Facilities seeking competency data may need to amend their policies or medical staff bylaws. These samples can be customized for most facilities, but consult with counsel first.
According to the CMS Conditions of Participation for Medical Staff, §482.22, a hospital must have an organized medical staff that operates under bylaws approved by the governing body and is responsible for the quality of medical care provided to patients by the hospital. In addition to...
If accreditation were based on a straightforward, coordinated set of requirements across states and agencies, no one would have questions. Instead, there are myriad requirements that can seem to conflict. For help navigating the chaotic space where accreditiation and credentialing intersect,...
Overall, the responses to the 2015 MSP Salary Survey question "Which organization accredits your facility?" didn't change much from 2014. The Joint Commission accredits 76% of respondents' facilities, according to the 2015 results, and this continues the organization's incremental gains since...
To make case review during meetings efficient, all initial review needs to occur outside of the meeting. If a review has not been completed prior to the meeting, it should not go on the agenda, and if it’s not on the agenda, the committee doesn’t discuss it. The committee might waste time...
This table provides an excellent overview of the opportunities of FPPE. Created by Portneuf Medical Center in Pocatello, Idaho, the organization uses this table as a way to assist with the process of determining which activity would provide the best feedback, depending on the situation. Note the...
