and its physicians require
GAO VA HEALTH CARE. Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes. Report to Congressional Addressees
GAO United States Government Accountability Office Report to Congressional Addressees January 2010 VA HEALTH CARE Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes
Check List. Telehealth Credentialing and Privileging Sec. 482.22. Conditions of Participation Medical Staff
Check List Telehealth Credentialing and Privileging Sec. 482.22. Conditions of Participation Medical Staff The Centers for Medicare and Medicaid Services (CMS) final rule on credentialing and privileging
CLINICAL PRIVILEGES- NEONATAL NURSE PRACTITIONER
Name: Page 1 Initial Appointment Department Reappointment Specialty All new applicants must meet the following requirements as approved by the governing body effective: 04/01/2015 Applicant: Check off
Medical Staff Professional Liability Application
Medical Staff Professional Liability Application This application is intended for use by eligible medical staff members applying for coverage in the Universal International Insurance Ltd., professional
Pathology and Laboratory Medicine Clinical Privileges Last Updated: November 19, 2013
Pathology and Laboratory Medicine Clinical Privileges Last Updated: November 19, 2013 Pathology Clinical Privileges 2013 Service Delivery Organizational Summary AHS Laboratory Services offers a comprehensive
Medical Staff Services. Dear Applicant,
Dear Applicant, Thank you for your interest in seeking appointment to the Medical or Allied Health Professional (AHP) Staff of MedStar Montgomery Medical Center. All initial appointments to the Medical
MEDICAL STAFF POLICY & PROCEDURE
240 Maple Street PO Box 470 Woodruff, WI 54568 (715) 356-8000 MEDICAL STAFF POLICY & PROCEDURE NUMBER: MS.4 EFFECTIVE/APPROVAL DATE: TITLE: CREDENTIALING POLICY REVISION DATE: 4/97; 1/98; 7/98; 2/99; 12/00;
Healthcare Inspection. Supervision of Nurse Anesthetists in the Anesthesia Section Dayton VA Medical Center Dayton, Ohio
Department of Veterans Affairs Office of Inspector General Healthcare Inspection Supervision of Nurse Anesthetists in the Anesthesia Section Dayton VA Medical Center Dayton, Ohio Report No. 12-01431-223
Question and Answer Submissions
AACE Endocrine Coding Webinar Welcome to the Brave New World: Billing for Endocrine E & M Services in 2010 Question and Answer Submissions Q: If a patient returns after a year or so and takes excessive
PIAA Corporate Counsel Workshop October 22 23, 2015
PIAA Corporate Counsel Workshop October 22 23, 2015 Ernia Hughes, MBA Director, Division of Practitioner Data Bank Bureau of Health Workforce Health Resources and Services Administration U.S. Department
Interior Health Authority Board Manual 9.3 MEDICAL STAFF RULES PART II TERMS OF REFERENCE FOR THE HEALTH AUTHORITY MEDICAL ADVISORY COMMITTEE
Interior Health Authority Board Manual 9.3 MEDICAL STAFF RULES PART II TERMS OF REFERENCE FOR THE HEALTH AUTHORITY MEDICAL ADVISORY COMMITTEE Original Draft: 15 December 2006 Board Approved: 17 January
WRAPAROUND MILWAUKEE Policy & Procedure
WRAPAROUND MILWAUKEE Policy & Procedure Wraparound Wraparound-REACH FISS Project O-Yeah I. POLICY Date Issued: 11/15/07 Effective Date: 1/1/15 Reviewed: 10/20/14 By: WA Last Revision: 10/20/14 Subject:
MARYLAND HOSPITAL CREDENTIALING APPLICATION
Error! STATE OF MARYLAND DHMH MARYLAND HOSPITAL CREDENTIALING APPLICATION Please type or print. Incomplete or illegible applications will not be processed. I. PERSONAL INFORMATION Name (Last, First, Middle)
Department of Veterans Affairs VHA HANDBOOK 1100.16. Washington, DC 20420 September 22, 2009
Department of Veterans Affairs VHA HANDBOOK 1100.16 Veterans Health Administration Transmittal Sheet Washington, DC 20420 September 22, 2009 ACCREDITATION OF VETERANS HEALTH ADMINISTRATION MEDICAL FACILITY
Regulatory Compliance Policy No. COMP-RCC 4.03 Title:
I. SCOPE: Regulatory Compliance Policy No. COMP-RCC 4.03 Page: 1 of 10 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)
TITLE: Allied Health Professional Policy
TITLE: Allied Health Professional Policy Number: Version: Status: Current Type: Medical Staff Policy Author: Medical Staff Original Date: Revised Dates: Review Cycle: Triennial Deactivation Date: Facility:
Colorado Association Medical Staff Services. What Does the Future Hold for Medical Staff and Credentialing Professionals?
