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Chapter Leader's Guide to Medical Staff breaks down The Joint Commission's medical staff requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes two downloadable PowerPoint® presentations highlighting key compliance takeaways. What's Inside: Keys to understanding The Joint Commission's stance on medical staff bylaws.(MS.01.01.01) Explanation of the role of the MEC How the medical staff plays into graduate education programs and performance improvement Accreditation's role in credentialing and privileging What the standards say about physician behavior The latest updates to telemedicine requirements Book jacket.
The Medical Staff Leader''s Survival Guide William K. Cors, MD, MMM, FACPE An affordable, time-sensitive solution to medical staff leadership training. Physicians who accept or are assigned leadership positions are often left on their own to develop leadership skills and educate themselves about their responsibilities as medical staff leaders. Just because a physician is a great clinician does not mean he or she is a great leader. The challenges of being a successful medical staff leader are twofold: You must be well-versed in your role and responsibilities (i.e., peer review, credentialing, medical staff bylaws), and you must inspire other medical staff members to follow the rules while continuing to deliver excellent patient care. A well-trained medical staff leader is vital to the culture of a hospital''s medical staff and can save a hospital from the expense of lawsuits affiliated with negligent credentialing/peer review. This book aims to teach physicians how to become great medical staff leaders and how to motivate other medical staff members on topics such as: AHP credentialing and supervision Reappointment challenges Physician-hospital competition Liability risks Medical staff disharmony and distrust Table of Contents Chapter 1: Where to Begin? Principles of Governance Chapter 2: Meetings: The Cost of Holding a Meeting Chapter 3: Meetings: How to Run an Effective Meeting Chapter 4: Overcoming Physician Apathy Chapter 5: Job Descriptions: Medical Staff Leaders Chapter 6: The VPMA/CMO: Where This Fits Chapter 7: Credentialing and Privileging: Requirements, Guidelines and Tips Chapter 8: New Technology Privileges Chapter 9: Privileging Disputes and How to Resolve Them Chapter 10: Advanced Practice Professionals Chapter 11: Low-Volume, No-Volume Practitioners Chapter 12: The Aging Physician Chapter 13: Proctoring (FPPE) Chapter 14: Peer Review (OPPE): Some Best Practices Chapter 15: Dealing with the Physician with Problems Chapter 16: Corrective Action: The Good, the Bad and the Ugly Chapter 17: Physicians and Hospital Administration: They''re Just Different Chapter 18: EMTALA and Emergency Department Coverage Chapter 19: Conflicts of Interest Chapter 20: Economic Credentialing Chapter 21: Physician-Nursing Relationships Chapter 22: Health Care Finance: A Primer Chapter 23: Medical Errors Disclosure Chapter 24: Employed Practitioners Chapter 25: Contracted Practitioners Chapter 26: Confidentiality Chapter 27: Accreditation and Regulation Chapter 28: Bylaws and Related Documents Chapter 29: Medical Staff Governance: Myths and Misconceptions Chapter 30: Personal Characteristics of Great Leaders Who will benefit from this book? Directors of medical staff offices, vice presidents of medical affairs, medical staff presidents, credentials committee chairs and members, committee and department chairs
How physician executives and managers can become outstanding leaders in times of rapid change Written by authors who have more than sixty years of combined experience in healthcare, physician, and organizational leadership, this groundbreaking book is an innovative blueprint for overcoming the complex changes and challenges faced by leaders in today's healthcare environment. Rather than being a theoretic work, The Manual of Healthcare Leadership is intended to be a relevant, practical, and real-world guide that addresses the myriad organizational, regulatory, budgetary, legal, staffing, educational, political, and social issues facing leaders in the healthcare industry. One of the primary goals of this book is to enable readers to maximize the performance of each staff member in the interest of collectively providing peerless healthcare to their service community. The strategies offered throughout the text include the "why, what, and how" necessary to solve specific problems and challenges encountered by healthcare managers and leaders. Instruction is provided not only with text, but with diagrams and other resources specifically designed to demonstrate sequential thinking and the progressive application of solutions. With this book in hand, healthcare leaders will be able to confidently select, train, guide, and assess their staff. They will also be able to negotiate, plan, resolve problems, manage change and crisis, and handle the thousand and one other challenges that come their way on a daily basis.
