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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