Download or read book Medical Staff Standards Crosswalk A Quick Reference Guide to the Joint Commission CMS Hfap and Dnv Standards written by Kathy Matzka and published by Hcpro Incorporated. This book was released on 2014-05-14 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical Staff Standards Crosswalk: A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DNV compares medical staff- relevant standards across four accreditation and regulatory bodies: DNV, HFAP, TJC, and CMS. It includes sample tools, forms, and policies to help you meet the goals of the standards no matter which accreditation body you use. This important reference concisely reviews all medical staff relevant standards to answer your medical staff compliance questions quickly and easily. Easily access, navigate, and compare the requirements of the four organizations at a glance * The Joint Commission * The Centers for Medicare and Medicaid Services * Healthcare Facilities Accreditation Program * DNV Accreditation Eliminate wasted time searching through multiple resources to find what you need.

Download or read book Medical Staff Standards Crosswalk written by Kathy Matzka and published by . This book was released on 2011-12-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical Staff Standards Crosswalk: A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DNV Standards Kathy Matzka Medical Staff Standards Crosswalk: A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DNV Standards compares medical staff-relevant standards across four accreditation and regulatory bodies: DNV, HFAP, TJC, and CMS. It includes sample tools, forms, and policies to help you meet the goals of the standards no matter which accreditation body you use. This important reference concisely reviews all medical staff relevant standards to answer your medical staff compliance questions quickly and easily. Easily access, navigate, and compare the requirements of the four organizations at a glance The Joint Commission The Centers for Medicare and Medicaid Services Healthcare Facilities Accreditation Program DNV Accreditation Eliminate wasted time searching through multiple resources to find what you need. Take a look at the Table of Contents Chapter 1: Medical Staff Structure, Medical Staff Bylaws, and Medical Staff Involvement in Organizational Leadership Functions and Required Committees Medical Staff Structure and Accountability Medical Staff Leadership Required Committees Medical Staff Bylaws Medical Staff Involvement in Organizational Leadership Functions Chapter 2: Oversight of Patient Care, Treatment, and Services and Performance Improvement Oversight of Practitioners Periodic Appraisal/Focused and Ongoing Professional Practice Evaluation/Peer Review History and Physical Exams Consultation and Coordination of Care Medical Staff Quality Assessment/Performance Improvement Corrective Action, Ethics, and Behavioral Issues Autopsies Contracted Services Including Telemedicine Managing LIP Health Graduate Medical Education Programs Oversight of Emergency Services Oversight of Radiology Services Oversight of Nuclear Medicine Services Oversight of Anesthesia Services Oversight of Respiratory Care Services Chapter 3: Medical Staff Involvement in Patient-Focused Areas and Patient Therapeutic Services Orders for Restraints or Seclusion and Training Medical Staff Oversight of Medical Records Completion Medication Orders Formulary Admitting of Patients Policies for Blood Transfusions and IV Medications Medical Staff Involvement in Infection Control Medical Staff involvement in Dietary Services Operative or other high-risk procedures/the administration of moderate or deep sedation or anesthesia Tissue Earn continuing education credits! This program has been approved by the National Association Medical Staff Services for 5 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.

