The main responsibilities of today’s medical staff are credentialing, peer review, and the implementation of practitioner performance management. Physicians inherently dislike these activities and are rarely well-oriented and trained to carry them outeffectively. However, the consequences of doing this work poorly can be severe. Most importantly, patients may be harmed. There are several challenges and risks posed by poorly performed medical staff work.
CTI offers a half-day bootcamp to address these challenges in a hands-on engaging way to bring about better clinical outcomes as a result.
SAMPLE TOPIC DESCRIPTIONS
CREDENTIALING & PRIVILEGING: CRITICAL RESPONSIBILITIES WITH NEW CHALLENGES
Basic principles and requirements of credentialing and the roles and responsibilities associated with each task. We’ll then look broadly at changes in the landscape ofhealthcare credentialing and the implicationsof these, and look at ways to streamline the credentialing orientation process. Case scenarios will be used to apply knowledge,identify common challenges and learnstrategies for overcoming these.
PEER REVIEW & PRACTITIONER PERFORMANCE IMPROVEMENT
During this part of the program, we’ll explore historical approaches to peer review and practitioner performance improvement and review the current processes and tools. Participants will learn core communication skills and frameworks for having evaluation-focused conversations in a constructive manner and how to set a productive and collegial tone, rather than using a “blame and shame” approach.
MANAGING UNPROFESSIONAL AND DISRUPTIVE PRACTITIONER CONDUCT
The ability to speak up with courage and constructively address and transform disruptive and behavior is a hallmark of a successful leader, and essential to driving quality and safety in healthcare. Fortunately, doing so involves skills that can be learned and improved. During this section of the program, participants will learn the key communication skills needed to address disruptive practitioner behavior and use relevant case scenarios to practice.
LEGAL LANDMINES FOR MEDICAL STAFF LEADERS
Through this portion of the session, participants will enhance understanding of HCQIA and the requirements related to the NPDB. The following will also be covered and applied to relevant case scenarios: protecting peer review immunities and protecting ‘privilege’, avoiding negligent peer review lawsuits and credentialing lawsuits, and taking proper corrective action (from suspensions and investigations to fair hearings).
LEADING PRODUCTIVE MEETINGS
Being able to effectively plan for and lead meetings that accelerate productivity, rather than delay it, is a vital leadership skill. During this section of the program, we’ll explore common meeting facilitation challenges and pitfalls, and introduce skills to overcome these. We’ll focus on leadership best practices employed before, during and after a meeting to ensure a productive process and result.
STANDARDS, BY-LAWS, RULES & REGULATIONS, AND POLICIES
During this section of the program, we’ll explain why medical staff must comply with Joint Commission standards, how those standards are established and monitored through surveys, how they are enforced, and how to understand a standard’s requirements. In addition, participants will gain greater perspective of medical staff governance documents (bylaws, etc.).
ORGANIZED MEDICAL STAFF ROLES
During this section of the program, we will review the history of the organized medical staff and the current Medicare COPs that require hospitals to maintain this entity. We will also clarify the roles and responsibilities of the medical staff vs. the board vs. management. Finally, we’ll explore reporting relationships and medical staff accountabilities, and how and by whom these are established.
Looking for more topics? Contact us to customize a boot camp for your team.