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Medical Staff Privileges

Negligent credentialing lawsuits: Strategies for reducing hospital risk. Todd Sagin. HCPro, Inc.; 2016. The book provides the context and strategy necessary to tamp down risk and take appropriate action when good faith efforts fail to prevent litigation. Drawing on his extensive medicolegal background, the author, offers practical guidance, accessible case summaries, and customizable tools for understanding key negligent credentialing concepts, avoiding top pitfalls, and contesting allegations.

(Call No. Med Staff 113-081 2016)

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Verify and comply: Credentialing and medical staff standards crosswalk. Carol S. Cairns, and, Kathy Matzka. HCPro, Inc.; 2014. This book is an updated version of two former books: Verify and Comply, and, Medical Staff Standards Crosswalk. MSPs now have one go-to source to answer their accreditation questions. The book is divided into three sections: credentialing standards for acute and managed care; credentialing standards for ambulatory care; and medical staff standards for hospitals (acute care). In this table format, the book is an efficient guide to the regulators' and accreditors' medical staff and credentialing standards.

(Call No. Med Staff 113-060 2014)

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Core privileges – a practical approach to developing and implementing criteria-based privileges. Sally Pelletier. HCPro; 2014.  The resource contains over 75 physician specialty and subspecialty forms, along with nearly 40 procedure lists corresponding to the specialties and subspecialties.

(Call No. Med Staff 113-086 2014)

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Verify and comply: A quick reference guide to the JCAHO and NCQA standards for credentialing. Carol S. Cairns. Opus Communications & The Greeley Company; 2000. This publication presents in plain English, the JCAHO and the NCQA requirements for credentialing in hospitals, managed care organizations (including PO's and IPA's), managed behavioral healthcare organizations, credentials verification organizations, and ambulatory care organizations. The guide covers the accreditors' requirements for everything from education, training, and licensure to peer recommendations, malpractice coverage and history, and clinical privileges.

(Call No. Med Staff 113-060)

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Top 25 medical staff policies and procedures. Hugh Greeley. Opus Communications & The Greeley Company; 2001. Applied effectively, the 25 sample policies and procedures in this book can help establish clear lines of authority and communication within your organization. They should help you tackle a range of medical staff management issues and avoid potentially serious problems including tension within medical staff (particularly between specialty areas) or between medical staff and administrators; the impression that leadership decisions are dictatorial or indiscriminate; lawsuits; and harm to patients.

(Call No. Med Staff 113-075 2001)

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Privileging quick reference guide. Beverly E. Pybus. Opus Communications & The Greeley Company; 2001. The second edition of this title has added 30 new procedures and an entirely new section of over 50 practice areas. Updated information includes: sample core privileging policy, model procedure for developing threshold criteria, algorithm for processing privileges requests and for determining when to develop threshold criteria and training, previous experience, and reappointment criteria for all 62 procedures and treatment areas covered in the first edition.

(Call No. Med Staff 113-068 2001)

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Nonacute care credentialing library: Credentialing across the continuum. Opus Communications & The Greeley Company; 2001. This resource will provide the credentialier with information to assure that the practitioners in their organization have the proper training, experience and education for the procedures and treatments they perform. Areas include clinics, imaging centers, long-term care, hospices, mental health services, physician practice management companies, elderly day care and more.

(Call No. Amb Care 068-050)

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The new credentialing standard – protecting patients and healthcare organizations: Groundbreaking information on everything you ever wanted to know about criminal background checks. Opus Communications & The Greeley Company; 2001. The briefing was created to help hospitals and other healthcare organizations prepare for increased scrutiny by private and regulatory agencies in charge of overseeing patient safety. The standard is designed to identify and exclude doctors who have committed fraud or behaved unethically or incompetently. The Standard provides a framework for further inquiries into a physician's background, building upon the JCAHO and NCQA standards.

(Call No. Hlth Care Adm 310-065)

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Medical staff performance improvement. Joint Commission Resources; 2001. This book has been updated to help medical staff meet the new core PI standards, and includes a discussion of how the medical staff participates in the four key areas of performance improvement: design, data collection, aggregation and analysis.

(Call No. Med Staff 113-071)

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Joint Commission guide to allied health professionals. Joint Commission Resources; 2002. Learn about the Joint Commission's requirements for credentials review and competency assessment of allied health professionals in this new guide. The guide will give your HR professionals and allied health leaders the tools to help them stay on top of these important credentialing and competency issues.