Download or read book Verify and Comply written by Carol S. Cairns and published by . This book was released on 2009-11 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Verify and Comply: A Quick Reference Guide to Credentialing Standards, Fifth Edition Carol S. Cairns, CPMSM, CPCS The Joint Commission... NCQA... CMS... DNV... HFAP... Searchable and side-by-side! Verify and Comply, Fifth Edition, is the much anticipated next edition of one of HCPro's most popular credentialing resources. Many satisfied customers have used this resource to study for their NAMSS certification exams and to keep up to date with accreditors' credentialing standards. This newly expanded guide addresses Joint Commission, NCQA, and CMS standards in the book, as well as DNV and HFAP on the companion CD-ROM. That means five sets of accreditors' standards are side-by-side and searchable by topic on CD-ROM. Get the resource thousands of MSPs have come to rely on. It will help you: Easily access, navigate, and compare the requirements of all five organizations at a glance Eliminate wasted time searching through multiple resources to find what you need Stop struggling to interpret the standards on your own Understand the differences between the stages of the credentialing process--appointment, reappointment, and ongoing assessment Get answers to your credentialing questions quickly and easily Study for your CPCS and CPMSM certification exams No other resource for credentialing standards offers you this level of expertise and convenience. All five sets of standards side-by-side, organized by topic, on a searchable CD-ROM The Joint Commission NCQA CMS DNV HFAP Three sets of standards in print in the book (The Joint Commission, NCQA, and CMS) Straightforward, complete summaries of standards Expert interpretation of the standards Distinct sections that clarify the differences between each stage of the credentialing process A tips section that allows for further analysis Special notations to readers who are studying for the CPMSM/CPCS exams Who will benefit? Credentialing specialist/analyst Medical staff services coordinator Director of medical staff services Credentialing coordinator Credentialing manager Medical staff professional Survey coordinator Earn continuing education credits! This program has been approved by the National Association Medical Staff Services for up to 3.0 continuing education unit(s). Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. Navigate credentialing standards faster and easier. Order your copy today.

Download or read book Quality Management and Accreditation in Hematopoietic Stem Cell Transplantation and Cellular Therapy written by Mahmoud Aljurf and published by Springer Nature. This book was released on 2021-02-19 with total page 181 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book provides a concise yet comprehensive overview on how to build a quality management program for hematopoietic stem cell transplantation (HSCT) and cellular therapy. The text reviews all the essential steps and elements necessary for establishing a quality management program and achieving accreditation in HSCT and cellular therapy. Specific areas of focus include document development and implementation, audits and validation, performance measurement, writing a quality management plan, the accreditation process, data management, and maintaining a quality management program. Written by experts in the field, Quality Management and Accreditation in Hematopoietic Stem Cell Transplantation and Cellular Therapy: A Practical Guide is a valuable resource for physicians, healthcare professionals, and laboratory staff involved in the creation and maintenance of a state-of-the-art HSCT and cellular therapy program.

Download or read book 2022 Joint Commission and CMS Crosswalk written by Joint Commission Resources and published by . This book was released on 2021-12-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Stedman s Medical Abbreviations Acronyms Symbols written by and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Identify current abbreviations, acronyms, and symbols quickly and easily. Gain immediate access to medical terms that help you comply with the new JCAHO mandate for standardized hospital abbreviations. You'll have thousands of new abbreviations for a wide range of specialties, including anatomy, physiology, internal medicine, pathology, laboratory medicine, organisms, infectious diseases, plastic surgery, ENT, dentistry, alternative medicine, endocrinology, and more, right at your fingertips!

Download or read book Verify and Comply written by Carol S. Cairns and published by . This book was released on 2007-01-01 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Cellular Therapy written by Ellen M. Areman and published by A A B B Press. This book was released on 2009 with total page 675 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Medical Staff Handbook written by and published by Joint Commission Resources. This book was released on 2011-07 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medical Staff Handbook is the completely updated edition that provides an in-depth explanation of Joint Commission standards that address all medical staff issues, including the recently revised MS.01.01.01 standard. This reliable one-stop resource provides information on the credentialing, privileging, and appointment processes for hospital practitioners. The Medical Staff Handbook also includes the following: * An appendix with all Joint Commission Medical Staff standards, rationale, elements of performance, and scoring information * Complete coverage of medical staff bylaws and other areas affected by the revised MS.01.01.01 standard * Thorough interpretation of all Joint Commission standards related to the medical staff * Tips for developing new medical staff processes and improving existing processes for appointment and reappointment * Sample documents, practical strategies, and detailed examples to help readers understand and comply with the Medical Staff standards

Download or read book The Medical Staff Services Handbook written by Cindy Gassiot and published by Jones & Bartlett Learning. This book was released on 2011-08-24 with total page 523 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rev. ed. of: The medical staff services handbook / [edited by] Cindy A. Gassiot, Vicki L. Searcy, Christina W. Giles. c2007.