Colorado Association Medical Staff Services What Does the Future Hold for Medical Staff and Credentialing Professionals? June 17-18, 2011 MSP s Have Come a Long Way The Medical Staff Services profession
Fairview Health Services SPONSORED MASTER S-LEVEL MENTAL HEALTH SERVICE PROVIDER Professional Practitioner Scope of Practice
Fairview Health Services SPONSORED MASTER S-LEVEL MENTAL HEALTH SERVICE PROVIDER Professional Practitioner Scope of Practice PAGE 1 OF 3 Applicant s Name (please print): CROSSWALK FOR REQUESTING FAIRVIEW
Standard 1. Governance for Safety and Quality in Health Service Organisations. Safety and Quality Improvement Guide
Standard 1 Governance for Safety and Quality in Health Service Organisations Safety and Quality Improvement Guide 1 1 1October 1 2012 ISBN: Print: 978-1-921983-27-6 Electronic: 978-1-921983-28-3 Suggested
EFFECTIVE DATE: 10/04. SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31
SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31 EFFECTIVE DATE: 10/04 Applies to all products administered by the plan except when changed by contract Policy Statement:
MGHS CREDENTIALS MANUAL
MGHS CREDENTIALS MANUAL POLICY FOR MEMBERSHIP TO THE MARQUETTE GENERAL HEALTH SYSTEM (MGHS) MEDICAL STAFF Applications for Medical Staff membership to MGHS shall be provided to physicians, dentists, podiatrists,
Check List. Telehealth Credentialing and Privileging Sec. 485.616. Conditions of Participation Agreements for Critical Access Hospitals
Check List Telehealth Credentialing and Privileging Sec. 485.616. Conditions of Participation Agreements for Critical Access Hospitals The Centers for Medicare and Medicaid Services (CMS) final rule on
CHAPTER 59A-23 WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS 59A-23.001 Scope. 59A-23.002 Definitions. 59A-23.003 Authorization Procedures.
CHAPTER 59A-23 WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS 59A-23.001 Scope. 59A-23.002 Definitions. 59A-23.003 Authorization Procedures. 59A-23.004 Quality Assurance. 59A-23.005 Medical Records and
Development of an Advanced Practice Clinician (APC) Onboarding and Credentialing Process for the Department of Surgery and Perioperative Services
Development of an Advanced Practice Clinician (APC) Onboarding and Credentialing Process for the Department of Surgery and Perioperative Services Madison Fuss, Temple University Cathyann Feher, RN, MSN
Credentialing and Privileging Overview
Quality Improvement Brief QUALITY IMPROVEMENT KEY FUNCTIONAL AREAS PROFESSIONAL PRACTICE Credentialing and Privileging Overview PERFORMANCE IMPROVEMENT SCIENCE REVIEW SERVICE QUALITY QUALITY IMPROVEMENT
Interviewable: Yes No Resident Room: Initial Admission Date: Care Area(s): Use
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Care Area(s): Interviewable: Yes No Resident Room: Use Use this protocol to determine whether the facility
Principles FOR. Practice. for Career Services & Employment Professionals
Principles FOR Professional Practice for Career Services & Employment Professionals Principles for Professional Practice For Career Services & Employment Professionals Career services and employment professionals
A Practical Guide to. Assessing the Competency of Low-Volume Providers
A Practical Guide to Assessing the Competency of Low-Volume Providers Hugh Greeley Contents About the Author................................................. v Introduction....................................................