The Chapter Leader's Guide to Patient Rights: Practical Insight on Joint Commission Standards Jean S. Clark, RHIA, CSHA Quick, concise standard explanations for patient rights chapter leaders The Chapter Leader's Guide to Patient Rights breaks down the Joint Commission's patient rights requirements into easy to understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPoint(R) presentation highlighting key compliance takeaways. Also, receive bonus tools which include: Rights and Responsibilities of the Individual and Key Player Outline Rights and Responsibilities of the Individual Tracer Tool Patient Rights Direct Impact Standards List Chapter Captain Checklist Benefits ofThe Chapter Leader's Guide to Patient Rights: Keys to creating a culture of providing patient care, treatment, and services in a way that is collaborative with the individual patient Tips and suggestions for developing and implementing policies for selected elements of performance Guidance on communication techniques to inform patients of their individual rights and responsibilities Tools for proper delegation of roles and responsibilities to appropriate staff A responsibility checklist for chapter leaders to ensure compliance with patient rights standards What's inside: Interpretation of the newly revised Joint Commission patient-centered communication standard Simplified explanation of the requirements under the patient rights chapter Strategies to help patients participate in their own care decisions Description of informed consent, who participates and how to gain it from patients in a compliant way Easy-to-implement services your organization can provide for patients to inform them of their rights Table of Contents Part I: Patient Rights in the Organization The Rights and Responsibilities of the Individual How Does this Chapter Affect the Organization as a Whole? What is Its Impact on Leadership and Administration? Who Owns the Requirements of this Chapter? Part II: Communication and Impact of Patient Rights Getting Organized Duties of the Chapter Captain Communication to Physicians and Staff Communication to Patients The Impact of this Chapter Part III: Implementing Patient Rights Designing and Implementing Policies The Patient Handbook The Medical Staff Other Caregivers, Nurses, and Staff The Board and Senior Leadership Tracers and Chart Reviews Impact on Patient Care Who will benefit? CPHQ, CSHA, accreditation coordinators, accreditation specialists, survey coordinators, Joint Commission survey coordinators Earn Continuing Education Credits National Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.
Quick, concise standard explanations for LD chapter leaders The Chapter Leader's Guide to Leadership breaks down the Joint Commission's leadership requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPointr presentation highlighting key compliance takeaways. Also, receive bonus tools which include: * A document requirement checklist * Proactive risk assessment tool * Contract monitoring tool
The Chapter Leader's Guide to Performance Improvement Cynthia Barnard, MBA, MSJS, CPHQ Quick, concise standard explanations for performance improvement chapter leaders The Chapter Leader's Guide to Performance Improvement breaks down The Joint Commission's performance improvement requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPoint(R) presentation highlighting key compliance takeaways. Also, receive bonus tools which include: Annual performance improvement program assessment worksheet Sample performance improvement team charter Critical information checklist Templates for quality plans Samples for compliance with required measurements Samples for compliance with measurements to be considered Checklist for survey readiness Benefits of The Chapter Leader's Guide to Performance Improvement: Empower your PI chapter leaders to successfully navigate the survey process Communicate the impact the PI chapter has on the entire leadership team, management, and caregivers Create a culture of accountability by delegating survey-related responsibilities to staff members Go beyond standard numbers and understand the true meaning of The Joint Commission's PI requirements Get everyone in your facility on board with compliance Save time training PI chapter leaders with the customizable PowerPoint presentation What's inside: Simplified explanation of The Joint Commission's performance improvement chapter Tools for data collection and analysis to measure the performance of processes Strategies for analyzing data to implement better care, improve compliance, and promote positive change Best practices in designing, implementing, and presenting performance improvement programs with reference to accreditation requirements Table of Contents Introduction: How This Handbook Can Help You Part I: Performance Improvement in the Organization Leadership Roles in Performance Improvement Successful Management of Performance Improvement Key Take-Away Points Part II: Planning and Coordinating Performance Improvement Communicating and Integrating Performance Improvement Throughout the Organization Do You Need a Dashboard? Impact of Performance Improvement on Patients, Clinicians, and Staff Teams, Charters, and Leadership Physician Roles and Responsibilities in Performance Improvement Key Take-Away Points Part III: Implementing Performance Improvement The Performance Improvement Cycle Data Collection and Analysis Process Improvement Documentation and "Telling the Story" Sustaining Change Key Take-Away Points Part IV: Effective PI Survey Preparation Critical Information at Your Fingertips The PI Presentation to Surveyors The Data Tracer and the Leadership Interview Key Take-Away Points Who will benefit? Accreditation coordinators, accreditation specialists, survey coordinators, Joint Commission survey coordinators, performance improvement chapter leaders, quality directors, quality improvement professionals Earn Continuing Education Credits National Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.
