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The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance, Second Edition Juli Maxworthy, DNP, MSN, MBA, RN, CNL, CPHQ, CPPS, CHSE In order to be compliant with The Joint Commission's requirements of establishing and tracking practitioner competency using measurable data, MSOs must apply and adopt a standard framework defining the dimensions of privileged practitioners' performance. But just like all healthcare regulations, the focused professional practice evaluation (FPPE) of providers is a process that is constantly changing and being refined. With an evolving provider landscape and commensurate legal findings, knowing how to collect, organize, and document FPPE data is critical for all facilities. Failing to gather and organize sufficient FPPE data in a standardized way presents risks including redundancy, inconsistency across specialties, and inadequate articulations for practitioners regarding their role in FPPE. The second edition of The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance provides an up-to-date, comprehensive resource with the forms and tools MSOs need to conduct and manage FPPE. This book provides compliant and customizable forms, policies, letters, scorecards, and reports that can be utilized in facilities of all types and sizes. Author Juli Maxworthy, DNP, MSN, MBA, RN, CNL, CPHQ, CPPS, CHSE, shares her expert knowledge so MSPs can create a cohesive competency documentation process at their organization. This toolbox offers sample tools you can adapt for use in your own facility without making you wade through lengthy background information, including: Case studies describing how your peers implemented FPPE FPPE policy documents FPPE language excerpted from peers' bylaws documents or policies and procedures Department-specific proctoring forms Inpatient and outpatient proctoring forms FPPE documents for HFAP-accredited facilities Forms that work for initial appointment and for-cause FPPE, and documents that illustrate the OPPE-FPPE connection Notification to a practitioner--successful conclusion of provisional staff status and advancement of staff category A letter to a physician requesting his or her service as proctor Physician competency data scorecards Retrospective, concurrent, and prospective proctoring guidelines This book: Saves time--medical staff offices don't need to develop an FPPE system from scratch or spend hours researching and updating their organizations' outdated forms Eliminates the hassle of having to research FPPE forms and policies from multiple sources Enables MSPs to download, adapt, and use the most up-to-date FPPE forms at their organization Provides tips on implementing the forms and applying FPPE data to credentialing and privileging decisions in the future Includes field-tested FPPE policies and forms in use now at medical staff services departments nationwide Five organizations have FPPE down to a science, and they've shared their policies and forms in this book. These all-new, downloadable forms cover all aspects of FPPE for new applicants and for cause, from proctoring and other practitioner evaluation methods to quality indicators to compliance with The Joint Commission and HFAP standards.
The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance Carol S. Cairns, CPMSM, CPCS; Sally J. Pelletier, CPMSM, CPCS; Donna K. Goestenkors, CPMSM Not sure how to collect, organize, and present your FPPE data? Just open your toolbox By now you know the importance of focused professional practice evaluation (FPPE). Due to revisions to Joint Commission standards in both 2007 and 2008, 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. Do you have the tools for FPPE compliance? "The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance"provides exactly that a comprehensive toolbox full of the forms and tools you need to conduct FPPE and OPPE. It offers: Forms Policies Letters Scorecards Reports Save time by tailoring your existing materials to meet the latest requirements In addition to providing new forms and tools you can customize for your facility, this guide also shows you how to repurpose existing materials to achieve compliance. Eliminate the headache of developing an organizational system on your own Use the tools in this book to manage the tremendous amount of quality data you must gather through FPPE. Organizing your FPPE data now means you will save time applying it to credentialing and privileging decisions in the future. Don t reinvent the wheel get the tools you need to get the job done Take advantage of the expert knowledge and practical resources in this toolbox you can put its contents to use immediately at your facility, without wading through lengthy background information. Use sample policies and forms to create a cohesive competency documentation process This book and CD-ROM set includes field-tested FPPE policies from your peers around the country. This toolbox is useful for facilities of all types and sizes, and it includes sample tools you can use right away: Case studies showing how your peers implemented FPPE FPPE policy documents FPPE language excerpted from peers bylaws documents or policies and procedures A practice evaluation form based on the six general competencies Department-specific proctoring forms Inpatient and outpatient proctoring (nonprocedural) forms A proctoring summary report of a provisional staff member Notification to a practitioner successful conclusion of provisional staff status and advancement of staff category A letter to a physician requesting his/her service as proctor A summary report to the board Physician competency data scorecards Guide to drafting a focused professional practice evaluation policy Retrospective, concurrent, and prospective proctoring guidelines Performance feedback process for mid-level practitioners Earn continuing education credits This program has been approved by the National Association Medical Staff Services for 5 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. Who will benefit? Medical staff coordinators/directors Managers of medical staff services Credentialing coordinators/managers Quality managers/directors Chief medical officers VPMAs Medical executive committee members