Application for Medical Staff Appointment and Clinical Privileges. Part I. Credential Review
Application for Medical Staff Appointment and Clinical Privileges Part I. Credential Review I am applying for clinical privileges at the location(s) checked below: 6209 16 th Avenue, Brooklyn, NY 11214
Physician Survey. Collaboration with the Nurse Practitioner in Long-Term Care
Collaborative Practice by Nurse Practitioners and Physicians in Long-Term Care Facilities: A Mixed-Methods Study Faith C. Donald and Alba DiCenso McMaster University Physician Survey Collaboration with
North Carolina Department of Insurance. Uniform Application. To Participate as a Health Care Practitioner
orth Carolina Department of Insurance Uniform Application To Participate as a Health Care Practitioner ote: Please send completed applications directly to the organizations with which you seek to contract.
HENDRICK MEDICAL CENTER INITIAL APPOINTMENT ADDENDUM
Attachment H HENDRICK MEDICAL CENTER INITIAL APPOINTMENT ADDENDUM TO THE TEXAS DEPARTMENT OF INSURANCE (TDI) STANDARDIZED CREDENTIALING APPLICATION SECTION ONE - PERSONAL INFORMATION Last Name: First Name:
CREDENTIALING OF PROVIDERS
Page Number 1 of 8 TITLE: CREDENTIALING OF PROVIDERS PURPOSE: The Center for Health Care Services (CHCS) will ensure each provider possesses the required education, certification or license, training,
CLINICAL PRIVILEGES- NURSE MIDWIFE
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: Applicant: Check off the Requested
Telemedicine Reimbursement. and Credentialing
Kim Hoffman Telehealth Coordinator OHSU Telemedicine and Credentialing Kate Kenemer Client Service Analyst University Professional Services Why is it important? Encourages use of telemedicine services
ACOs ECONOMIC CREDENTIALING BUNDLING OF PAYMENTS
ACOs ECONOMIC CREDENTIALING BUNDLING OF PAYMENTS There are a number of medical economic issues Headache Medicine Physicians should be familiar with as we enter a new era of healthcare reform. Although
All Physicians must attend orientation. Your office will be contacted to schedule a time convenient for you.
Dear Doctor: Thank you for your interest in applying for Medical Staff Membership and or Clinical Privileges at Northwest Texas Healthcare System/Northwest Texas Surgery Center and or Alliance Regional
American Health Lawyers Association. Fundamentals of Hospital/Medical Staff Issues: Minimizing Risk and Maximizing Collaboration. November 3-5, 2013
American Health Lawyers Association Fundamentals of Hospital/Medical Staff Issues: Minimizing Risk and Maximizing Collaboration November 3-5, 2013 Michael R. Callahan Katten Muchin Rosenman LLP 525 West
He then needs to work closely with the Quality Management Director or Leader and the Risk Manager to monitor the provision of patient care.
Chapter II Introduction The Director has a major role in the effort to provide high quality medical care with a high degree of clinical safety. He is ultimately responsible for the professional conduct
Advocate Magazine March 2011. Why medical malpractice still matters.
Advocate Magazine March 2011 Why medical malpractice still matters. Despite MICRA limitations, medical-negligence claims still have a crucial role in society BY BRUCE G. FAGEL We all know the statistics
Initial Credentialing Application: Certified Registered Nurse Anesthetist (CRNA)
Updated 1/1/2013 Specialty Surgery Center Initial Credentialing Application: Certified Registered Nurse Anesthetist (CRNA) Dear Anesthesia Provider, Thank you for your interest in providing services at
Allied Health Care Provider: Appointment and Re-appointment
Allied Health Care Provider: Appointment and Re-appointment Document Owner: Lawson, Louise Version: 8 Effective Date: 10/23/2013 Revision Date: 4/26/2015 Approvers: Calkins, Paul; Del Boccio, Suzanne;
Los Angeles County Department of Mental Health Credentialing Application for Prescribing Practitioners Delivering Services to DCFS Children
Los Angeles County Department of Mental Health Credentialing Application for Prescribing Practitioners Delivering Services to DCFS Children This application is exclusively for prescribing practitioners
Credentialing Critical Care Providers
Credentialing Critical Care Providers Neal H. Cohen, MD, MPH, MS Professor and Vice Dean UCSF School of Medicine Chair, Risk Management Committee August 8, 2008 Credentials in Critical Care Medicine What