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Top Tips for Medical Staff Integration
Audio CD
Recorded October 27, 2005

Faculty: Alan Steinberg & Susan Lapenta

Health systems that include multiple hospitals often struggle with how independent or integrated their medical staffs should be. For some, total integration – one system medical staff – may be the best answer. For others, more modest efforts at integration may be a better choice.

But regardless of the level of integration, many hospital systems struggle with the same issues. For example:

  • Should we centralize our credentialing process and, if so, what is involved?
  • Should we have the same or similar criteria for appointment? For clinical privileges?
  • Should the standards and processes in our bylaws, credentialing policy, fair hearing plan, medical staff rules and regulations and related policies be consistent?
  • Can we share information among sister organizations? If so, when? And how much information can we share?
  • Is each organization required to go through its own investigation, hearing and appeal when concerns are raised about the same practitioner?
  • How does the Board reconcile conflicting recommendations from different medical staffs about the same practitioner?
  • Can we "just say no" to a physician who has already been disciplined by a sister organization?
  • What are the external barriers to integration? Department of Health? CMS? JCAHO?
  • What are the internal issues we are likely to encounter regarding integration?

Susan Lapenta and Alan Steinberg discuss the various models of medical staff integration most commonly used.

Audio CD: $225

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