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There's no way around it: Competency assessment is a JCAHO requirement, and it plagues every medical staff office (MSO).
Are YOU up to speed on the JCAHO's standard for assessing the credentials and competencies of the allied health professionals (AHPs) in your facility?
Performance monitoring your AHPs is one of your MSO's most challenging and problematic tasks. The JCAHO says that your process must be an "effective, efficient and equivalent process" to how you assess your medical staff. These requirements apply to physician assistants (PAs) and advance practice registered nurses (APRNs). For instance, nurse midwives, nurse anesthetists, nurse practitioners, and clinical nurse specialists—including those who are hospital employees. <
Now you're left to figure out what exactly an "effective, efficient and equivalent process" is and how you should go about implementing that process. The questions concerning competency assessment are endless!
- What are your options for AHP "tickets"? Who issues the ticket? How do you issue and renew tickets most efficiently?
- How do you assess initial competency, and reappraise ongoing, current competency for the AHP?
- What data do you need to evaluate AHP competency? How much data is required? What are the data sources?
- Who needs to be involved in assessing the various types of AHPs? Licensed independent practitioners? Licensed dependent practitioners? Supervised? Unsupervised?
- And the list goes on!
But there is a light at the end of the tunnel! HCPro Introduces
AHP Competencies: A Method for Effective Assessment. This innovative tool was developed with the help of the credentialing experts at The Greeley Company, a division of HCPro.
AHP Competencies provides you with concrete solutions to help you not only assess your AHPs competencies, but
WOW your JCAHO surveyor.
You'll be able to develop a sound process to assess the competence of all your AHPs—including those that are licensed and have privileges to work independently without supervision.
In AHP Competencies you'll find:
- AHP peer review performance evaluation forms for your supervised AHPs
Easy to use competency assessment forms for your supervising physicians. Keep the reappointment/reappraisal organized, simple and consistent—it will impress your surveyor. - Performance monitoring tools to assess independent unsupervised AHPs
Including sample scopes of practice, core competency checklists, chart review checklists, and variance evaluation forms. - Roadmaps to determine who should be involved in assessing your various AHPs
Human resources? Quality management? Medical staff office? Physicians? Hospital managers? Peers? All of the above? - Practical performance monitoring methods from The Greeley Company
Developed by the credentialing experts—you'll get insider tips to effective assessment without overburdening your already taxed staff.
Cut through the confusion with AHP Competencies: A Method for Effective Assessment. It's your one-stop resource for developing a successful AHP performance monitoring system that will knock your JCAHO surveyor's socks off.
About the authors:
John R. Rosing, MHA, FACHE, currently serves as a senior consultant with The Greeley Company, a division of HCPro, Inc., specializing in areas of JCAHO accreditation, medical staff bylaws redesign, medical staff credentialing and privileging, quality improvement, risk management, and change management.
Rosing co-authored HCPro's The JCAHO Troubleshooter: Best Policies, Practices, and Model Documents for Survey Success, and Tough Problems, Proven Solutions: Mastering the JCAHO's Most Problematic Standards. He is a member of the advisory editorial board for several HCPro publications including Briefings on Ambulatory Care and Briefings on HIPAA.
Cindy Gassiot, CPMSM, CPCS, began her career in medical staff services in 1970 and has held the position of director of medical staff services and quality management in several hospitals in Texas and Florida. She is currently a consultant in medical staff services management and serves as faculty for the online associate degree program in medical staff services at El Centro College in Dallas
Gassiot is also a past president of the National Association Medical Staff Services (NAMSS) as well as cofounder and charter president of the Texas Society for Medical Staff Services. She served on the NAMSS Board of Directors for six years and was a member of both the Certification and Education Councils.
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