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Credentialing Primary Source Verification Directory
Visit our sister website for credentials verification help!
 

Credentialing Resource Center Connection

 
 
National credentialing and privileging expert Sally J. Pelletier, CPCS, CPMSM, delivers useful and timely information in her weekly " Credentialing Resource Center Connection" column.

August 19, 2010   ( Volume 12, Issue 33)
 
How much does credentialing cost?

Does your medical staff services department track how much it costs to credential each individual physician at your organization? Do you track how much it costs to perform primary source verifications for advance practice professionals?

If so and you’d like to participate in a Briefings on Credentialing article about this topic, e-mail Associate Editor Emily Berry at
eberry@hcpro.com.


 
Ask the expert: Why are hospitals responsible for negligent credentialing?

A majority of courts in the United States have recognized expressly that a hospital has a duty to investigate, select, and retain only qualified and competent physicians as members of its medical staff.

These courts have labeled a hospital’s failure to exercise this duty with a number of terms, including corporate or institutional negligence; negligent selection, retention, or supervision; and more commonly, negligent credentialing. Under this theory of liability, in which a patient is injured by an incompetent or unqualified physician, the hospital is directly responsible to the patient for the hospital’s failure to properly conduct the credentialing process—not for the negligent acts of the physician.

This week’s question and answer is from
Negligent Credentialing Lawsuits: Strategies to Protect your Organization, by Amy E. Watkins, Esq


 
Tip of the week: Use categories to delineate privileges in medical areas

Categorization, sometimes referred to as categories or levels of privileges, identifies major treatment areas or procedures that are classified based on their degree of complexity or the complexity of the illness to be treated. Typically, categories are based on the level of a practitioner’s training and expertise. Categorization can also be used in surgical (i.e. procedural) areas.

When a hospital uses categorization to delineate clinical privileges, The Joint Commission requires that the categories be well defined. The hospital must state clearly the standards that the applicant must meet for each category. However, many hospitals that use this approach create vague categories that do not specify the required education, training, and experience. Further, many fail to specify the privileges that may be requested/granted.

Core Privileges for
AHPs: A Practical Approach to Developing and Implementing Criteria-Based Privileges, by Carol S. Cairns, CPMSM, CPCS and Sally J. Pelletier, CPMSM, CPCS.


 

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Assessing the Competency of Low-Volume Practitioners:
The Joint Commission requires that hospitals verify physician competence using performance data. Yet organizations often have little or no data related to the competency of low- and no-volume physicians. Medical staff leaders are therefore challenged to develop a strategy that guides the hospital's relationship with low- and no-volume providers, and medical staff services departments are challenged to establish systems to verify physician competence. This fully updated book and CD-ROM set offers the necessary tools and strategies for medical staff leaders and professionals to manage the increasing number of low- and no-volume providers and comply with Joint Commission standards.

CRC Platinum members receive a 20% discount on this product. To receive your discount either log in
or become a member.
 
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