The Top 40 Medical Staff Policies and Procedures, Fourth Edition
Solutions from The Greeley Medical Staff Institute
Jonathan H. Burroughs, MD, MBA, FACPE;
Carol S. Cairns, CPMSM, CPCS;
Mary Hoppa MD, MBA, CMSL;
Robert J. Marder, MD;
Sally J. Pelletier, CPMSM, CPCS;
Richard A. Sheff, MD
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Product Description:
It’s like having a medical staff policy expert right at your desk.
Developed by trusted Greeley Company experts, the fourth edition of this concise guide will help you develop medical staff policies and procedures that comply with Joint Commission requirements and promote current industry best practices. Save time, effort, and expense with these samples of the most complex policies and procedures you can implement immediately for positive results at your facility.
This book and downloadable online documents will help you:
- Avoid sorting through multiple, confusing, and unreliable resources or search engine results to find what you need
- Save the personnel, resources, and finances it takes to develop policies from scratch
- Base your own policies and procedures on expertly designed, field-tested samples
- Make it easier to update traditionally complex policies
- Trust in reliable guidance to ensure your policies and procedures comply with Joint Commission requirements
All of the policies in this resource have been reviewed and updated to meet the latest requirements. Plus, you can download every document online, saving you the time of recreating materials from scratch!
Check out the table of contents:
Administration
- Advance Directives
- Confidentiality Statement
- History and Physical
- Impaired Provider
- Medical Records Completion Requirements
- Physician Concern, Complaint, and Suggestion
- Universal Protocol
- Verbal and Telephone Orders
Credentialing and Privileging
- Advanced Practice Professionals Credentialing and Privileging
- Aging Physicians: Physical Assessment of Practitioners over the Age of [n]
- Authorization of Clinical Assistants to Provide Services
- Background Checks for Practitioners Processed through the Medical Staff
- Clinical References
- Content of Medical Staff Credentials Files
- Credentialing: Burden on the Applicant
- Credentialing Nonstaff Volunteer Practitioners for Disaster Responsibilities
- Credentialing Reappointment and/or Renewal of Privileges
- Credentialing of Telemedicine Practitioners
- Credentials File: Content, Access, Control, and Retention
- Credentials Information Verification
- Delineating Clinical Privileges, Dispute Resolution, and New Technology
- Emergency Privileges
- Exclusive Contract
- Expedited Credentialing
- Initial Medical Staff Appointment
- Low-Volume and No-Volume Practitioners
- Temporary Privileges
Governance
- Conflict Resolution
- Joint Board, Hospital, and Medical Staff Professional Conduct
- Leave of Absence
- Medical Staff Member Rights
- Medical Staff Member Special Appearance Requirement
- Organizationwide Conflict of Interest
Quality
- Communication and Use of Physician Competency Expectations
- Credentialing, Confidentiality of Medical Staff Minutes, Quality Improvement, and Peer Review Information
- Medical Staff Competency Expectations and Implementation: The Greeley Company Framework
- Medical Staff Competency Expectations and Implementation: The Joint Commission Framework
- Medical Staff Peer Review
- Proctoring/Focused Professional Practice Evaluation
- Validation of Perception-Based Rule Indicator Occurrences
About the experts who bring you The Top 40 Medical Staff Policies and Procedures, Fourth Edition:
Author
Mary J. Hoppa, MD, MBA, CMSL, serves as a senior physician consultant with The Greeley Company, a division of HCPro, Inc. Hoppa draws on 15 years of experience in hospital administration and medical staff leadership in academic and community hospital settings to assist physicians and medical centers in developing effective solutions to their most significant challenges.
Contributors
Jonathan H. Burroughs, MD, MBA, FACPE, CMSL, is a senior consultant with The Greeley Company, working with medical staffs and boards throughout the country.
Carol S. Cairns, CPMSM, CPCS, is president of PRO-CON, an Illinois consulting firm, and is a senior consultant and frequent presenter with The Greeley Company.
Lisa Eddy, RN, CPHQ, is a senior consultant with The Greeley Company and brings more than 20 years of experience in Joint Commission, CMS, HFAP, and NCQA accreditation and certification.
Robert J. Marder, MD, CMSL, vice president of The Greeley Company, has served in various roles and settings in senior hospital medical administration and operations management.
Claude (Bud) Pate, REHS, serves as vice president for content and development at The Greeley Company and is nationally recognized in patient flow and in hospital and health system regulation and accreditation.
Sally J. Pelletier, CPMSM, CPCS, serves as a senior consultant at The Greeley Company and president of Best Practices Consulting Group.
Richard A. Sheff, MD, CMSL, is the chair and executive director of The Greeley Company, with more than 25 years of healthcare management and leadership experience.
Product Types : Departments :
SOURCE CODE: EXCROSS
ISBN: 978-1-60146-726-3
PUBLISHED: 01/28/2010
