The Credentialing Solution

The Credentialing Solution

Everything Medical Staff Leaders and Medical Services Professionals Need to Know about Credentialing and Privileging

Manage today’s most difficult credentialing and privileging issues

This seminar will provide credentials committee members, medical staff leaders, and medical services professionals with the skills and knowledge necessary to design a credentialing and privileging program that protects patients, is fair to physicians and clinicians, and complies with accreditation and regulatory requirements.

HOW TO REGISTER

The registration fee is $1,845 per attendee* and includes:

  • All educational sessions
  • Detailed course materials
  • Continental breakfast every day
  • A networking reception for participants and their spouses/partners
  • CME/CE credits

* Special pricing! Purchase three seats for The Credentialing Solution, register your medical services professional at no additional cost! Call (800) 807-9819 for more information or to register.

Upcoming dates and locations

Call our seminars division at (800) 807-9819 to register or learn more information about upcoming seminars, team pricing and other special offers, as well as hotel and other information. Or you may simply click the appropriate links below.

BENEFITS

  • Match privileges granted to demonstrated current competence
  • Manage low- and no-volume practitioners
  • Address challenges related to privileging advanced practice professionals
  • Manage high-risk credentialing in a way that protects patients and the hospital

Our credentialing process has significantly improved since we started sending our credentialing committee members to Greeley seminars. Our credentialing committee is able to apply principled decisions to the credentialing process. They recognize when they have deviated from a principled credentialing process and are able to perform an analysis of the problem to determine an appropriate solution and apply it.—Anonymous General Counsel from a 300-bed hospital in Maryland

LEARNING OBJECTIVES

Upon completion of this program, participants will be able to:

  • Formulate options for how to credential and privilege low- and no-volume practitioners
  • Set up effective strategies for minimizing the risk of negligent credentialing lawsuits
  • Identify best practices for aligning privileges with competency
  • Explain the implications of recent legal cases and landmark cases on credentialing practices today
  • Illustrate a practical approach to effective focused professional practice evaluation (FPPE)
  • Formulate options for managing the dual (management, medical staff) responsibilities related to employed physicians
  • Identify effective strategies for integrating and onboarding credentialed physicians

Great information on physician leadership; well organized and developed for people of all backgrounds and job involvement. Great idea for interaction between physicians and administration. I have learned much more about privileging and confirming credentials, and have developed a new appreciation for the process of requests for new and renewal of privileges.—John Blevins, MD, Midland Memorial Hospital, Midland, TX

TAKE-HOME TOOLS AND RESOURCES

The Credentialing Solution participants will receive several take-away tools and resources in both print and digital formats, including:

  • Professional Reference Questionnaire
  • Expanded Scope/Train-up Policy for Advanced Practice Professionals
  • Low-/No-Volume Policy
  • The Greeley Evolving Credentialing Standard

AGENDA

Day One
7 AM to 8 AM: REGISTRATION AND CONTINENTAL BREAKFAST

8 AM to 12:30 PM: SEMINAR SESSION

Principles of Effective Credentialing and Privileging

  • Controlling pressure from influential groups or individuals to credential quickly
  • Dealing with superb clinicians with sub-optimal citizenship
  • Balancing patient care, physician success, and hospital success
  • Deciding who must be credentialed and privileged
  • Going beyond the traditional steps of credentialing
  • Managing unusual privileging requests
  • Obtaining the most value from peer references
  • Matching competency with clinical privileges

Roles and Responsibilities in Credentialing

  • Who owns credentialing and quality?
  • What is the Department Chair’s role?
  • What is the credentialing committee’s role?
  • What is the medical services professional’s role?

Landmark Cases Establishing Legal Precedent

  • A face with many names (e.g., negligent credentialing, corporate negligence, negligent selection)
  • Doctrine of charitable immunity
  • Duty to exercise due care
  • Protection from immunity

Current Legal Cases, Lessons Learned

  • Grandfathering—friend or foe?
  • Responding to professional reference requests
  • Challenges to precautionary suspension

Evolving Credentialing Standards (Initial & Reappointment)

  • Leading credentialing practices to protect patients, healthcare organizations, and practitioners
  • Value-added credentialing elements

Applying the “Four Steps” to a Physician Applicant

  • The good, the bad, and the ugly in bylaws statements
  • An exercise in red flag management using the Four Steps of Credentialing

12:30 PM: ADJOURN

Evening networking reception

Day Two
7 AM to 8 AM: CONTINENTAL BREAKFAST

7 AM to 7:45 AM: OPTIONAL SESSION: Controversies in Board Certification: MOC, Alternative Certifying Boards, and the Link (?) Between Board Certification and Quality. Open to all registrants at no extra fee for attending.

