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Low and No Volume Practitioners:
New Credentialing and Leadership Challenges
Audio Conference & CD/MP3
Recorded July 15, 2008


Hospitals are struggling to assess the competence of physicians who have only limited activity in their facilities. The Joint Commission requires that hospitals engage in ongoing professional practice evaluation ("OPPE"), but this assumes that data is available to evaluate. What happens if a physician has only seen three or four patients, or no patients, and there simply is no data? Should such physicians be told that they are ineligible for medical staff appointment?

These questions are all the more difficult because many of these physicians have long been pillars of the medical community. Disenfranchising them seems unreasonable and shortsighted, and will reduce the pool of potential Medical Staff leaders. Is there a way to allow them to continue to contribute to the hospital and medical staff while still meeting Joint Commission and other requirements?

Susan and Phil offer practical solutions such as:

  • What's in it for you? The pros and cons of staying connected with the no/low volume practitioner
  • Establishing threshold criteria for minimum patient contacts
  • Defraying the cost of recredentialing the low/no volume practitioner
  • How much is enough? How much information do you need to credential someone?
  • Using reference evaluations to get information about the core competencies of low/no volume practitioners
  • Obtaining information from other health care facilities and managed care organizations: Are state peer review protection laws an obstacle?
  • Using "focused professional practice evaluations" to obtain information
  • Credentialing information from the office setting - defining criteria before undertaking the task
  • Staff categories without clinical privileges - the wave of the future or a thing of the past?
  • Rights and responsibilities of low and no volume physicians in medical staff affairs
  • Existing criteria for appointment (including board certification, no felony convictions and no exclusion from Medicare and Medicaid) - should these apply to staff categories with no clinical privileges?
  • The difference between Ambulatory Staff and Community Affiliate Staff
  • The quid pro quo for appointment - satisfying service call needs

 




Audio CD or MP3 only: $225

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