The Essential Guide to Medical Staff Reappointment

An efficient reappointment process is an essential part of Joint Commission compliance.

Due to recent changes in Joint Commission standards, healthcare organizations must establish routine measures or indicators of practitioner performance for current medical staff members. For medical staff professionals (MSP), this means ensuring that their reappointment process collects criteria-based data in an ongoing way—not just when the practitioner is up for reappointment.

Streamline and update your reappointment process with tools to develop an ongoing, criteria-based process

Essential for both new and veteran MSPs, The Essential Guide to Medical Staff Reappointment: Tools to Create and Maintain an Ongoing, Criteria-Based Process, Second Edition, is a book and CD-ROM set that provides strategies and tools to streamline and update your reappointment process by integrating ongoing, criteria-based methods for collecting and incorporating competency data.

With this comprehensive step-by-step solution to your reappointment process, you’ll be able to:

• Bring your organization up-to-date on Joint Commission requirements
• Achieve the seamless integration of old processes with new requirements such as focused and ongoing professional practice evaluations
• Collect competency data using an ongoing, criteria-based process as required by The Joint Commission
• Integrate practitioner competency data into your reappointment process
• Address challenging issues like low- and no-volume practitioners and refer-and-follow privileging

Obtain data for all six of the Joint Commission-mandated general competencies, make the evaluation of practitioner performance more timely, and identify trends in an ongoing way with The Essential Guide to Medical Staff Reappointment, Second Edition.

This tool-based guide to reappointment will help you:

• Gather quality data that incorporate focused and ongoing professional practice evaluations
• Tackle reappointment hotspots such as low- and no-volume providers
• Develop a workable timeline for assessing the competence of current medical staff members
• Improve physician performance prior to the reappointment process
• Integrate the latest technology into your processes
• Identify legal pitfalls and red flags

The table of contents includes:

• After the initial appointment: A changing landscape
• Collecting and assessing quality data: Building an ongoing process
• The credentialing process at reappointment
• The privileging process at reappointment
• Roles and responsibilities
• Special considerations and difficult issues
• Avoiding mistakes: Common legal pitfalls and red flags
• Physician retraining: Issues to watch
• Tricks of the trade: Incorporating technology into your process
• Tips from the field: Best practices
• Tools: Forms and policies to guide your process

Earn NAMSS CE credits!

This program has been approved by the National Association Medical Staff Services for up to 6 continuing education unit(s). Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.

About the author

Anne Roberts, CPCS, CPMSM, is a credentialing and privileging specialist who has consulted on various credentialing, privileging, and medical staff issues. She is also the director of medical affairs at Children’s Medical Center in Dallas where she oversees the medical administration, graduate medical education, and medical staff services departments. As a consultant, Roberts has worked with healthcare organizations across the country to prepare for regulatory surveys, assist with bylaw revisions, draft policies and procedures, and reorganize medical staff services departments.

Roberts holds dual certifications as a professional medical staff manager and a certified provider credentialing specialist through the National Association Medical Staff Services (NAMSS). She is a member of the NAMSS membership committee and is the lead consultant for their national mentoring program. Roberts has written numerous publications for several national organizations, including The Credentialing Coordinator’s Handbook, also published by HCPro.

Who will benefit?

Hospital-based medical staff professionals, including medical staff coordinators, medical staff professionals, medical staff directors, credentialing coordinators, managers of medical staff services, chief medical officers, VPMAs, and quality managers/directors

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