Featured Content | | Study: Patients more likely to experience complications when surgeons have reports of unprofessional conduct | | A recent study published in JAMA Surgery indicates a correlation between collegial reports of unprofessional behavior and a surgeon’s rate of postoperative complications. Researchers collected data on surgeons and patients from two academic medical centers for operations occurring between January 1, 2012, through December 31, 2016. All patients under 18 at the time of the surgery were excluded. All surgeons with less than 36 months of monitoring prior to the operation were also excluded. Approximately 13,700 patients and 200 surgeons were included in the study. |
| Sample bylaws language: Setting a responsibility to proctor | | Most medical staffs and healthcare organizations have found it challenging to find physicians willing and available to proctor colleagues. In hospital settings, many medical staffs overcome these barriers by making proctoring an obligation of staff membership. Usually, this is facilitated by a clause in the medical staff bylaws indicating that all staff members must assist in the peer review activities of the organization. Proctoring is then considered one such peer review activity. This sample bylaws language can be tailored to your organization's proctoring needs. |
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CRC Member Exclusive | | Drug abuse awareness and screening requirements for healthcare practitioners | | Some states, such as Maryland, have implemented mandatory prescription drug monitoring programs to help address the opioid crisis. Such programs require both prescribers and pharmacists to not only report when controlled substances are prescribed/dispensed, but also query the database and evaluate the patient’s current and past prescription history. This query assists practitioners with clinical decision-making regarding possible adverse drug interactions; however, it also alerts the prescriber to any other prescriptions for controlled substances that the patient may have recently filled. This helps decrease a patient’s ability to “doctor hop,” getting multiple prescriptions from various practitioners and filling them at different pharmacies. |
| The key to successful oversight: Keep the hospital board informed | | The hospital governing board’s oversight responsibilities are critical to the success of the organization. Governing boards need information that can enable them to optimally perform their duties. The roles and responsibilities of the governing board include everything from ensuring cost-effective utilization of resources to determining the organization’s mission and establishing a long-range strategic plan to help accomplish this mission. Hospital governing boards have six major areas of responsibility, including the oversight of the medical staff credentialing process. This article will focus on the nuances in the relationship between the governing board and the hospital’s credentialing duties. |
| New Platinum Plus eBook: Overcoming Contemporary Credentialing Challenges: Practical Strategies for MSPs and Medical Staffs | | From increasing healthcare delivery and payment models to rapid-fire advances in telemedicine, credentialing software, and other game-changing technologies, today’s MSPs and medical staff leaders face continual evolution in their field. To meet the demands of an industry on the move, traditional credentialing approaches and medical staff makeups must evolve as well—a task that requires strategic intervention and broad buy-in. Featuring fresh insight from three authors with wide-ranging expertise, Overcoming Contemporary Credentialing Challenges: Practical Strategies for MSPs and Medical Staffs provides actionable guidance for contending with the culprits behind 10 of today’s top practitioner vetting pitfalls |
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CRC Announcements | | Register for our upcoming provider enrollment webinar! | | Join us on Tuesday, August 13 from 1:00-2:30 pm ET for our webinar Enrollment Solutions: Improving Payer Approvals, presented by Amy M. Niehaus, MBA, CPMSM, CPCS. Lengthy enrollment turnaround times with commercial payers can hurt an organization’s bottom line with delayed or lost revenue. Provider enrollment specialists have traditionally performed this function, but a growing contingent of MSPs are managing enrollment duties in addition to their existing medical staff credentialing obligations. During this 90-minute webinar, Niehaus will give attendees an understanding of the payer credentialing process and requirements under Centers for Medicare & Medicaid Services (CMS) and National Committee for Quality Assurance (NCQA) standards. Attendees will also learn methods to reduce lost revenue due to payer credentialing delays and implement efficient enrollment processes. Click here to register or learn more. |
| The 2019 MSP Salary Survey is now open! | | The Credentialing Resource Center’s (CRC) annual MSP Salary Survey measures the compensation rates, essential duties, and other workplace trends shaping the careers of MSPs across the industry. The 2019 edition features new and improved questions and response options, developed with input from MSPs working in credentialing environments ranging from acute care hospitals and ambulatory centers to CVOs and health plans. To show our thanks for taking the survey, we will select one person at random to recieve a free seat to the 2020 Credentialing Resource Center Symposium. Click here to take the 2019 MSP Salary Survey today to make sure your professional experiences are represented. |
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Contact Us | | Karen Kondilis
Managing Editor
Credentialing Resource Center
kkondilis@hcpro.com
HCPro
35 Village Road, Suite 200
Middleton, MA 01949
800-650-6787
www.hcpro.com For advertising and marketing opportunities with the Credentialing Resource Center, please email dhartley@hcpro.com. | | |
Career Center | | Post your open positions or find your next career move with the HCPro Career Center. | | |
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