The third largest health system in the United States, Providence St. Joseph Health System struggled with an issue common among health systems: how to bring together disparate data and develop one source of truth for provider data.
Credentialing Resource Center Journal - Volume 27, Issue 4
How do you transition to a paperless credentialing process that enables document sharing throughout your health system, thus reducing rework, waste, and redundancy? How do you leverage your credentialing database to resolve data needs that are beyond the scope of credentialing to strengthen your...
Credentialing Resource Center Journal - Volume 27, Issue 3
I’ve been asked many times over the years about the steps that I took in order to advance my career. I have been blessed with many opportunities to gain invaluable experience, learn and oversee a wide array of services and departments within a hospital setting, and work with some great teams...
Credentialing Resource Center Journal - Volume 27, Issue 2
This case highlights how an entire organization (i.e., board, medical staff leadership, CEO, attorney) was unclear about the employment/contract route versus the medical staff privileging process. Whether it was lack of knowledge or purposeful, the outcome was not good as evidenced by the jury’s...
Credentialing Resource Center Journal - Volume 27, Issue 2
The Superior Court of New Jersey, Appellate Division (the “Court”) recently affirmed a trial court’s finding that a hospital was not only within its rights to, but was required to report a physician’s resignation while she was under review to the New Jersey Board of Medical...
Credentialing Resource Center Journal - Volume 27, Issue 2
All hospitals have some kind of peer review system in place, yet physicians and support staff often receive little training on how to conduct peer review well. Conducting peer review fairly and efficiently requires critical steps be taken by peer review coordinators, physician reviewers, the...
Credentialing Resource Center Journal - Volume 27, Issue 2
One of the biggest challenges facing hospital medical staffs today is obtaining sufficient information to accurately document practitioner competency. It is easy to confirm that a practitioner held a medical staff appointment at a healthcare facility and whether he or she was subject to any...
Credentialing Resource Center Journal - Volume 27, Issue 1
21st Century Oncology Inc. of Fort Myers, Florida, which operates 179 cancer centers, has agreed to pay $26 million after admitting it knowingly submitted false attestations to CMS as part of the Medicare Electronic Health Records (EHR) Incentive Program. Under the program, physicians may...
Credentialing Resource Center Journal - Volume 27, Issue 1
The Kentucky Supreme Court (the “Court”) recently reversed a Court of Appeals ruling that would have allowed patients to sue hospitals for negligent credentialing of non-employee physicians who are given staff privileges. The Court’s decision strikes down negligent credentialing as a separate...
