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what   is  Medical Staff Management?
Medical Staff Management is …  Meeting Management Credentialing Medical Library Continuing Medical Education Graduate Medical Education Customer Service
Medical Staff Management …  saves  patient  lives  …
how   does  credentialing  save lives?
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD ten newsworthy doctors
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD killed  35 patients term’d  from OSUH, VA Sioux Falls, and SUNY
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD carved  initials onto patient after c-section;  numerous other complaints  about erratic behavior
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD 33 counts of Medicare fraud –  unnecessary procedures
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD physician  impersonator  for 20 years in California; at least one death
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD physician  impersonator  doing laser procedures; murdered one patient
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD charged with  murder and negligence  in 87 patient deaths
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD surgeon  impersonator  for almost 10 years in Michigan!
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD murdered  260 patients via opiate injections
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD impersonated  a psychiatrist with 100’s of patients in Philadelphia
Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie  Neel Sheth  Dennis Roark, MD Harold Shipman, MD physician  impersonator  in Ohio residency program
when  bad   or  imposter   physicians slip  through the system,  patients  pay the price!
what   is  credentialing ? how does it stop  bad / imposter physicians  from reaching patients?
credentialing is …. applications   and   forms Federal law requires that hospitals develop applications and privilege request forms for new and  re-applying physicians
credentialing is …  getting your  hands dirty   and  verifying with the  “ primary source”   the following:  (1)  Medical School , (2)  Internship , (3)  Residency , (4)  Fellowship , (5)  Board Certification , (6)  Fluoroscopy , (7)  Medical Licensure , (8)  ECFMG , (9)  DEA , (10)  Insurance  [malpractice claims history], (11) current and previous  hospital affiliations  and  work   sites , (12)  peer references , (13)  NPDB , (14)  OIG , (15)  GSA , (16)  Megan’s Law , (17)  CME , (18) PPD /  health status ; and (19)  current clinical competency  (activity logs from current and previous hospitals)
credentialing is …   reading between  the lines   Verifying  everything  claimed with  everything  verified
credentialing …  saves lives
what else   is Medical Staff Management?
meeting management … “ if it’s not   documented   it didn’t happen”
Board of Trustees Medical  Executive  Committee Department of Anesthesia Department of Pathology Department of Pediatrics Department of Radiology Department of Surgery Multidisciplinary Peer  Review Committee Department of Medicine Department of Obstetrics & Gynecology Performance Improvement Committee Pharmacy & Therapeutics Committee Physician Well-Being Committee Utilization Management Committee Bylaws Committee Cancer Committee Credentials Committee Ethics Committee Presidents  Council  Patient Safety  Subcommittee AMI+CHF  Core Measure Team Pneumonia Core Measure Team SCIP Core Measure Team Medication Usage and Safety Team Quality  Council  Departments and Committees Infection Control Committee Health Information Committee Interdisciplinary Practice Committee CME/GME/Library Committee This is what Medical Staff Management “documents”
minutes  are what regulators review to evaluate evidence of compliance.
anything else?
[object Object],[object Object],[object Object],[object Object],Medical Library Continuing Medical Education Graduate Medical Education
orientation
how can  I tell if  my  medical staff  is saving patient lives?
8710 the a medical staff management  professional  consultancy [email_address] [email_address]

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What Is Medical Staff

  • 1. what is Medical Staff Management?
  • 2. Medical Staff Management is … Meeting Management Credentialing Medical Library Continuing Medical Education Graduate Medical Education Customer Service
  • 3. Medical Staff Management … saves patient lives …
  • 4. how does credentialing save lives?
  • 5. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD ten newsworthy doctors
  • 6. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD killed 35 patients term’d from OSUH, VA Sioux Falls, and SUNY
  • 7. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD carved initials onto patient after c-section; numerous other complaints about erratic behavior
  • 8. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD 33 counts of Medicare fraud – unnecessary procedures
  • 9. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD physician impersonator for 20 years in California; at least one death
  • 10. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD physician impersonator doing laser procedures; murdered one patient
  • 11. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD charged with murder and negligence in 87 patient deaths
  • 12. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD surgeon impersonator for almost 10 years in Michigan!
  • 13. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD murdered 260 patients via opiate injections
  • 14. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD impersonated a psychiatrist with 100’s of patients in Philadelphia
  • 15. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD physician impersonator in Ohio residency program
  • 16. when bad or imposter physicians slip through the system, patients pay the price!
  • 17. what is credentialing ? how does it stop bad / imposter physicians from reaching patients?
  • 18. credentialing is …. applications and forms Federal law requires that hospitals develop applications and privilege request forms for new and re-applying physicians
  • 19. credentialing is … getting your hands dirty and verifying with the “ primary source” the following: (1) Medical School , (2) Internship , (3) Residency , (4) Fellowship , (5) Board Certification , (6) Fluoroscopy , (7) Medical Licensure , (8) ECFMG , (9) DEA , (10) Insurance [malpractice claims history], (11) current and previous hospital affiliations and work sites , (12) peer references , (13) NPDB , (14) OIG , (15) GSA , (16) Megan’s Law , (17) CME , (18) PPD / health status ; and (19) current clinical competency (activity logs from current and previous hospitals)
  • 20. credentialing is … reading between the lines Verifying everything claimed with everything verified
  • 21. credentialing … saves lives
  • 22. what else is Medical Staff Management?
  • 23. meeting management … “ if it’s not documented it didn’t happen”
  • 24. Board of Trustees Medical Executive Committee Department of Anesthesia Department of Pathology Department of Pediatrics Department of Radiology Department of Surgery Multidisciplinary Peer Review Committee Department of Medicine Department of Obstetrics & Gynecology Performance Improvement Committee Pharmacy & Therapeutics Committee Physician Well-Being Committee Utilization Management Committee Bylaws Committee Cancer Committee Credentials Committee Ethics Committee Presidents Council Patient Safety Subcommittee AMI+CHF Core Measure Team Pneumonia Core Measure Team SCIP Core Measure Team Medication Usage and Safety Team Quality Council Departments and Committees Infection Control Committee Health Information Committee Interdisciplinary Practice Committee CME/GME/Library Committee This is what Medical Staff Management “documents”
  • 25. minutes are what regulators review to evaluate evidence of compliance.
  • 27.
  • 29. how can I tell if my medical staff is saving patient lives?
  • 30. 8710 the a medical staff management professional consultancy [email_address] [email_address]

Notas del editor

  1. You’ve just arrived at the hospital. You followed the ambulance your mother was in. She had a stroke. As you follow her through the crowded corridors, you feel relief when you finally see a doctor. But how do you know that this is really a doctor? Or worse, do you know if he is a “good” doctor? This is one of the key functions of “Medical Staff Management.”