The Joint Commission requires that hospitals verify physician competence using performance data. Yet organizations often have little or no data related to the competency of low- and no-volume physicians. Medical staff leaders are therefore challenged to develop a strategy that guides the hospital's relationship with low- and no-volume providers, and medical staff services departments are challenged to establish systems to verify physician competence. This fully updated book offers the necessary tools and strategies for medical staff leaders and professionals to manage the increasing number of
Core Privileges for AHPs: Develop and Implement Criteria-Based Privileging for Nonphysician Practitioners, Second Edition Sally Pelletier, CPMSM, CPCS Put decades of unique research expertise to work for you. Simplify AHP privileging with the only resource that combines decades of unique research and consulting expertise. This book and downloadable forms library of 38 sample forms provide a guide to developing and implementing core privileges for nonphysician practitioners. Benefits: Save weeks of time otherwise spent researching specialty professional societies and evaluating data for competency benchmarks Eliminate the hassle of developing forms from scratch Access a comprehensive collection of 38 core privilege forms for AHPs in one convenient location, available for download Improve your existing forms and create new ones based on expert-developed content and best practices Ease the conversion from laundry lists to core privileging Benefit from expert analysis of competency criteria What''s new in this edition? New privileging forms for anesthesiology assistants, pathologist assistants, radiologist assistants, and registered nurse first assistants Additional insight into how to use the forms and optimize nonphysician practitioner privileging All forms from the previous edition have been reviewed and updated with necessary changes and recommendations Updates on additional accrediting body requirements for privileging, including The Joint Commission, DNV, and HFAP Check out the Table of Contents: Section I: The Basics of Credentialing and Privileging Chapter 1: Credentialing: The Prerequisite of Privileging Chapter 2: Privileging Chapter 3: Linking Competency to Core Privileging Through Focused Professional Practice Evaluation Chapter 4: Criteria-Based Core Privileging: A Better Way to Privilege Section II: Developing and Implementing Core Privileges Chapter 5: Getting to the Core: Creating Criteria-Based Core Privileges for Your Organization Chapter 6: Implementing Core Privileges Chapter 7: Overcoming Controversies and Challenges Section III: Core Privileges for Nonphysicians Chapter 8: Changes in Healthcare That Affect the Credentialing of Nonphysicians Chapter 9: Credentialing and Privileging AHPs in Compliance With Accreditation Standards Chapter 10: Establishing Terminology, Definitions, and Policies and Procedures for Privileged vs. Nonprivileged Practitioners Section IV: Sample Core Privileging Forms Supervising Physician''s Agreement Overviews are included for each privileging area Privileging forms: Anesthesiologist Assistant Certified Nurse Midwife Certified Registered Nurse Anesthetist Clinical Nurse Specialist Nurse Practitioner Acute Care Cardiovascular Medicine Cardiac Surgery Critical Care Dermatology Emergency Medicine Neonatology Nephrology Neurology Orthopedic Surgery Pediatrics Primary Care Psychiatric/Mental Health Surgical Women''s Health Pathologist Assistant Physician Assistant Acute Care Cardiovascular Disease Cardiovascular Surgery Critical Care Dermatology Emergency Medicine Nephrology Neurosurgery Primary Care Orthopedic Surgery Pediatrics Radiology Surgical Urology Women''s Health Psychologist Radiologist Assistant Registered Nurse First Assistant
MSPs and medical staff leaders do enough vetting for practitioner applications without worrying about tracking down and validating resources that support structurally sound credentialing and privileging processes. Featuring an array of field-sourced, expert-endorsed forms that facilitate regulatory compliance, policy development, and routine credentialing communications, The Credentialing and Privileging Toolbox lightens the administrative load so MSPs and medical staff leaders have more time for duties that foster high-quality care and patient safety. Inspired by our popular OPPE and FPPE toolboxes, The Credentialing and Privileging Toolbox offers a bevy of sample forms, policies, letters, plans, reports, and related resources that healthcare organizations of various scope, size, and service focus are currently using to execute effective practitioner vetting processes. Included tools, which come from in-the-trenches MSPs and medical staff leaders, have been curated and appraised by expert author Merella Schandl. The resulting collection reflects industry best practices, the wide range of modern healthcare entities that credential and privilege practitioners, and the various aspects of a successful vetting approach. Tools are arranged by type and topic for easy navigation. Within each tool, Schandl highlights key components and provides targeted analysis on tailoring the sample to individual facility needs.