Download or read book The Fppe Toolbox written by Carol S Cairnes and published by Hcpro, a Division of Blr. This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance Carol S. Cairns, CPMSM, CPCS; Sally J. Pelletier, CPMSM, CPCS; Donna K. Goestenkors, CPMSM Not sure how to collect, organize, and present your FPPE data? Just open your toolbox By now you know the importance of focused professional practice evaluation (FPPE). Due to revisions to Joint Commission standards in both 2007 and 2008, hospitals must establish and track practitioner competency using measurable performance data. What is the bottom line for your MSO? The bottom line is, to be compliant with the regulatory changes, your MSO must adopt a standard framework defining the dimensions of privileged practitioners performance, applying The Joint Commission s requirements for competency. In addition, failing to gather and organize FPPE data in a standardized way presents risks including failing to gather sufficient data, redundancy, inconsistency across specialties, and failing to articulate to practitioners their role in FPPE. Do you have the tools for FPPE compliance? "The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance"provides exactly that a comprehensive toolbox full of the forms and tools you need to conduct FPPE and OPPE. It offers: Forms Policies Letters Scorecards Reports Save time by tailoring your existing materials to meet the latest requirements In addition to providing new forms and tools you can customize for your facility, this guide also shows you how to repurpose existing materials to achieve compliance. Eliminate the headache of developing an organizational system on your own Use the tools in this book to manage the tremendous amount of quality data you must gather through FPPE. Organizing your FPPE data now means you will save time applying it to credentialing and privileging decisions in the future. Don t reinvent the wheel get the tools you need to get the job done Take advantage of the expert knowledge and practical resources in this toolbox you can put its contents to use immediately at your facility, without wading through lengthy background information. Use sample policies and forms to create a cohesive competency documentation process This book and CD-ROM set includes field-tested FPPE policies from your peers around the country. This toolbox is useful for facilities of all types and sizes, and it includes sample tools you can use right away: Case studies showing how your peers implemented FPPE FPPE policy documents FPPE language excerpted from peers bylaws documents or policies and procedures A practice evaluation form based on the six general competencies Department-specific proctoring forms Inpatient and outpatient proctoring (nonprocedural) forms A proctoring summary report of a provisional staff member Notification to a practitioner successful conclusion of provisional staff status and advancement of staff category A letter to a physician requesting his/her service as proctor A summary report to the board Physician competency data scorecards Guide to drafting a focused professional practice evaluation policy Retrospective, concurrent, and prospective proctoring guidelines Performance feedback process for mid-level practitioners Earn continuing education credits This program has been approved by the National Association Medical Staff Services for 5 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. Who will benefit? Medical staff coordinators/directors Managers of medical staff services Credentialing coordinators/managers Quality managers/directors Chief medical officers VPMAs Medical executive committee members

Download or read book Verify and Comply Sixth Edition Credentialing and Medical Staff Standards Crosswalk written by Carol S. Cairns and published by . This book was released on 2014-10-14 with total page 364 pages. Available in PDF, EPUB and Kindle. Book excerpt: Verify and Comply, Sixth Edition, includes both credentialing and medical staff standards and regulations in one easy-to-navigate manual, giving MSPs one book that answers all their accreditation questions. This expanded guide includes CMS, Joint Commission, NCQA, DNV, and HFAP standards side by side in an easy-to-read grid. Use this resource to study for the NAMSS certification exam and to keep up to date with accreditors' credentialing and medical staff standards. This book will help you: -Understand the differences between the stages of the credentialing process: appointment, reappointment, and ongoing assessment -Determine which verifications are necessary to obtain in the credentialing process -Discuss the importance of having an organized medical staff -Define the structure of your medical staff and its responsibilities -Determine the appropriate area in medical staff governance documentation to include specific items required by accreditation standards and regulatory requirements -Explain your medical staff's involvement in organizational leadership functions Free digital copy with purchase of print

