Publisher's Synopsis
Assessing the Competency of Low-Volume Practitioners
Tools and Strategies for OPPE & FPPE Compliance, Second Edition
Sally Pelletier, CPMSM, CPCS; Mark Smith
Fewer physicians are practicing in the hospital, yet The Joint Commission is placing more pressure on hospitals to verify the competency of all physicians.
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 and CD-ROM set offers the necessary tools and strategies for medical staff leaders and professionals to manage the increasing number of low- and no-volume providers and comply with Joint Commission standards.This resource will help you:
- Understand the low- and no-volume trend
- Manage low- and no-volume practitioners
- Develop a strategy for aligning physician and hospital goals
- Create medical staff categories to reflect the role of these physicians and encourage participation
- Effectively appoint and reappoint low-volume practitioners to the medical staff
- Document and assess performance data for low- and no-volume providers
- Comply with FPPE and OPPE requirements
- Effectively credential and privilege low- and no-volume providers
- Strengthen physician-hospital relations
- Techniques to collect adequate data and verify competence
- Tools to credential and privilege low and no-volume providers
- Methods to comply with FPPE and OPPE requirements
- Case studies to illustrate suggested strategies
- Customizable tools and forms on CD
- Strategies to comply with Joint Commission standards
- Alternatives to having low- and no-volume providers on the active medical staff
- Ways to align hospital goals with those of low- and no-volume providers
Don't let the low- and no-volume trend bog down your credentialing and privileging processes. Use this resource to manage low- and no-volume practitioners, effectively appoint and reappoint low-volume practitioners to the medical staff, and document and assess physician competency.Check out the table of contents:
Chapter 1: The Growing Low-Volume/No-Volume Trend in Hospital Medical Practice
- How Did We Get Here?
- Past Meets Present
- The Challenge This Trend Poses for Your MSPs, Medical Staff Leaders, and Board
- CMS and Joint Commission Regulations Pose Credentialing Challenges
Chapter 2: Developing a Strategy to Manage Low- and No-Volume Providers
- Inclusive versus Exclusive Medical Staffs
- Creating a Medical Staff Development Plan
- Medical Staff Models
- Creating Value for Individual Medical Staff Members
- Designing a Medical Staff Development Plan
Chapter 3: Determining Practitioner Competency
- Matching Privileges with Competence
- Remember the Four Basic Credentialing Steps
- Step 1: Establish Policies and Rules
- Step 2: Collect, Verify, and Summarize Information
- Step 3: Evaluate and Recommend
- Step 4: Review, Grant, or Deny
Chapter 4: Options for Processing Low- and No-Volume Practitioners' Applications
Chapter 5: Case Studies
- Soliciting Physician Input
- Career Development
- Creating Options
- Rural Conundrum
- Questionable Quality
Continuing Education CreditsThis program 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.
