Incorporating ACGME General Competencies


Audio Conferences
		Stark 4: The End of Joint Ventures As We Know Them? FAQ about Bylaws Series: Medical Staff Structure Credentialing Privileging Questions Medical Staff Investigations and Hearings Allied Health Professionals
Audio CDs/MP3s
	ACGME: Incorporating ACGME General Competencies into Your Credentialing Process AHP Potpourri Board Conflicts of Interest The "Borderline" Physician: Managing Performance Improvement for Those Who Can Improve (and Building the Legal Record for Those Who Can't) Charity Care Class Action Lawsuits Clinical Privileges: Tough Issues and Solutions CMS Clarification on Hospital Privileging CMS Issues Final Rule on 4 CoPs CMS: The New Guidelines for Informed Consent - Process, Policies and Forms Community Need for Physicians: How to Analyze, Prove and Document It Conduct Outside the Hospital: Are You Your Brother's Keeper? Conflicts of Interest on the Medical Staff Contracting and Credentialing: Bridge the Gap or Pay the Piper Corporate Bylaws: When Was the Last Time You Looked Yours Over? Credentialing and Medical Staff Records - Access, Control and Confidentiality Credentialing and Privileging Teleradiologists The Credentialing Process: Who is Slipping Through the Cracks? Credentialing the Aging Physician Credentialing Verification in the Trenches Criminal Background Checks for Physicians Deferred Compensation for ER Call Disruptive Behavior and the Joint Commission's Sentinel Event Alert Effective Performance Improvement Plans Employing Physicians Series EMTALA and On-Call: Important New Changes EMTALA: The Final Rule and Regulations EMTALA Guidelines EMTALA Investigations: How to Survive Excess Benefit Transactions Exclusive Contracts - Strategies to Deal with the Shortage of Doctors Executive Compensation in IRS Crosshairs Fair Market Value The Feds Are Coming – Do You Know Where Your Physician Contracts Are? Forgoing Life Sustaining Treatment FPPE: Practical Tips Fraud, Abuse & the OIG: A Look Back — A Look Ahead Free Speech or Disruptive Behavior? The FTC's Evanston Decision - Are Mergers Still OK? Gainsharing Exception: The Sixteen Step Program HIPAA and Credentialing HIPAA - Everything You Ever Wanted To Know — And Weren't Afraid to Ask HIPAA Investigations and Enforcement HIPAA Security Regulations Hospitalists: The Who, What and How The "Independent" Medical Staff – What Would It Really Mean? Investigations and Hearings — Should You Follow Your Bylaws? Maybe Not! IRS Final Form 990 The IRS is Watching YOU – Part I: Good Governance Practices for 501(c)(3) Organizations The IRS is Watching YOU – Part II: Exempt Organizations Executive Compensation Compliance Project Report It's Never Too Late for an Amicable Resolution — Alternatives that Can Protect Patients and Save a Career Joint Venture Series The Kadlec Appeal – Decision Against Hospital Reversed! The Limited English Proficiency Rules Low and No Volume Practitioners Malpractice Claims and Your Credentialing Process Malpractice Insurance Premiums: Helping Your Doctors Pay Managing the Disruptive or Difficult Patient Medical Ethical Issues - Right Choices, Legal Answers Medical Record Deficiencies: Practical Solutions to a Persistent Problem Medical Staff Integration Models for a Sustainable Future Medicare Physician Supervision and "Incident-to" Billing: What are the Rules? New MS.1.20: Stay the Course or Jump Ship? Must Hospitals Train Their Staffs to Bite the Hand that Feeds Them? Nonprofit Governance Audio Series: Legal Compliance and Public Disclosure Effective Governance Practices Financial Management and Fundraising On-Call Audit & EMTALA Update On-Call Problems and Solutions Is OPPE Making You CRAZ-EEE? The Organized Medical Staff & Joint Commission Compliance:: Real Life Issues, Practical Solutions Panel on Nonprofit Sector Announces Principles for Good Governance and Ethical Practice Patient Complaints and Grievances – Time to Take Them Seriously Patient Safety and Quality Improvement Act: Proposed Regulations Paying for On-Call Services - the OIG Speaks Performance Improvement Plans Physician Behavior Physician Recruitment and Retention After Stark III Poliner: Court Upholds Jury's Findings Poliner on Appeal: What Does It Mean for Peer Review? Practical Solutions to Your Toughest On-Call Problems Practical Tips for Developing Medical Staff Leaders Precautionary Suspensions are to Protect Patients A Primer on Preemption: Incorporating State Privacy Laws into Your HIPAA Compliance Plan Protecting Peer Review Information Quality/Performance Improvement & Peer Review Best Practices Reconciling Conflicting Financial Interests of Physicians & Hospitals Recruitment Before Credentialing: What Were You Thinking? Resignation of Privileges to Avoid On Call Responsibilities Self-Disclosure & Government Investigation Sexual Harassment - It's Not Going Away! Does "Sham" Peer Review Really Happen? Sizzlin' Hot Credentialing Issues Specialty Hospitals and Gainsharing Alert! Stark 3.5? Proposed Changes in Inpatient Prospective Payment Rules Stark 2.5 - the Party's Over Stark Phase III Regulations ... They're he-e-e-e-e-e-re! Stark: Software/New Stark and Antikickback Rules Stark Violations in Your Medical Staff Office? Strategies to Address Medical Records Violations Take Control of Your Medical Staff Hearing Process Tax-Exempt Hospitals and Politics: Survival Guide for the Election Year Teleradiologists: Credentialing and Privileging Temporary & Locum Tenens Privileges Unanticipated Outcomes Disclosure and Medical Error Reporting

ALPHABET SOUP: TJC'S ACGME, OPPE, and FPPE:
ARE WE HAVING FUN YET?
PRACTICAL TIPS ON HOW TO COMPLY
WITH THE NEW REQUIREMENTS
AUDIO SERIES

Incorporating ACGME General Competencies into Your Credentialing Process
Recorded June 12, 2008

In the overview of the Credentialing and Privileging standards, the Joint Commission states that the new Standards have been "informed throughout by the six areas of 'General Competencies'" developed by the ACGME and ABMS joint initiative.

The General Competencies have been used by residency programs to evaluate residents for several years. The Joint Commission simply changed the word "resident" in each competency statement to "practitioner." The six competency areas are: Patient Care, Medical/Clinical Knowledge, Practice-based Learning and Improvement, Interpersonal and Communication Skills, Professionalism and System-Based Practice.

The Joint Commission states that "[i]ntegrating these concepts into the standards allows the organized medical staff to expand to a more comprehensive evaluation of a practitioner's professional practice." However, there is only one Element of Performance that specifically references the competencies and no Standards that do. So, what is a hospital to do?

Compliance tips in this audio conference include:

What changes should be made in Medical Staff Bylaws/Credentialing Policies?
How can you get meaningful peer evaluations that reflect the general competencies and, as important, get you the information that you need regarding applicants for initial appointment and reappointment?
How can you incorporate the competencies into the peer review process?
Must you/how can you show ongoing evaluation of practitioners' performance in the six areas?

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Tune in to the rest of the series:

Incorporating ACGME General Competencies into Your Credentialing Process

Is OPPE Making You CRAZ-EEE?

Practical Tips for Complying with FPPE

Effective Performance Improvement Plans

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