Stay One Step Ahead of Credentialing Requirements! Health Care Credentialing: A Guide to Innovative Practices by Fay A. Rozovsky, Christina W. Giles, Mark A. Kadzielski List Price: $335.00   Eligible for Free Standard Shipping on U.S. Prepaid Orders Imprint: Aspen Publishers ISBN: 9780735564824 Looseleaf: 434 pages Publication Cycle: Supplemented annually Last Updated: 7/13/2012 Automatic Supplementation More Info. Available: Item ships in 3-5 Business Days

Health Care Credentialing, takes you far beyond the standard review of credentialing concerns, delivering insights into innovative ways to collect, process and assess credentialing information. No matter where you're conducting credentialing, this resource will help you keep pace with the latest ideas and approaches. Specifically, Health Care Credentialing will help you: Take into account complex laws, regulations, and accreditation standards as they apply to credentialing Handle disruptive care and clinical competency issues Access information for evaluating core competencies to be used in credentialing Stay up-to-date on relevant regulations, statutes, and accreditation standards Health Care Credentialing helps you address the critical issues in this important arena. This unique resource delivers: Coverage of credentialing for disaster management Innovative processes to upgrade clinical competencies outside the credentialing system Guidance on Board and IRB credentialing Innovative perspectives to address behavioral problems and disruptive individuals Cutting-edge approaches to "Pay-For-Performance" and credentialing Ahead-of-the-curve insights into credentialing and federal requirements such as the ADA Rehab Act Section 504 and EEOC guidance In addition, Health Care Credentialing will help you: Keep pace with credentialing standards and relevant state and federal requirements Launch important credentialing initiatives Implement alternative programs to address emerging credentialing issues And much more! Health Care Credentialing has been updated to include: New sections on: New ACOs: Physician-Hospital Alignment Changes in Medical Staff Structures Technology Utilization Competency Innovative Bylaws and Credentialing Advanced Diagnostic Imaging Credentialing Discussion of changes in the proposed rule for the Healthcare Integrity and Protection Data Bank (HIPDB) and the National Practitioner Data Bank (NPDB) Updated information on credentialing for advanced practice practitioners Updated information on telemedicine Discussion of the May 2012 revisions to the medical staff and nursing services Conditions of Participation Updated information on the final rule for screening and program requirements for ACOs Discussion of the following cases: Smigaj v. Yakima Valley Memorial Hospital West Florida Regional Medical Center v. See Chudacoff v. University Medical Center of Southern Nevada Gargiulo v. Baystate Health, Inc. Effective reversal of the Archuleta decision by Utah Code section 78B-3-425 Cawthorn v. Catholic Health Initiatives Iowa Corp. d/b/a/ Mercy Hospital Medical Center Appeal of Sternberg v. Nanticoke Memorial Hospital Jablonsky v. Sierra Kings Healthcare District Preau v. St. Paul Fire & Marine Insurance Company Lawnwood Medical Center Inc. v. Randall Seeger Smith v. Cleveland Clinic Gaalla v. Brown State of Rhode Island Department of Health Board of Medical Licensure and Discipline, In the matter of Alexandra Thran, MD Updated discussions of and references to The Joint Commission's 2012 Hospital Accreditation Standards View the Highlights for this title. 1. CONTEMPORARY CREDENTIALING PROCEDURES Influence of Accreditation Requirements Credentialing in Transition with the Joint Commission Influence of the Centers for Medicare and Medicaid Conditions of Participation Influence of DNV (NIAHOSM) - A New Accreditation Source Influence of Information on the Internet Influence of Private Payers Exhibit 1-1 Accrediting/Certifying Agency Programs 2. CURRENT CREDENTIALING PRACTICES The Two-Year Cycle The Effect of the Health Care Quality Improvement Act of 1986 on Current Credentialing Practices The Effect of the Americans with Disabilities Act and the ADA Amendment Act of 2008 on Current Credentialing Practices The Effect of Section 504 of the Rehabilitation Act of 1973 The Effect of the Equal Employment Opportunities Commission Guidelines and Rulings on Current Credentialing Practices Peer Review, Evidentiary Protection, and Credentialing Mid-Level Practitioners The Effect of State Law 2A. LOOKING THROUGH THE PRISM OF CASE LAW: CONTEMPORARY CREDENTIALING PRACTICES Significant Case Law Centralization of the Credentialing Process The Advent of "Patient Credentialing" 3. WHY SYSTEMIC CHANGE IS NEEDED Patient Safety Pay-for-Performance Ready Access to Data - Health Care Is "On Notice" of Potential Problems Consumer Expectation The Joint Commission's Credentialing Program Inroads on Contemporary Credentialing Practices The Burgeoning Cadre of Who Should Be Credentialed Competencies 4. EXAMPLES OF SUCCESSFUL CHANGE Citizen Advocacy Programs CPEP The Vanderbilt Model Elements of Successful Programs Exhibit 4-1 PREP Documents, the California Board of Nursing Exhibit 4-2 Memorandum of Understanding Exhibit 4-3 North Carolina Process When PREP Referral Is Received Exhibit 4-4 PREP Eligibility Criteria Exhibit 4-5 Assessment: Practitioner Remediation and Enhancement Partnership Exhibit 4-6 Procedure for Identification and Referral to the PREP Pilot Program 5. MODELS FOR INNOVATIVE CREDENTIALING Competencies-Based Credentialing Collaborative Care Credentialing Data-Driven Credentialing Behavioral Change–Based Credentialing Accountability-Based Credentialing Credentialing Care Providers with Anger Management Issues Credentialing Care Providers Recovering from Substance and Alcohol Abuse Disaster Preparedness and Credentialing Exhibit 5-1 Comparison of Four ABMS Specialty Board Maintenance of Certification Programs Exhibit 5-2 Self-Assessment Questionnaire Items Exhibit 5-3 Sample "Zero Tolerance" Policy Exhibit 5-4 Applying for a Federal Job 6. A PRIMER ON INNOVATIVE CREDENTIALING The Retooled Application Process Screening and Verification of Credentials in All Health Care Organizational Settings The Demonstrated Competencies for Credentialing Resident and Fellow Credentialing Physician Ranking and Credentialing Exhibit 6-1 Sample Release Language Exhibit 6-2 Sample Authorization and Release of Information Form to Accompany an Application for Appointment/Privileges Exhibit 6-3 Sample "Fair Notice" Language in the Letter to the Reference Exhibit 6-4 Areas of Expertise Matrix Credentialing Chart for IRB 7. BEHAVIORAL ISSUES AND CRENDENTIALING Anger and Impulse Behavior Other Types of Abhorrent Behavior Known or Suspected Substance or Alcohol Abuse The Importance of Decisive but Prudent Action Use of Diversion Programs Behavioral "Contracts" 8. CREDENTIALING: LOOKING TO THE FUTURE Risk Managing the Credentialing Process The Need for Board Credentialing Considering New Competencies for Clinicians Systems Check: An Ongoing Process for Incorporating Accreditation, Legislative, Regulatory, and Case Law Changes National Credentialing Team Credentialing Conflict of Interest Credentialing Peer Reviewer Credentialing Exhibit 8-1 Risk Management Credentialing Criteria Tool Exhibit 8-2 Board Credentialing Criteria Exhibit 8-3 Board Application and Screening Tool APPENDICES Appendix A Checklist for Initial Appointment Appendix B Credentials Standards Appendix C Physical and Mental Health Cover Letter and Forms Appendix D A Pocket Guide to Credentialing for Medical Staff Membership and Hospital Privileges Appendix E Fact Sheet: An Overview of PDS Prototype Appendix F Final Rule for Section 1921 Appendix G Questions and Answers About Health Care Workers and the Americans with Disabilities Act Appendix H Professional Conduct Appendix I Designing a Credentialing Process for Live Organ Donor Advocate and Live Organ Donor Advocacy Team Appendix J Sample Physician Feedback Questionnaire Appendix K Medical Peer Review - Risk Management Strategies Appendix L AETNA Agreement Concerning Physician Performance Management, Reporting and Tiering Programs, Attorney General of New York Appendix M Joint Resolution, International Emergency Management Assistance Memorandum of Understanding, 2007 Appendix N IRS Form 990, Schedule H, Hospitals, for Tax Year 2009 Appendix O Excerpt from the Federal Rules of Civil Procedure: e-Discovery Appendix P Form 35. Report of Parties' Planning Meeting Appendix Q Sample Peer Reviewer Credentialing Tool Appendix R Memorandum Report: Adverse Events in Hospitals, OEI-06-09-00360 Appendix S Protecting the Force: Lessons from Ft. Hood, Independent Review Board Report, January 2010 Table of Cases Medical Staff Management: Forms, Policies, and Procedures for Health Care Providers Christine S. Mobley, Sheryl Deutsch Medical Staff Management: Forms, Policies, and Procedures for Health Care Providers is the only comprehensive collection of forms, policies, procedures, correspondence, and more, covering: Credentialing Privileging Accreditation and regulations Allied health professionals Quality assessme more... 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Add to cart   |  Price: $399.00  |  PIN: SS15208303  |  Format: Paperback  Imprint: Aspen Publishers