8 AM to 12:30 PM: SEMINAR SESSION

The Greeley Pyramid

  • Keys to achieving great physician performance
  • Accountability of the medical staff

APP Conundrum: How to Manage their Expanding Role

  • Addressing the expanding roles or scope creep in a nontraditional training environment
  • Determining organizational culture
  • Liability carrier considerations
  • Policy considerations
  • Privileging—Which comes first, the chicken or the egg?

How to Create Privileging Criteria from A-Z: New privileges, technology, services, specialties, expanding scopes of practice

  • Case studies
  • Eight steps to successfully managing requests for new services and new technology

How to Manage Temporary Privileges to Mitigate Risk and Protect Patients

  • Defining patient, community, and hospital need
  • What can be done to reduce risk and protect patients?
  • Where do locum tenens fit in this picture?

Employed Physicians: Who is Responsible—Management or the Medical Staff?

  • Is it one size fits all?
  • Case studies
    • What went wrong?
    • Who is responsible for addressing behavior and citizenship issues and clinical competency issues?
    • NPDB reporting
  • How to avoid physician employment misadventures

Credentialing Solutions for Clinical Integration and Physician Employment

  • Decreasing duplication
  • Increasing efficiency
  • Increasing physician and staff satisfaction

 12:30 PM: ADJOURN

Day Three
7 AM to 8 AM: CONTINENTAL BREAKFAST

8 AM to 12:00 PM: SEMINAR SESSION

Performance Monitoring to Cover All the Bases

  • Accreditation requirements
  • Focused Professional Practice Evaluation (FPPE)
    • What is it?
    • Why do it?
    • Does one size fit all?
    • Lessons learned
  • Ongoing Professional Practice Evaluation (OPPE)
    • Types of performance metrics
    • How do you interpret the data?
    • Creating effective feedback reports
    • Lessons learned

Potpourri of Competency Assessment Challenges for Low- and No-Volume Practitioners

  • Lack of inpatient activity
  • “Just in case” coverage
  • Single practitioners in a specialty
  • No current clinical activity
  • The increasingly narrow practice

The Aging Physician

  • Strategies to protect patients and support the practitioner
  • Aging is not for sissies
  • Analogies with medicine
  • Accreditation requirements
  • Policy considerations

12:30 PM: ADJOURN

Agenda is subject to change

CONTINUING MEDICAL EDUCATION

The Credentialing Solution seminar offers CME/CE credits through several organizations as follows:

  • Accreditation Council for Continuing Medical Education (ACCME): The Greeley Company, Inc. designates this educational activity for a maximum of 11.75 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
  • American College of Healthcare Executives (ACHE): ACHE Qualified Education credit must be related to healthcare management (i.e., it cannot be clinical, inspirational, or specific to the sponsoring organization). It can be earned through educational programs conducted or sponsored by any organization qualified to provide educational programming in healthcare management. To self-report ACHE activities, participants must log into their MyACHE account and select ACHE Qualified Education Credit.Participants in The Credentialing Solution wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.
  • National Association Medical Staff Services (NAMSS): This program is approved by the National Association Medical Staff Services for up to 14 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.
  • National Association for Healthcare Quality (NAHQ): This activity has been approved by the National Association for Healthcare Quality for 11.75 CPHQ CE credits.

FACULTY

The Credentialing Solution is presented by Sally J. Pelletier, CPMSM, CPCS, Carol S. Cairns, CPMSM, CPCS, and Joseph D. Cooper, MD. Visit our seminar faculty page for detailed bios on the faculty for this and other Greeley programs.

WHO SHOULD ATTEND

Practitioners who lead or participate in credentialing and privileging and the staff who support credentialing and privileging will gain the essential skills they need to succeed. Organizations benefit most when they send teams consisting of:

  • Medical staff leaders
  • Medical services professionals
  • CEO
  • VPMA/CMO
  • Credentials committee members
  • Department chairs and members
  • Board members
  • Risk managers
  • Quality directors

HOW TO REGISTER

The registration fee is $1,845 per attendee* and includes:

  • All educational sessions
  • Detailed course materials
  • Continental breakfast every day
  • A networking reception for participants and their spouses/partners
  • CME/CE credits

* Special pricing! Purchase three seats for The Credentialing Solution, register a fourth team member at no additional cost! 

Upcoming dates and locations

Call our seminars division at (800) 807-9819 to register or learn more information about upcoming seminars, team pricing and other special offers, as well as hotel and other information. Or you may simply click the appropriate links below.

Cancellation Policy

  1. Cancellations received by The Greeley Company 30 days or more prior to the seminar are eligible for a credit or refund, less a $250 cancellation fee per seminar. The credit is valid for up to six months from the date of cancellation.
  2. Cancellations made 30 to 10 days prior to the seminar date are ineligible for refunds but are eligible for payment transfer (credit) to another Greeley seminar, less a $250 cancellation fee per seminar. The credit is valid for up to six months from date of cancellation.
  3. Participants who cancel fewer than 10 days prior to the seminar date are considered as “no shows” and are ineligible for refund/credit.

Click here for more details on pricing and policies.