Query the NPDB
Obtain the claim history with each carrier over the last five years
Have evidence of professional liability insurance, which includes certificate showing amounts of coverage
Require the applicant to attest that he/she has never been sued
General Surgeon
Gastroenterologist
Family medicine practitioner
Orthopedic surgeon
Medical Staff
Governing Body
The Joint Commission on Accreditation of Healthcare Organizations
State Licensing Board
Handle each applicant on a case-by-case basis
Follow a routine process for each applicant
Give preferential treatment to those providers whose specialty is primary care
Process all applications within one week of receipt
$200,000 per occurrence and $500,000 annual aggregate
$500,000 per occurrence and $1,000,000 annual aggregate
$1,000,000 per occurrence and $3,000,000 annual aggregate
As specified by the medical staff and board directors
How many children do you have?
Are you married?
Do you have any medical conditions, treated or untreated, that would negatively affect your ability to provide the services or perform the privileges you are requesting?
Have you ever been diagnosed with AIDS or a sexually transmitted disease?
The hospital administrator
The medical staff office
The medical staff
The credentials committee
Medical Staff President
Governing Body members
Personnel as documented in a records access policy and procedure
Hospital President
Names and professional titles of all in attendance
Date and location of next scheduled meeting
Any required follow-up to occur
Complete transcription of all discussion that occurred
Committees
Medical Staff officers
Membership categories
Privileges
Medical staff
Medical staff president
Governing body
Hospital CEO
Credentials committee
Medical executive committee
Pharmacy and therapeutics committee
Utilization review committee
Provides immunity for health care entities that do not report information to the National Practitioner Data Bank
Keeps hospitals and physicians who perform peer review from being sued
Provides qualifies immunity from antitrust liability arising out of peer review activities that are conducted in good faith
Creates an exemption to the Doctrine of Ostensible Agency
Director of Medical Records
Chief of Staff
Approval from the organization's attorney
Organization's attorney
A picture ID of the provider
A signed consent and release form
Approval from the organization's attorney
Informed consent
Perform an initial on-site visit of the CVO to assess their capabilities and quality of work
Perform an assessment of the capability and quality of the CVO's work
Perform an assessment of their turn-around times
Perform an assessment of all CVO policies and procedures
Chief executive officer, governing body, and medical staff
Chief executive officer, hospital vice-president, medical director
Medical staff president, vice-president, and secretary-treasurer
Chief executive officer, nursing director, medical staff president
By assigning these responsibilities to the chief executive officer
By seeking medical staff input in the hiring if key personnel
By examining the finances of the hospital
By developing the mission, vision, policies, and bylaws that govern the hospital's operations
For-profit or not-for-profit
Philanthropic or corporate
General or specialty
Full-time or part time
Directly observing nursing care to assure that patients receive proper care and treatment
Keeping the medical staff informed about the hospital's plans, organizational changes, board policies, and decisions affecting providers and their patients
Overseeing the patient accounts department to assure accurate billing practices
Orientation of all new employees
The Joint Commission
Hospital chief executive officer
Governing body
American Medical Society
Medical director
Chief financial officer
Medical staff president
Patient care coordinator
Contracting for Medicare assignment
Training of nursing staff
Providing and evaluating patient care
Participating in the design of operating rooms
Standing committee
Ad hoc committee
Task force
Continuous quality improvement team
The mission statement of the hospital
Medical staff restructuring
Room set up and audiovisual requirements
Composition, duties, and frequency of meetings
Wait!
Here's an interesting quiz for you.