Policy-Development Process: How to Avoid Non-Compliance and Self-Inflicted Citations

Advice and guidance for hospitals to ensure their policy development doesn’t become a gap in the survey-preparedness process.

Focused Professional Practice Evaluation (FPPE): To Report or Not Report. National Practitioner Data Bank’s New Definition of “Investigation.”

Focused Professional Practice Evaluation (FPPE): Report or not? NPDB’s new definition of “investigation.” Protect medical staff while making the most of FPPE.

Take the Risk Out of “Training Up” Your APPs

Privilege-redesign projects can reveal something unexpected. Often, advanced practice professionals being “trained up” without privileging. A formal process is needed to mitigate risk.

Should Independent Advanced Practice Registered Nurses be Medical Staff?

Many states allow APRNs to practice independently (and more may head in this direction). So, if APRNs can practice independently, does that mean they MUST be members of the medical staff?

System-wide Medical Staff Integration

As we prepare for a changed future, health systems must make it easier for medical staff to effectively deliver care across the system, without unnecessary barriers, bureaucracy or costs.

Make Your MSSD a Performance Powerhouse

Industry consolidation, regulatory challenges, new payment models, a jump in physician employment—how well is your Medical Staff Services Department (MSSD) managing change?

Peer Review Structures

CMS and all accreditation organizations require peer review, but don't require a particular way to organize peer review programs. This piece explores the pros and cons of common structures.

Bylaws Best Practices for Today

Hospitals nationwide are redesigning the way they tackle self-governance, credentialing, and peer review. As they do, they must revise their bylaws to reflect changes they initiate.

Seven Secrets to Getting Real Value Out of Peer Review

Seven secrets to turn compulsory peer review into high-value, metric-based, non-biased programs that drive quality into healthcare organizations.

Less Is More: Improving Quality and Safety Through Streamlined Electronic Health Record Documentation

While an EHR overhaul can take years, there are several “quick hits” you can do to streamline documentation while increasing quality, safety, compliance, and caregiver satisfaction.