(Call No. Med Staff 113-066)

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Core privileges – a practical approach to development and implementation. Hugh Greeley, et.al. Opus Communications & The Greeley Company; 2003. This comprehensive and updated manual provides step-by-step guidelines and tools to develop and implement the most efficient and consistent privileging system available: the core privileging approach. This newly revised version of the classic core privileges book includes updated core descriptors, an updated procedures list, new specialty and subspecialty forms, and updated information on JCAHO standards.

(Call No. Med Staff 113-063 2003)

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Credentialing, privileging, competency, and peer review: Examples of compliance for the medical staff. Joint Commission Resources; 2003. The book discusses the format for privileging and the various criteria that may be used for granting different privileges. Issues such as basic and advanced privileges and transferable-skills privileging will be discussed, and peer review issues, physician health, and competency assessment for physicians will be explained, as well as safety efforts, new technologies and procedures, including telemedicine.

(Call No. Med Staff 113-072)

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The comprehensive guide to medical staff credentialing and privileging. Beverly E. Pybus. Opus Communications & The Greeley Company; 2003. Details the basics of credentialing and a self-assessment tool to be used for assessing a credentialing process. Provides easy-to-understand explanations, essential advice, sample policies, forms, and checklists. Includes help in complying with the JCAHO requirements and other regulatory agencies.

(Call No. Med Staff 113-070)

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Top 30 medical staff policies and procedures. Hugh Greeley. Opus Communications & The Greeley Company; 2004. The book reflects the 2004 Joint Commission standards - including peer review, medical staff leadership selection, and telemedicine. It also includes five critical policies and procedures that have become increasingly important to medical staffs all over the country, criminal background checks, disciplinary suspension, medical executive committee self-assessment, staff and hospital documents and telemedicine.

(Call No. Med Staff 113-075 2004)

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Privileging conflicts: How to resolve the toughest and most common turf disputes. Richard Sheff, MD and Todd Sagin, MD, JD. HCPro, Inc.; 2004. Designed for physician leaders, medical staff professionals, medical staff coordinators/directors, risk managers, and department heads. Includes: how to resolve the roughest and most common turf disputes and provides you with the tools you need to identify potential privileging disputes, prevent them from occurring, and how to tackle them when they do happen.

(Call No. Med Staff 113-078)

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Medical staff handbook – A guide to Joint Commission standards. Joint Commission Resources; 2004. The second edition of The Medical Staff Handbook has been updated to address the needs of today's hospital medical staff leaders, credentialing chairs, and medical staff service professionals. This edition discusses medical staff bylaws, rules and regulations, policies and procedures - The initial appointment process and credentials verification and review - Competency assessment, appointment, and clinical privileging, practical tips for developing new and improving existing medical staff processes and for appointment and reappointment , discussion of physician assistants and advance practice registered nurses.

(Call No. Med Staff 113-082 2004)

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Essential guide to medical staff reappointment. Beverly E. Pybus. Opus Communications & The Greeley Company; 2004. This book teaches effective reappointment procedures to help you comply with the JCAHO, keep patients safe, and protect your facility's reputation. To help you streamline your reappointment approach, you'll receive practical tips and tools on how to navigate the reappointment process, use peer review data, assess low-volume providers-and how to do it all before your physicians' privileges expire!

(Call No. Med Staff 113-073)

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Assessing your medical staff office: Tools for productivity. Beverly E. Pybus. HCPro, Inc.; 2004. Introducing Assessing Your Medical Staff Office: Tools for Productivity - the ultimate guide to organizing and managing a productive and effective medical staff office.

(Call No. Med Staff 113-091)

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A practical guide to assessing the competency of low-volume providers. Hugh Greeley. HCPro, Inc.; 2004. In hospitals across the country, medical service professionals, department chairs, credentials committee members, and medical executive committee members are increasingly faced with requests for medical staff membership, reappointment, and clinical privileges submitted by physicians with little or no clinical volume. Hospitals and credentialing professionals are understandably concerned about this trend and its effect on the credentialing process. These concerns are elevated by fear that the hospital will not meet accreditation standards, and fear that a physician may lack the skills and knowledge to appropriately care for patients. In addition, many worry that a low-or no-volume physician may admit and treat a patient who subsequently files a corporate negligence suit against the hospital that accuses the hospital of negligent retention.

(Call No. Med Staff 113-080)

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Negligent credentialing lawsuits: Strategies to protect your organization. Amy E. Watkins. HCPro, Inc.; 2005. This user-friendly legal guide to negligent credentialing tells you exactly what you must do to prevent a claim from being filed, and what to do to get filed claims dismissed. This user-friendly legal guide provides: Specific court cases, bulleted charts, and checklists. MSPs, credentialing committee members and risk managers, and in-house counsel should read this book.