Download or read book Core Privileges for Physicians written by Vicki L Searcy and published by HC Pro, Inc.. This book was released on 2008 with total page 796 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Assessing the Competency of Low Volume Practitioners written by Mark Allan Smith and published by HC Pro, Inc.. This book was released on 2009-03 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Joint Commission requires that hospitals verify physician competence using performance data. Yet organizations often have little or no data related to the competency of low- and no-volume physicians. Medical staff leaders are therefore challenged to develop a strategy that guides the hospital's relationship with low- and no-volume providers, and medical staff services departments are challenged to establish systems to verify physician competence. This fully updated book offers the necessary tools and strategies for medical staff leaders and professionals to manage the increasing number of

Download or read book The Medical Staff s Guide to Overcoming Competence Assessment Challenges written by Carol S. Cairns and published by Hcpro, a Division of Simplify Compliance. This book was released on 2013-08-21 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Medical Staff's Guide to Overcoming Competence Assessment Challenges Carol S. Cairns, CPMSM, CPCS; Sally Pelletier, CPMSM, CPCS; Frances M. Ponsioen, CPMSM, CPCS; Anne Roberts, CPMSM, CPCS Identify and overcome common medical staff assessment challenges with this new resource! From advanced practice professionals to telemedicine providers, The Medical Staff's Guide to Overcoming Competence Assessment Challenges will walk you through every step of collecting performance data to ensure quality of care and comply with accreditors' standards. Our expert MSPs, including Sally Pelletier, Carol Cairns, Anne Roberts, and Frances Ponsioen, address many of the common challenges that medical services professionals face when collecting performance data. Never again wonder whether your organization has covered all its bases--ensure compliance and practitioner competence with this new book. This resource will help you: Create strategies to collect performance data for telemedicine providers, advanced practice professionals, low- and no-volume providers, practitioners in the ambulatory setting, and single practitioners in a specialty Differentiate between medical staff membership and privileges Attribute performance data to the correct practitioner Determine when new technology, procedures, or techniques are appropriate for your facility and successfully assess the competence of the practitioners who will be using them Update your medical staff bylaws, policies, and procedures to reflect changes to competency assessment requirements Take a look at the table of contents: Chapter 1: Competence Assessment for Initial Appointment Establishing minimum threshold criteria Evaluating competence Cross privileges and turf wars Determining initial competence for low- and no-volume providers Clinical evaluations Evergreen or "forevermore" evaluations Competence confirmation through FPPE after granting clinical privileges Common missteps during initial credentialing Chapter 2: Assessing Competence in the Ambulatory Setting Understanding healthcare delivery in ambulatory settings Requirements of accreditors and regulation agencies Scope of privileges at the ambulatory site Responsibility for privileging in an ambulatory setting Medical staff category versus privileges Competence assessment in the ambulatory setting Assessing the competence of APPs in the ambulatory setting Chapter 3: Temporary Privileges for Patient Care Needs What does 'immediate patient care need' mean? Developing a temporary privilege policy Pendency of an application/committee approval Temporary privileges for locum tenens Assessing the competence of proctors Visiting professors Chapter 4: Attribution Challenges Patient handoffs Teaching services Group practices Advanced practice professionals Chapter 5: Ongoing Competence Challenges and Validation at Reappointment After initial appointment, what are the next steps in assessing competence? Developing indicators for ongoing competence assessment Implementing OPPE and addressing competence concerns Addressing competence concerns identified during the ongoing review process FPPE for cause, including OPPE and peer review findings and leave of absence reinstatement Competence assessment at reappointment Allied health annual competence reviews Chapter 6: Assessing the Competence of APPs Collecting data on APP performance Chapter 7: How to Manage the Expanding Role of APPs Training up Chapter 8: Assessing the Competence of Telemedicine Providers Introducing a telemedicine service at your facility Defining telemedicine Who provides telemedicine services? Requirements of regulators and accreditation agencies Effect of telemedicine regulations Privileging telemedicine practitioners Competence assessment unique to telemedicine Evaluation of telemedicine specialty by specialty Chapter 9: Assessing a Single Practitioner in a Specialty Area Determining competence with no reference point Conducting ongoing evaluation of the specialist External reviews Chapter 10: New Technology, Services, and Procedures New technology, equipment, and procedures New techniques Chapter 11: Low- and No-Volume Practitioners Introduction to low- and no-volume practitioners Assessing the competence of the practitioner who is active at another facility Dr. Rose and Dr. Cares-A-Lot: Two solutions to the low- and no-volume challenge Matching privileges to current competence Avoid denying privileges Chapter 12: Selective Practice Affecting Competence, Privileges, and Call Coverage Add EMTALA-based language to privileging forms ED call coverage for practitioners who are not competent to assess, stabilize, and determine the disposition of patients Burden on the applicant Revisiting Specialized Medical Center