Get the knowledge needed to serve as an effective Medical Executive Committee Member and fulfill the role well. The MEC Essentials Handbook breaks down the medical executive committee role to facilitate understanding of the responsibilities and strategies for being an exemplary committee member. Oftentimes physicians end up in a leadership position without really knowing what the job entails and what they are meant to accomplish. This handbook can be used as a comprehensive guide for physician leaders throughout their appointment, providing them with the necessary skills and knowledge they may not have received as part of their medical school training and residency. Plus, to make staff training easy, this handbook includes a customizable PowerPoint(R) presentation highlighting key takeaways covered in the handbook. Benefits of The MEC Essentials Handbook: Earn CE and certification credits Assess, document, and comply with The Joint Commission's core competencies Verify the competence of advance practice professionals and allied health professionals Understand the role of physician leaders in focused professional practice evaluation (FPPE), ongoing professional practice evaluation (OPPE), and peer review Overcome challenges presented by low- and no-volume providers and legal issues such as negligent credentialing Avoid costly, time-consuming fair hearings Oversee professional conduct and confront disruptive behavior What's inside: Compare and contrast the roles and responsibilities of the medical staff, management, and board Describe the dimensions of physician performance Explain the role of MEC as oversight for the credentialing and privileging committee Explain the role of MEC as oversight for the peer review, quality, and patient safety committees Describe the MEC's role in overseeing disruptive physician behavior, according to the law and Joint Commission standards Identify the seven factors of successful medical staff development planning Derive strategies to streamline MEC meetings Table of Contents Chapter 1: Roles and responsibilities of the medical staff, management, and board Chapter 2: The Power of the Pyramid: How to achieve great physician performance Chapter 3: The MEC's role in credentialing and privileging Chapter 4: The MEC's role in peer review, quality, and patient safety Chapter 5: The MEC's role in managing professional conduct Chapter 6: The MEC's role in strategic collaboration with the hospital Chapter 7: Effective MEC meetings
The Chapter Leader's Guide to Environment of Care: Practical Insight on Joint Commission Standards Thomas J. Huser, MS, CHPS Quick, concise standard explanations for Environment of Care chapter leaders "This book has significant daily use and will prepare and support facility professionals. The author candidly describes how to make difficult things happen even when other people may not be immediately on board...and the survey preparation is thorough and very user intuitive. I like the easy-to-follow format. The policy and procedure forms and examples are excellent." --Stephen J. Thurston, Safety Officer, Emergency Managment Coordinator, Indiana University Health The Chapter Leader's Guide to Environment of Care breaks down the Joint Commission's Environment of Care requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator, chapter leader and staff of all levels. Plus, to make staff training easy, this guide includes two downloadable PowerPoint(R) presentations highlighting key compliance takeaways. Benefits of The Chapter Leader's Guide to Environment of Care: Build an interdisciplinary team to ensure Environment of Care compliance Achieve buy-in and support from leadership Educate staff of all levels on compliance utilizing ready-made tools and strategies Use practical advice from a seasoned expert in the field to avoid RFIs on your next survey What's inside: Standard-by-standard breakdowns and explanation by hospital safety veteran and expert Practical advice for successfully communicating with multiple levels of staff to better gain buy-in and compliance Quick tip sheets, checklists, and PowerPoint presentations for educating staff Sample mock tracer observations and questions in all areas of EOC Hospital safety and construction risk assessments Dozens of EOC policies, procedures, reports, and maintenance logs Department EOC report card and simplified scoring sheet to better communicate current compliance to department leaders and board members Table of Contents Part I: Organization and Accountabilities Board of Directors CEO Medical Staff Management Staff Key Players Part 2: Communication and Culture Hospital Staff Departmental Leadership Board of Directors Senior Leadership Part 3: Policy and Procedures Plan (EC.01.01.01) Safety and Security (EC.02.01.01, EC.02.01.03) Hazardous Materials and Waste (EC.02.02.01) Fire