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.

Core Privileges for AHPs: Develop and Implement Criteria-Based Privileging for Nonphysician Practitioners, Second Edition Sally Pelletier, CPMSM, CPCS Put decades of unique research expertise to work for you. Simplify AHP privileging with the only resource that combines decades of unique research and consulting expertise. This book and downloadable forms library of 38 sample forms provide a guide to developing and implementing core privileges for nonphysician practitioners. Benefits: Save weeks of time otherwise spent researching specialty professional societies and evaluating data for competency benchmarks Eliminate the hassle of developing forms from scratch Access a comprehensive collection of 38 core privilege forms for AHPs in one convenient location, available for download Improve your existing forms and create new ones based on expert-developed content and best practices Ease the conversion from laundry lists to core privileging Benefit from expert analysis of competency criteria What''s new in this edition? New privileging forms for anesthesiology assistants, pathologist assistants, radiologist assistants, and registered nurse first assistants Additional insight into how to use the forms and optimize nonphysician practitioner privileging All forms from the previous edition have been reviewed and updated with necessary changes and recommendations Updates on additional accrediting body requirements for privileging, including The Joint Commission, DNV, and HFAP Check out the Table of Contents: Section I: The Basics of Credentialing and Privileging Chapter 1: Credentialing: The Prerequisite of Privileging Chapter 2: Privileging Chapter 3: Linking Competency to Core Privileging Through Focused Professional Practice Evaluation Chapter 4: Criteria-Based Core Privileging: A Better Way to Privilege Section II: Developing and Implementing Core Privileges Chapter 5: Getting to the Core: Creating Criteria-Based Core Privileges for Your Organization Chapter 6: Implementing Core Privileges Chapter 7: Overcoming Controversies and Challenges Section III: Core Privileges for Nonphysicians Chapter 8: Changes in Healthcare That Affect the Credentialing of Nonphysicians Chapter 9: Credentialing and Privileging AHPs in Compliance With Accreditation Standards Chapter 10: Establishing Terminology, Definitions, and Policies and Procedures for Privileged vs. Nonprivileged Practitioners Section IV: Sample Core Privileging Forms Supervising Physician''s Agreement Overviews are included for each privileging area Privileging forms: Anesthesiologist Assistant Certified Nurse Midwife Certified Registered Nurse Anesthetist Clinical Nurse Specialist Nurse Practitioner Acute Care Cardiovascular Medicine Cardiac Surgery Critical Care Dermatology Emergency Medicine Neonatology Nephrology Neurology Orthopedic Surgery Pediatrics Primary Care Psychiatric/Mental Health Surgical Women''s Health Pathologist Assistant Physician Assistant Acute Care Cardiovascular Disease Cardiovascular Surgery Critical Care Dermatology Emergency Medicine Nephrology Neurosurgery Primary Care Orthopedic Surgery Pediatrics Radiology Surgical Urology Women''s Health Psychologist Radiologist Assistant Registered Nurse First Assistant

Whether You Are An Expert In Medical Staff Services Or A Student Just Starting Out, This Book Provides Solutions To The Most Common Dilemmas. This Guide Provides A Comprehensive Look At All Major Functions Performed In A Medical Staff Services Department. It Contains Practical Advice On Organizing Medical Staff, Carrying Out Procedures, And Resolving Problems Related To Credentialing And Privileging.

b>Health Care Credentialing, takes you far beyond the standard review of credentialing concerns, delivering insights into innovative ways to collect, process and assess credentialing information. No matter where you're conducting credentialing, this resource will help you keep pace with the latest ideas and approaches. Specifically, Health Care Credentialing will help you: Take into account complex laws, regulations, and accreditation standards as they apply to credentialing Handle disruptive care and clinical competency issues Access information for evaluating core competencies to be used in credentialing Stay up-to-date on relevant regulations, statutes, and accreditation standards Health Care Credentialing helps you address the critical issues in this important arena. This unique resource delivers: Coverage of credentialing for disaster management Innovative processes to upgrade clinical competencies outside the credentialing system Guidance on Board and IRB credentialing Innovative perspectives to address behavioral problems and disruptive individuals Cutting-edge approaches to "Pay-For-Performance" and credentialing Ahead-of-the-curve insights into credentialing and federal requirements such as the ADA Rehab Act Section 504 and EEOC guidance In addition, Health Care Credentialing will help you: Keep pace with credentialing standards and relevant state and federal requirements Launch important credentialing initiatives Implement alternative programs to address emerging credentialing issues And much more! Health Care Credentialing has been updated to include: New sections on: New ACOs: Physician-Hospital Alignment Changes in Medical Staff Structures Technology Utilization Competency Innovative Bylaws and Credentialing Advanced Diagnostic Imaging Credentialing Discussion of changes in the proposed rule for the Healthcare Integrity and Protection Data Bank (HIPDB) and the National Practitioner Data Bank (NPDB) Updated information on credentialing for advanced practice practitioners Updated information on telemedicine Discussion of the May 2012 revisions to the medical staff and nursing services Conditions of Participation Updated information on the final rule for screening and program requirements for ACOs Discussion of the following cases: Smigaj v. Yakima Valley Memorial Hospital West Florida Regional Medical Center v. See Gargiulo v. Baystate Health, Inc. Effective reversal of the Archuleta decision by Utah Code section 78B-3-425 Cawthorn v. Catholic Health Initiatives Iowa Corp. d/b/a/ Mercy Hospital Medical Center Appeal of Sternberg v. Nanticoke Memorial Hospital Jablonsky v. Sierra Kings Healthcare District Preau v. St. Paul Fire and Marine Insurance Company Lawnwood Medical Center Inc. v. Randall Seeger Smith v. Cleveland Clinic Gaalla v. Brown State of Rhode Island Department of Health Board of Medical Licensure and Discipline, In the matter of Alexandra Thran, MD Updated discussions of and references to The Joint Commission's 2012 Hospital Accreditation Standards