(Call No. Med Staff 113-081)

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Effective peer review: A practical guide to contemporary design. Robert J. Marder and Mark A. Smith. HCPro, Inc.; 2005. State and federal laws, as well as the JCAHO, require peer review of physician performance. Done right, it is one of the best ways to improve physician performance and patient care. Done wrong, it can result in a costly lawsuit and damaging publicity.

(Call No. Med Staff 113-079)

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The comprehensive guide to credentialing and privileging for ambulatory surgery. aura Harrington, Beverly E. Pybus, Dawn Q. McLane. HCPro, Inc.; 2005. Whether your ambulatory surgery center (ASC) is JCAHO- or AAAHC-accredited, the time-intensive documentation and deadlines involved make credentialing and privileging a persistent and unwelcome challenge. Whether you're a new or seasoned administrator, The Comprehensive Guide to Credentialing and Privileging for Ambulatory Surgery offers simple, how-to explanations on a range of topics, from the basics of credentialing to how to understand reappointment accreditation requirements to how to deal with impaired physicians. No credentialing stone is left unturned.

(Call No. Amb Care 068-060)

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Guide to medical staff bylaws. Todd Sagin and Joseph Cooper. HCPro, Inc.; 2006. The book is an easy-to-use tool that empowers you with the language you need to keep your bylaws current and compliant.

(Call No. Med Staff 113-083)

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Credentialing audits: Tools for compliance and reduced liability. Vicki L. Searcy. HCPro, Inc.; 2006. Learn the ins-and-outs of performing credentialing audits with the help of this book and CD-ROM set. It is filled with practical advice and sample tools you can use to help protect your facility.

(Call No. Med Staff 113-088)

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The compliance guide to the JCAHO medical staff standards. Opus Communications & The Greeley Company; 2006. All the standards that relate to you and all the procedures you need to implement are consolidated into this one convenient, easy-to-understand resource. The author helps explain how the new unannounced survey process works, especially as it relates to medical staff and continuous survey preparation.

(Call No. Med Staff 113-069 2006)

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Measuring physician competency: How to collect, assess, and provide performance data. Robert Marder, et. al. HCPro, Inc.; 2007. Based on its successful previous edition (10 Steps to Successful Physician Profiling), this book not only explains how to build physician competency reports; it also includes updated content on how to comply with the latest regulatory requirements.

(Call No. Med Staff 113-087)

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Credentialing and privileging your medical staff: Examples for improving compliance. Joint Commission Resources; 2007. This new book will help hospitals improve their level of compliance with Joint Commission requirements related to the areas of credentialing, privileging, competency, and focused/ongoing professional practice evaluation. Written for hospital leaders and others interested in Joint Commission compliance, it offers: guidelines for developing effective processes; suggestions for implementation and documentation; strategies for measuring competence and addressing performance issues; solutions for meeting competency requirements; suggestions for implementing and documenting setting-specific privileges; sample checklists and forms for the credentialing, privileging, competency, and evaluation processes; and case studies from hospitals that have successfully implemented effective processes.

(Call No. Med Staff 113-089 2007)

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Core privileges for physicians: A practical approach to developing and implementing criteria-based privileges. Wendy Crimp, et al.. HCPro, Inc.; 2007. A comprehensive manual and CD-ROM set - provides step-by-step guidelines and tools to help you develop and implement the most efficient and consistent privileging system available: the core privileging approach. Every form in the manual has been reviewed and updated, and nearly every form contains corresponding sample procedure lists. Includes new core privileging forms not available anywhere else.

(Call No. Med Staff 113-086)

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Medical staff meeting companion: Tools and techniques for effective presentations. Kathy Mtazka. HCPro, Inc.; 2008. Get tools to collect, organize, analyze, and present your medical staff data with confidence in all types of medical staff meetings including credentials committee, MEC, bylaws committee, hospital board, medical staff, departmental, quality, peer review, and credentialing audits.

(Call No. Med Staff 113-090)

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FPPE toolbox – field-tested documents for credentialing, competency, and compliance. Carol S. Cairns, et al.. HCPro; 2008. By now you know the importance of focused professional practice evaluation (FPPE). Due to revisions to Joint Commission standards, 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.

(Call No. Med Staff 113-096)

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Essential guide to medical staff reappointment: Tools to create and maintain an ongoing, criteria-based process. Beverly E. Pybus. Opus Communications & The Greeley Company; 2008. The table of contents includes after the initial appointment, a changing landscape, collecting and assessing quality data building an ongoing process, the credentialing process at reappointment, the privileging process at reappointment, roles and responsibilities, special considerations and difficult issues, avoiding mistakes: common legal pitfalls and red flags, physician retraining: Issues to watch, tricks of the trade, incorporating technology into your process, tips from the field best practices, tools forms and policies to guide your process.