Safety (EC.02.03.01, EC.02.03.03, EC.02.03.05) Medical Equipment (EC.02.04.01, EC.02.04.03) Utilities (EC.02.05.01, EC.02.05.03, EC.02.05.05, EC.02.05.07, EC.02.05.09) Other Physical Environment Requirements (EC.02.06.01, EC.02.06.05) Staff Competence (EC.03.01.01) Monitor and Improve (EC.04.01.01, EC.04.01.03, EC.04.01.05) Part 4: Effective Survey Preparation Education and Training Organization Preparation Data Collection List of tools: Sample Board of Directors Report Survey Preparation for Physicians: Emergency Management Information Environment of Care Compliance: Sample Observations and Questions Survey Preparation for Staff: Emergency Management Information Security Quick Tips Temperature Logs Quick Tips Maintaining a Safe Environment Quick Tips Emergency Medical Equipment Quick Tips Fire Response Quick Tips Hazardous Materials Quick Tips Medical Equipment Failure Quick Tips Utility Failure Quick Tips Environment of Care Report Card Scoring Worksheet Safety Inspection Report Environment of Care Report Card for Department Leaders Safety Officer Statement of Authority Safety Risk Assessment Tool Officer's Report of Fall/Injury Forensic Patient Policy and Procedure Smoking Interventions Log Life Safety System Preventative Maintenance Grid Life Safety Equipment Repairs Log Interim Life Safety Management Implementation Worksheet Safe Medical Device Reporting Policy Emergency Generator Test Log and Report Construction Risk Assessment Form Employee Environment of Care Survey Plus: EOC Power Point Presentations: What You Need to Know to Train Your Staff Annual Education for Staff Who will benefit? Accreditation coordinator, accreditation specialist, survey coordinator, Joint Commission survey coordinator, Environment of Care chapter leader, safety officer, safety director, facility manager, and facility director Earn Continuing Education CreditsNational Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.
The Chapter Leader's Guide to Medication Management: Practical Insight on Joint Commission Standards Robert L. Manniello, MD, MS, MBA Quick, concise standard explanations for Medication Management chapter leaders The Chapter Leader's Guide to Medication Management breaks down the Joint Commission's medication management requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPoint(R) presentation highlighting key compliance takeaways. Benefits of The Chapter Leader's Guide to Medication Management: Optimize survey readiness with a complete breakdown of the medication management standards Educate everyone from bedside staff to leadership about the impact of medication management compliance Communicate updated medication management requirements in the most effective manner Build a high-functioning interdisciplinary team to ensure Medication Management compliance What's inside: A complete breakdown of the key standards your chapter leaders need to understand to optimize survey readiness An examination of how Medication Management affects staff from leadership to bedside staff within all departments of your organization Evidence demonstrating the critical role that communication plays in assuring the best compliance with Medication Management standards Tools to identify the best people to help keep Medication Management requirements in compliance at your facility Table of Contents Part I: Medication Management Standards: The High-Level Overview How does this chapter effect the organization as a whole? What is its impact on leadership and administration? Who owns the requirements of this chapter? Part II: the 96 Hour Principal Hospitals staff Medical staff and allied professionals Pharmacy staff Figure 2.1: Pharmacist Job Description Nursing staff Part III: Implementation of Medication Management Standards Handling of Selection and procurement standards Storage of medications Principles and Procedures Ordering and transcribing Evaluation Figure 3.1: High Risk and High Alert Medications Figure 3.2: Look-Alike/Sound-Alike Medications Figure 3.3a: Hospital Formulary Figure 3.3b: Black Box Warning, Handling of Figure 3.4a: Medication Administration Figure 3.4b: Medication Administration: Care of Patients Figure 3.4c: Sample Medication Storage Policy Figure 3.5: Patient Self-Administered Medications Figure 3.6: Medication Ordering Figure 3.7: Patient Information Minimum for Pharmacist Review Preparing and Dispensing Figure 3.8: Dispensing of Medications Administration Figure 3.9: Investigational Medications Monitoring Figure 3.10: Adverse Drug Reactions, Reporting of Summary statement Who will benefit? Accreditation coordinator, accreditation specialist, survey coordinator, Joint Commission survey coordinator, medication management chapter leader, pharmacy director, and pharmacy coordinator Earn Continuing Education CreditsNational Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.