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HOW TO NAVIGATE WORK HISTORY DATA FOR CREDENTIALING

KEYS TO UNDERSTANDING OBJECTIVE DATA; AND SUBJECTIVE DATA REQUIRING ASSESSMENT This blog is about the two types of work history data included in an application for employment in health care. Objective data doesn’t require evaluation or assessment. It either is included with the application, or it is not. If any of the required objective data…

CREDENTIALING DOCUMENTATION CHECKLIST TO AVOID NEGLIGENCE

Provider Credentialing with Good Documentation and Solid Bylaws Protects Against Litigation and Settlements. This blog outlines tips to avoid litigation around provider credentialing, privilege granting, and health care compliance. There is a great discrepancy between the facts of an event at the time of its occurrence and the memory of it weeks, months, or years…

MEDICAL STAFF BYLAWS – PREVENTION IS THE CURE

How Medical Credentialing Bylaws Set the Stage for Transparency in Provider Population Background and Current Behavior A health care organization’s bylaws add a structure of guidance to the hiring practices of providers, leadership, and even the board and vendors. Bylaws arm the human resources staff, the medical staff services professionals, credentialing committees, the medical executive…

HOW THE CREDENTIALS COMMITTEE PROTECTS A HOSPITAL’S REPUTATION

A GOOD REPUTATION IS BUILT OVER TIME AND LOST IN A DAY The Credentials Committee plays a key role in the reputation of a health care system or a single hospital. There is much more in play than medical competence. Yet, that set of criteria carries the most weight when hiring a provider at a…

Hugh’s Credentialing Digest — Negligent Credentialing Lawsuits

Negligent credentialing litigation is no laughing matter. Defense costs mount up quickly and settlements to avoid a costly trial are frequent. Unfortunately, many hospital executives and the majority of physician leaders remain relatively uninformed about this type of litigation. While it is likely that they have heard of a few of the cases resulting in…

Hugh’s Digest – Taming MSP and Administration Tangles

The mission continues. I will address a number of the inefficient, outmoded, frustrating and unnecessary activities that have subtly crept into the practices of many medical staffs and medical staff services departments. Hospital leadership, including the vice president of medical affairs (VPMA), medical staff services professionals (MSPs), human resources (HR) director, and chief of staff…

Hugh’s Credentialing Digest – Credentials Committee Organization and Management

Recently, while watching a credentials committee in action, I was struck by the lack of organization and committee management evident in the room. Below are a few of my observations: • The chair arrived late and immediately began a conversation with another member about a patient. • Of the eight appointed members, only four were…

Hugh’s Credentialing Digest—Embracing Change, Produced by Hugh Greeley

Inspiring Physicians to Embrace the Change that Defines Success in Health Care is the topic for Hugh’s Credentialing Digest, Produced by Hugh Greeley “The greatest barrier to a paradigm shift is the reality and incredible inertia of paradigm paralysis. A paradigm paralysis can be defined as the inability or refusal to see beyond current models…

Medical Staff Bylaws – Prevention is the Cure

Hugh’s Credentialing Digest – Medical Staff Tips Over past decades, often medical staffs have advanced their procedures and regulations only at the prodding of accreditation agencies or when required by law to do so. Consider the long-forgotten medical staff controversy about adding a clause to the bylaws eliminating discrimination based upon race, religion, creed, color…

Be Nice or Be Gone

“Be nice or be gone!” This is a phrase that could be used on a poster placed in the surgeon’s lounge or medical staff office, or simply and anonymously sent to that one physician on your staff who really “just doesn’t get it.” Prevention is the very best of all actions a medical staff can…