Offered in conjunction with the Mississippi Association of Medical Staff Services.
Day 1 - In this program we will take an in-depth look at current standards including credentialing, privileging, FPPE and OPPE, telemedicine and documenting competency. Tips for compliance will be discussed and sample tools, policies, procedures and bylaws language will be provided.
Day 2 - This program provides an in-depth overview of more difficult to understand aspects of credentialing, recredentialing and privileging, including evaluating and documenting practitioner competency, dealing with low and no volume providers, handling information received "off the record", engaging and orienting medical staff leaders, avoiding confirmation bias in credentialing decisions, and understanding negligence in credentialing. The speaker will cover tips for compliance with accreditation and regulatory requirements, and provide sample tools, policies and procedures. Lecture will be reinforced with table-top exercises and other discussion-based sessions. The speaker will leave adequate time to discuss issues and answer questions.
Day 1 of the Boot Camp will cover the basics. Day 2 will dive into more advanced topics. You can choose to attend one or both days!
*Assess the organization's compliance with the Joint Commission requirements for medical staff
*Identify key processes and policies for documenting FPPE/OPPE results and competency evaluations
*Discuss requirements for medical staff involvement in standards that fall outside the medical staff chapter
*Identify Joint Commission and CMS regulations for credentialing and privileging
*Develop mechanisms for dealing with low to no volume providers
*Distinguish key aspects of training for medical staff leaders
*Recognize appropriate means for documentation of practitioner competency
*Define and utilize critical thinking skills in the credentialing process
*Discuss the concept of negligence in credentialing
Kathy Matzka, CPMSM, CPCS
Kathy Matzka is a speaker, consultant, and writer with over 25 years’ experience in credentialing, privileging, and medical staff services. She holds certification by the National Association Medical Staff Services (NAMSS) in both Medical Staff Management and Provider Credentialing. She has authored and contributed to a number of books related to medical staff services including Compliance Guide to Joint Commission Medical Staff Standards; The Medical Staff Meeting Companion: Tools and Techniques for Effective Presentations; The Credentialing and Privileging Desk Reference; The Credentials Verification Desk Reference; Medical Staff Standards Crosswalk: A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DVN Standards; and The Chapter Leader's Guide to the Medical Staff: Practical Insight on Joint Commission Standards.
AGENDA Day 1 - Joint Commission Standards for the Hospital Medical Staff
9:00 Standards Related to Credentialing, Privileging & Appointment
10:45 Standards Related to Credentialing, Privileging & Appointment (cont.)
Noon Lunch (provided)
1:00 Standards related to Oversight of patient Care Functions, Performance Improvement, FPPE, OPPE & Bylaws
2:15 Standards related to Oversight of patient Care Functions, Performance Improvement, FPPE, OPPE & Bylaws (cont.)
AGENDA Day 2 - Advanced Credentialing and privileging Concepts
9:00 Welcome/Introductions/Review Agenda
9:15 Brief High Level Overview of Credentialing, Recredentialing & Privileging Requirements of CMS, State Regulations and Joint Commission Standards
10:30 Information Received Outside the Credentialing/Peer Review Process
11:00 Documenting Competency
Noon Lunch (Provided)
12:45 Strategies for Dealing with Low/No Volume Practitioners
1:15 Applying Critical Thinking Skill/Avoiding Confirmation Bias
2:00 Engaging/Orientating Medical Staff Leaders
2:15 Understanding Negligence in Credentialing
3:15 Questions & Answers