The Joint Commission requires verification from the primary source(s). This requirement encompasses internship, residency, and fellowship programs, as well as other relevant experience (e.g., military training).
Credentialing Resource Center Digest - Volume 11, Issue 15
This weekly column from The Greeley Company addresses current issues in peer review, bylaws and governance, credentialing and privileging, and other important...
Credentialing Resource Center Digest - Volume 11, Issue 14
The Commonwealth Fund recently released a study examining what successful health systems do that make them, well…successful. By interviewing leaders of 45 multi-hospital health systems and evaluating publicly available quality data, The Commonwealth Fund and the Health Research & Educational...
Credentialing Resource Center Digest - Volume 11, Issue 14
We know travel budgets are tight and sometimes requesting training opportunities can be a challenge. To make it a little easier on medical staff professionals and hospital leaders, we’ve included a justification letter for your CEO (or hospital administrator) to sign off on your entry to this...
Credentialing Resource Center Digest - Volume 11, Issue 14
The inclusion of physician’s rights in the medical staff bylaws has become more important in recent years as medical staffs rely increasingly on a small group of dedicated leaders to carry out the organization’s work. This move from the traditional town hall democracy approach of governance to...
Credentialing Resource Center Digest - Volume 11, Issue 13
Some medical staff bylaws state that the entire medical executive committee (MEC) can serve as the investigating body, but the MEC often has too many members for that to be effective. Instead, the MEC can appoint an ad hoc subcommittee to conduct the investigation.
Credentialing Resource Center Digest - Volume 11, Issue 14
This weekly column from The Greeley Company addresses current issues in peer review, bylaws and governance, credentialing and privileging, and other medical staff...
Credentialing Resource Center Digest - Volume 11, Issue 13
In the March 18 issue of Medical Staff Leader Connection, the article “The Joint Commission Approves MS.01.01.01…finally! Now what?” contained inaccurate information regarding history and physical examinations (H&P). The correct language from the CoPs is found at 482.22(c)(5), which reads:...
Credentialing Resource Center Digest - Volume 11, Issue 13
Congratulations to this month’s contest winner, Mindy Hays, CPMSM, medical staff coordinator at Lindner Center of Hope, Mason, OH, for her entry on ongoing professional practice evaluation (OPPE) for low-volume providers!
Here’s what Mindy has to say about OPPE at her institution:...
Credentialing Resource Center Digest - Volume 11, Issue 13
Many medical staffs work hard to develop good processes, put them in to place, and not look at them again for 10 years. A best practice is to conduct an annual evaluation of the FPPE process. Bolster the successful components and change areas that could use improvement. No processes exists that...
