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

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

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 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.

Telebehavioral Health (TBH), defined as the use of information and telecommunication technologies for remote behavioral health service delivery, has witnessed exponential growth in recent years. The increase in TBH adoption can be attributed to several factors such as: increasing demand for behavioral health services, increasing availability of high-speed internet, decreasing cost of technology, expansion of reimbursement, and growing scientific evidence demonstrating its effectiveness across various patient populations, psychiatric conditions, and clinical settings. The COVID-19 pandemic further catapulted TBH expansion and scaling, as social distancing and lockdown measures left both clinicians and patients with limited alternatives. Essentials of Telebehavioral Health: A Practical Guide comes at a time when TBH’s effectiveness is well-established, its position in healthcare systems secure and uncontested, and the conversation around it shifting from “if” to “how” it could be implemented. The success of TBH programs is contingent on the careful planning, meticulous implementation, and continuous monitoring and evaluation of its essential components, with special emphasis on clinical, technical, legal and ethical considerations. While there are existing resources that offer road maps for TBH program implementation, what this book provides is hands-on support and guidance to set up and maintain a TBH practice, focusing on both its programmatic and clinical aspects. Its simple structure, succinctness, and scientific rigor make it suitable for both professional and educational settings. In addition to contributing to the writeup, the editors enlisted several authors with a wealth of practical knowledge and firsthand clinical experience on TBH implementation and delivery. The user experience is enhanced through explanatory figures, synthesis tables, visual aids, end-of-section checklists, and summaries in bullet-point format. Essentials of Telebehavioral Health: A Practical Guide is a concise and evidence-based guide that synthesizes decades’ worth of knowledge and experience into key pointers for clinicians, professionals, and interested learners on how to plan, implement, deliver, evaluate, and ensure the sustainability of TBH programs. As the most up-to-date text on TBH, this book serves as a go-to resource for healthcare professionals, clinicians, students and trainees with minimal to no formal education on TBH, to work towards adopting this modality in a synthesised and easy to read format.

Verify and Comply: A Quick Reference Guide to Credentialing Standards, Fifth Edition Carol S. Cairns, CPMSM, CPCS The Joint Commission... NCQA... CMS... DNV... HFAP... Searchable and side-by-side! Verify and Comply, Fifth Edition, is the much anticipated next edition of one of HCPro's most popular credentialing resources. Many satisfied customers have used this resource to study for their NAMSS certification exams and to keep up to date with accreditors' credentialing standards. This newly expanded guide addresses Joint Commission, NCQA, and CMS standards in the book, as well as DNV and HFAP on the companion CD-ROM. That means five sets of accreditors' standards are side-by-side and searchable by topic on CD-ROM. Get the resource thousands of MSPs have come to rely on. It will help you: Easily access, navigate, and compare the requirements of all five organizations at a glance Eliminate wasted time searching through multiple resources to find what you need Stop struggling to interpret the standards on your own Understand the differences between the stages of the credentialing process--appointment, reappointment, and ongoing assessment Get answers to your credentialing questions quickly and easily Study for your CPCS and CPMSM certification exams No other resource for credentialing standards offers you this level of expertise and convenience. All five sets of standards side-by-side, organized by topic, on a searchable CD-ROM The Joint Commission NCQA CMS DNV HFAP Three sets of standards in print in the book (The Joint Commission, NCQA, and CMS) Straightforward, complete summaries of standards Expert interpretation of the standards Distinct sections that clarify the differences between each stage of the credentialing process A tips section that allows for further analysis Special notations to readers who are studying for the CPMSM/CPCS exams Who will benefit? Credentialing specialist/analyst Medical staff services coordinator Director of medical staff services Credentialing coordinator Credentialing manager Medical staff professional Survey coordinator Earn continuing education credits! This program has been approved by the National Association Medical Staff Services for up to 3.0 continuing education unit(s). Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. Navigate credentialing standards faster and easier. Order your copy today.