Clinical Privileges: Tough Issues and Solutions


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

Clinical Privileges:
Tough Issues and Solutions
Audio Conference
Recorded July 26, 2005

Faculty: Linda Haddad and Monica Hanslovan

Do any of these situations sound familiar?

Leapfrog standards say that critical care should be provided by intensivists. At your hospital, surgeons, internists and others follow their own patients in the ICU. If you require them to consult with the intensivists, or to turn those patients over to the intensivists, have you restricted or revoked their clinical privileges?
Now that your hospitalist program is thriving, many family practitioners on your staff no longer come to the hospital. But, they still want clinical privileges. Can the family practitioners be granted clinical privileges when they have no hospital practice to assess?
A great internist is returning from a three-year absence now that her youngest child is in pre-school. She kept up with CME during those three years, but did not care for patients. Does she qualify for clinical privileges?
It's 6:50 am. The cath lab calls to ask if Dr. Smith has privileges to perform the new wild and wonderful procedure that he has scheduled for 7:15 am.
The person who is most proficient in the use of the hospital's newly acquired surgical equipment is the sales rep. The orthopedist wants the rep in the OR when he uses it the first time. Must you grant clinical privileges to the sales rep? Can you?

Clinical privileges questions are among the stickiest of all credentialing issues. Besides the traditional requirement that an applicant demonstrate training and current clinical competence in the area in which clinical privileges are requested, there are new issues.

How do you handle clinical privileges that cross specialty lines or the clinical privileges that come with new medical technology?
Can your privileging keep up with technology?
When is something so new or different that it requires its own clinical privilege before it can legally be performed on a patient in the hospital?
What should you do when privileges in demand are part of the radiology (or another group's) exclusive contract?
How do you know when a request is for new privileges, as opposed to merely an extension of existing privileges?

These are just some of the topics that are addressed in HortySpringer's audio CD.

Audio CD: $225

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