(Call No. Med Staff 113-073 2008)

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Proctoring and FPPE – strategies for verifying physician competence. Robert J. Marder and Mark A. Smith. HCPro; 2009. This book is designed to help develop or strengthen proctoring or FPPE programs at your facility. Proctoring and Focused Professional Practice Evaluation provides the ideal foundation for hospitals in dealing with the new material represented in the JCAHO s MS.4.30 on focused professional practice evaluation. With new techniques and equipment becoming available at a rapid rate, ensure that your medical staff physicians are qualified to practice in their respective specialty areas and perform the procedures for which they request privileges.

(Call No. Med Staff 113-095)

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Verify and comply: A quick reference guide to credentialing standards. Carole S. Cairns. HCPro, Inc.; 2009. This 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. See also Med Staff 113-098 2011, Medical staff standards crosswalk: Quick reference guide to The Joint Commission, CMS, HFAP, and DNV standards. 2011.

(Call No. Med Staff 113-060 2009)

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Credentialing and privileging your hospital medical staff: Examples for improving compliance, 2nd edition. Joint Commission Resources; 2010. The second edition was developed for hospital medical staff, the medical staff executive committee, and governing boards. It identifies key responsibilities of each in granting and reviewing clinical care credentials, privileges and compliance issues.

(Call No. Med Staff 113-089 2010)

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Medical staff standards crosswalk: Quick reference guide to The Joint Commission, CMS, HFAP, and DNV standards. Kathy Matzka. HCPro; 2011. The book 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. The book is also a companion to the book, Med Staff 113-060 2009, Verify and comply: A quick reference guide to credentialing standards. 2011.

(Call No. Med Staff 113-098 2011)

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Medical staff handbook – A guide to Joint Commission standards. Joint Commission Resources; 2011. The Handbook is completely updated. It 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.

(Call No. Med Staff 113-082 2011)

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Complete guide to OPPE (Ongoing Professional Practice Evaluation): Strategies for medical staff professionals, physician leaders, and quality directors. Evalynn Buczkowski. HCPro; 2011. The book provides tools and strategies needed to effectively carry out OPPE. The authors deliver practical guidance to build and implement an OPPE process in your institution. They provide how-to approaches to help you: Create and implement a comprehensive and compliant OPPE policy, select meaningful indicators and gather appropriate data, establish thresholds to identify opportunities for performance improvement and assess performance and help evaluators and practitioners interpret OPPE reports and more. 2011.

(Call No. Med Staff 113-097)

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Medical staff management: Forms, policies, and procedures for health care providers. Christine S. Mobley. Aspen Publishers, Inc.; 2012. This resource for the medical staff manager includes quality improvement tools, work distribution models, use of centers of excellence for privileging criteria and privilege delineation, flow charts of medical staff processes, and more. Health care professionals working with medical staff organizations will find this tool essential for carrying out their required functions.

(Call No. Med Staff 113-049)

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Legal strategies for medical staff professionals and physician leaders: Prevent negligent credentialing and protect peer review. HCPro; 2012. This book examines topics that range from best practice credentialing to peer review practices to due process rights for practitioners. The guide will provide medical staff leaders and MSPs with the tools they need to protect themselves and their organizations from claims that may arise during peer review, due process proceedings, or in negligent credentialing suits. 2011.

(Call No. Med Staff 113-099)

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Complete guide to FPPE: Strategies for medical staff professionals, physician leaders, and quality directors. Valeria Handunge, et al. HCPro; 2012. This book provides tools you need to develop effective evaluations and measure practitioners' competency, including the requirements for focused professional practice evaluation (FPPE) and the documentation involved, and how to implement the plan.

(Call No. Med Staff 113-100)

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Health care credentialing: A guide to innovative practices. Fay A. Rozovsky. Aspen Publishers, Inc.; 2014. This updated edition takes you far beyond the standard review of credentialing concerns, delivering insights into innovative ways to collect, process and assess credentialing information.

(Call No. Med Staff 113-085)

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Health care credentialing: A guide to innovative practices. Fay A. Rozovsky. Aspen Publishers, Inc.; 2012. This new book takes you far beyond the standard review of credentialing concerns, delivering insights into innovative ways to collect, process and assess credentialing information.

(Call No. Med Staff 113-085)

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