Credentialing Resource Center Virtual Event

On-Demand!

Day 1

1 Hour
Keynote: The Many Faces of Problem Practitioners

Our faculty kick off the 2020 CRC Symposium with a deep dive into the case of ex-neurosurgeon Christopher Duntsch, also known as Dr. Death. Learn about the failures and shortcomings in the credentialing, privileging, and peer review processes that allowed Duntsch to continue to practice medicine after maiming and even killing patients. Our faculty will also review other recent, ripped-from-the-headlines cases, which will prepare us to begin our discussion on “the many faces of problem practitioners.”

1 Hour
Fundamentals of Credentialing

Credentialing is intended to be the first line of defense in keeping out problematic practitioners. However, a recent study found that 85% of practitioners who went through the corrective action process should never have made it through the initial credentialing process. Join our speakers for a back to basics credentialing session on the leading best practices in credentialing, primary source verification, and communicating with applicants.

1 Hour
Peer Review 2020: A Practical Strategy for Navigating Murky Waters

Walk away from this session with a practical way to incorporate effective peer review in your organization. Attendees will learn the challenges of objectively managing peer review, several ways to manage conflicts of interest and barriers to success, how to find a balance between support and discipline, and how to create an objective algorithm and policy on medical staff professional practice evaluation.

1 Hour
Collaborative Approach to Developing and Maintaining Delineation of Privileges in Your Organization

With advances in healthcare and technology, organizations must be diligent in the development and maintenance of delineation of privilege forms. Not only do accrediting and regulatory bodies require current privilege forms and criteria, organizations have an obligation to their patients to ensure practitioners are practicing within the scope of the services defined by the organization’s governing body. During this presentation, attendees will learn the importance of developing and reviewing privilege forms, as well as ideas for an ongoing, systematic, collaborative approach to privilege form maintenance.

30 Minutes
Recorded Virtual Q&A/Networking (Todd Sagin, Janet Wilson, Jeff Sanfield)

Credentialing is intended to be the first line of defense in keeping out problematic practitioners. However, a recent study found that 85% of practitioners who went through the corrective action process should never have made it through the initial credentialing process. Join our speakers for a back to basics credentialing session on the leading best practices in credentialing, primary source verification, and communicating with applicants.

Day 2

1 Hour
The Growing Threat of Negligent Credentialing Litigation

Today, it seems like there are more negligent credentialing lawsuits than ever before. This session will explain the nature of negligent credentialing lawsuits and explore the forces driving their sudden proliferation. Our speakers will also share insights based on their own experiences with negligent credentialing cases. Learn how to develop solid policies and gain tips for identifying common triggers so that your organization can avoid negligent credentialing lawsuits.

1 Hour
Case Review: Getting It Right

Although peer review is more than just case review, case review is still the foundation for much of peer review. However, medical staffs still struggle to establish a well-defined, well-documented process built on sound principles to reduce bias. This session will focus on how to conduct case review so that it is effective, avoids physician hostility and politics, and is seen as objective and fair.

1 Hour
Preventing Credentialing Mishaps Through Integration

Are there ways to prevent problematic practitioners from joining your organization even before the credentialing process? This session will explore ways to vet practitioners earlier in the process, such as during the recruiting, interviewing, and hiring processes, and help you determine what information you can collect before offering a practitioner an application/contract.

1 Hour
Current Trends in OPPE and FPPE

Peer review veteran Mark Smith will look at changes and new trends in the OPPE and FPPE realm, such as applying peer review across a healthcare system, OPPE vs. case review, increases in Joint Commission citations, and how value-based medicine is affecting OPPE and FPPE.

30 Minutes
Recorded Virtual Q&A/Networking (Mark Smith, Amy Niehaus)

Although peer review is more than just case review, case review is still the foundation for much of peer review. However, medical staffs still struggle to establish a well-defined, well-documented process built on sound principles to reduce bias. This session will focus on how to conduct case review so that it is effective, avoids physician hostility and politics, and is seen as objective and fair.

Day 3

1 Hour
Developing a New Provider Orientation Program

This interactive session will give participants practical tools and examples to help new providers get started on the right foot. You will learn why having an orientation program is important, review the cost of provider turnover to an organization, how to develop an orientation program, and how to conduct follow-up with providers after orientation.

1 Hour
CVO vs. MSO Zones: Where Does One Stop and the Other Begin?

There is no shortage of work involved in verifying, onboarding, and enrolling providers. But ironically, there are common zones of duplication when a CVO or delegated credentialing arrangement is used. During this session, participants will learn how to bridge the gap between the CVO team and their internal customers (medical staff office) and external customers (insurance payers) in ways that lead to efficiencies and cost savings, ultimately setting the organization up to become automated.

1 Hour
Advanced Practice Professionals: Expanding Their Scope of Practice

What do you do when an APP wants to expand their scope of practice? What do you do when you learn an APP is practicing outside of their scope? What if the scope is not well-defined or the supervising physician is not properly identified? Attendees will learn about a recent court case in which all of these issues occurred and what they can do to create a mechanism that supports legal expansion of an APP’s scope of practice.

1 Hour
Medical Staff Applications: Pink Flags vs. Red Flags

Without thorough and comprehensive credentialing processes, medical staff leaders and MSPs may inadvertently allow undesirable practitioners to be granted clinical privileges. During this session, attendees will learn how to identify, investigate, and report subtle “pink flags” on medical staff applications in order to keep patients safe and reduce medical and legal risk to the organization.

30 Minutes
Recorded Virtual Q&A/Networking (Carol Cairns, Barbara Warstler, Christine Bergeron & Jennifer Cloud)

There is no shortage of work involved in verifying, onboarding, and enrolling providers. But ironically, there are common zones of duplication when a CVO or delegated credentialing arrangement is used. During this session, participants will learn how to bridge the gap between the CVO team and their internal customers (medical staff office) and external customers (insurance payers) in ways that lead to efficiencies and cost savings, ultimately setting the organization up to become automated.

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