| The Credentialing Clinic is a problem-solving workshop that is designed to give registrants an opportunity to work through the credentialing problems they face every day. Guided by attorneys whose practice is devoted to helping hospitals, medical staff leaders and Board members, The Credentialing Clinic combines “credentialing lessons” with active participation in solving many challenging issues, including:
Legal Protections for Medical Staff Leaders
- You should never have to worry about legal liability for your Medical Staff leadership activities — federal and state protections, how you can provide added protection
Processing Initial Applications
- Identifying and addressing “red flags” on applications
- Asking the right questions — getting meaningful references
- How much weight should you give to malpractice claims?
- Incorporating an evaluation of ACGME competencies into your process to comply with Joint Commission requirements
Reappointment
- How does the Joint Commission’s requirements for ongoing professional practice evaluation impact your reappointment/reappraisal process?
- Conditional reappointment — a useful tool
Allied Health Professionals
- Who is doing what in your hospital?
- Are they qualified? How do you know?
- What do you consider when renewing privileges and scope of practice?
Managing Clinical Privileges Challenges
- Privileges that cross specialty lines (“turf” battles)
- Privileges for new procedures
- Establishing focused professional practice evaluation (FPPE) requirements along with threshold criteria
- Attempts to selectively resign privileges (and limit call responsibility)
Performance Improvement and Peer Review Best Practice
- Designing a process that works — focus on Performance Improvement Plans
- Incorporating the Joint Commission’s Elements of Performance for FPPE
“Collegial Intervention” An Important Leadership Tool
- Who should do it? How far can you go? What should be documented?
- What to do when it doesn’t work!
Conducting an Effective Investigation
- Start out right — what to do before you start an investigation
- Keeping the practitioner “in the loop”
- Using outside experts
Dealing with Disruptive Practitioners
- Who is the disruptive practitioner?
- When is it time to act? What are the options and traps to avoid?
- How can you reduce the likelihood of the disruptive practitioner becoming a whistleblower?
Practitioner Health Problems in Your Hospital
- Support and guidance or discipline – what does your policy say?
- Reinstatement: a delicate balance between patient safety and practitioner recovery
Best Practices in Medical Staff Bylaws
- The foundation for all you do — make sure they help you
Sizzling Hot Credentialing Issues
- What can references tell each other?
- Credentialing the low volume/no volume practitioner
- The ongoing saga of MS.1.20
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