The Greeley Company
September 5, 2017 2 Min Read

Where Risk Lives: Snapshots of Negligent Credentialing

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ATTENTION In-House Counsel and MSPs:
Do these negligent credentialing scenarios sound familiar?

Do you have questions about negligent credentialing that leave you feeling like there might be risks hidden in your medical staff services department?

Adverse Outcome Sheds Light on Checkered Past:
A family sits by the bedside waiting for their loved one to wake up in the hospital after undergoing surgery. They need to figure out how to tell the patient that the surgery did not go well. Going in, they knew there might be complications, but they had counted on the hospital to provide a highly skilled and qualified surgeon. During their wait, they find negative online reviews and news stories about recent malpractice claims against this seasoned surgeon.

Staffing Levels and Process “Issues” in merged Medical Staff Services:
In the midst of a flurry of mergers and acquisitions, the in-house counsel for a large hospital system worries about the wide variability of processes and professional skill sets being intermingled in the semi-combined medical staff services departments of the facilities now under the system umbrella. While economies of scale have scaled back the total number of full-time employees dedicated to credentialing and privileging functions, the health system still lacks the centralized or standardized processes that can be adequately supported by the smaller team. Patterns are emerging. Temporary privileges are granted too often as a stop-gap measure. And more “just in case” privileges are granted to various specialists to ensure coverage, but, with low or no volume, how is current competency to be measured?

A Muddled Data Stew in Peer Review:
A Vice President of Medical Staff Services starts a new position in a growing health system. He looks for a standardized link between peer review and credentialing. However, with several recent mergers and more in the pipeline, the sharing of practitioner information and performance data is either absent or dysfunctional across the board. And while the limited existing data has been used in making decisions related to privileging, the methodologies for collection and measurement are seriously flawed.

These scenarios are by no means isolated. At leading hospitals all across the country, administrators, attorneys, and medical staff leaders often struggle with the task of effectively and efficiently credentialing and privileging prospective practitioners, while maintaining quality and mitigating risk.

Join me for a free webinar on negligent credentialing. We will cover these and many other common scenarios (and how to avoid them.) Concerned about risks related to aging physicians and telehealth? We’ll talk about those too.

Let’s start the conversation.


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