Download or read book The Guide to Medical Staff Bylaws written by Mary J. Hoppa and published by Hcpro, a Division of Simplify Compliance. This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Go beyond regulatory compliance with this medical staff bylaws reference guide Pre-order your copy today Bylaws serve as the governing documents of the medical staff. Bylaws must meet the hospital's accreditor's standards, state and federal regulations, and the needs of the hospital's medical staff. The Guide to Medical Staff Bylaws offers tips for writing bylaws and actual sample language that complies with Joint Commission, DNV, HFAP, and/or CMS standards. Mary J. Hoppa, MD, MBA, offers guidance on implementing accreditor's standards and advice on getting physicians to buy into the importance of following medical staff bylaws. This guide goes beyond just providing sample language; it explains the importance of the bylaw and what it means for your organization to ensure compliance. Medical staff bylaws that meet accreditors' and your practitioners' standards Ensure your bylaws meet accreditor's standards and embody the culture of your medical staff. This book will help you: Create bylaws language that complies with CMS requirements Save time and cost of researching compliant language Identify sections of your bylaws in need of update or modification Assess and track bylaws compliance Ensure effective clinical governance by eliminating unnecessary and confusing language from the bylaws Gain practitioner buy-in to bylaws

Download or read book The Complete Guide to FPPE written by Valerie Handunge and published by Hcpro, a Division of Simplify Compliance. This book was released on 2012-03-14 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Complete Guide to FPPE: Strategies for Medical Staff Professionals, Physician Leaders, and Quality Directors Don't waste another moment wondering whether your efforts meet The Joint Commission's requirements to conduct focused professional practice evaluation (FPPE). The Complete Guide to FPPE provides step-by-step guidance for developing an FPPE process and policy, selecting indicators, collecting data, conducting performance conversations with practitioners, and managing FPPE for low-volume and advance practice practitioners. Our authors will help you: Develop a framework for measuring competency Design an FPPE process and establish accountabilities Manage legal issues Define proctors' roles and responsibilities Prepare for performance improvement conversations with practitioners Determine activities to monitor Define how much activity to monitor during initial appointment and for new privilege requests Develop an approach to evaluating performance through retrospective reviews Manage practitioner health issues identified through FPPE Table of Contents: Section 1: Developing a Strategy for FPPE Chapter 1: Practitioner Performance Measurement and the Impetus for Change Chapter 2: Building an FPPE Process and Policy Chapter 3: Managing FPPE Legal Concerns Section 2: Implementing FPPE Chapter 4: Creating a Structured FPPE Process for New or Reentering Practitioners Chapter 5: Conducting FPPE for Low-Volume Practitioners and Advanced Practice Professionals Chapter 6: Developing a Systematic Approach to Evaluating Performance Through Retrospective Reviews Chapter 7: Defining Proctoring Chapter 8: Expectations and Responsibilities of Proctors Section 3: Evaluating FPPE Results Chapter 9: Engaging Practitioners Through Collaborative Peer-to-Peer Performance Conversations and Coaching Chapter 10: Clinical Simulation Training and Procedural Education Courses Chapter 11: When FPPE Reveals Nonclinical Issues Earn continuing education credits! This program has been approved by the National Association Medical Staff Services for 5.0 continuing education unit(s). Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.