The OPPE Toolbox: Field-tested Documents for Credentialing, Competency, and Compliance Juli Maxworthy, DNP, MSN, MBA, RN, CNL, CPHQ, CPPS Not sure how to organize and present all your OPPE data? Just open your toolbox Get the tools you need to carry out OPPE. The OPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance contains forms and policies that hospitals of various scope and size are currently using to conduct OPPE that complies with accreditors' standards. Streamline your processes, eliminate the background work, and implement a comprehensive and compliant OPPE process with these expertly reviewed tools and forms. Author Juli Maxworthy, DNP, MSN, MBA, RN, CNL, CPHQ, CPPS, provides medical staff leaders, medical staff professionals, and the quality team with best practices and highlights how to tailor the tools to your organization's needs. This book will help you: Save the time and hassle involved in developing OPPE forms from scratch See what your peers are using to conduct OPPE at their organizations and compare your process Implement new indicators for various specialties Pick up new tips for getting your medical staff on board with OPPE Download and customize each form
Verify and Comply: A Quick Reference Guide to Credentialing Standards, Fifth Edition Carol S. Cairns, CPMSM, CPCS The Joint Commission... NCQA... CMS... DNV... HFAP... Searchable and side-by-side! Verify and Comply, Fifth 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. Get the resource thousands of MSPs have come to rely on. It will help you: Easily access, navigate, and compare the requirements of all five organizations at a glance Eliminate wasted time searching through multiple resources to find what you need Stop struggling to interpret the standards on your own Understand the differences between the stages of the credentialing process--appointment, reappointment, and ongoing assessment Get answers to your credentialing questions quickly and easily Study for your CPCS and CPMSM certification exams No other resource for credentialing standards offers you this level of expertise and convenience. All five sets of standards side-by-side, organized by topic, on a searchable CD-ROM The Joint Commission NCQA CMS DNV HFAP Three sets of standards in print in the book (The Joint Commission, NCQA, and CMS) Straightforward, complete summaries of standards Expert interpretation of the standards Distinct sections that clarify the differences between each stage of the credentialing process A tips section that allows for further analysis Special notations to readers who are studying for the CPMSM/CPCS exams Who will benefit? Credentialing specialist/analyst Medical staff services coordinator Director of medical staff services Credentialing coordinator Credentialing manager Medical staff professional Survey coordinator Earn continuing education credits! This program has been approved by the National Association Medical Staff Services for up to 3.0 continuing education unit(s). Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. Navigate credentialing standards faster and easier. Order your copy today.
OPPE and FPPE are mainstays in the privileging process, but they're anything but cut and dry. In today's evolving healthcare industry, medical staff leaders and MSPs often encounter scenarios that don't fit squarely into evaluation frameworks, such as telehealth providers, low-volume practitioners, and the growing ranks of advanced practice professionals. With a myriad of factors at play, it can be difficult to take the proper steps to ensure effective peer review. The Complete Guide to OPPE and FPPE is your comprehensive guide to navigating today's OPPE and FPPE landscape, and a handy companion to The OPPE Toolbox and The FPPE Toolbox. Authors Juli Maxworthy, DNP, MSN, MBA, RN, CNL, CPHQ, CPPS, CHSE, and Evalynn Buczkowski, RN, BSN, MS, shed light on the industry's most pressing questions about hard-to-evaluate practitioners, data aggregation, effective reporting strategies, and more. Plus, customizable forms make for a seamless transition from education to application. With a healthy blend of practical guidance on core OPPE and FPPE concepts and targeted strategy on specific pain points, The Complete Guide is a must-have for medical staff veterans and newcomers alike. This book will help you: - Evaluate and strengthen existing OPPE/FPPE approaches - Integrate, evaluate, and share meaningful performance data - Understand confusing OPPE/FPPE scenarios - Prepare for the future of OPPE/FPPE