What Is Medical Staff

what is

Medical Staff Management?

Medical Staff Management is …

Graduate Medical Education Credentialing

Medical Library

Meeting Management Continuing Medical Education

Customer Service

Medical Staff Management …

saves patient lives …

how does credentialing save lives?

Michael Swango, MD

Dean Faiello, MD

David Tremoglie

Alan Zarkin, MD

Jayant Patel, MD

Neel Sheth

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

ten newsworthy doctors

Michael Swango, MD

Dean Faiello, MD

David Tremoglie

Alan Zarkin, MD

Jayant Patel, MD

Neel Sheth

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

killed 35 patients term’d from OSUH, VA Sioux Falls, and SUNY

Michael Swango, MD

Dean Faiello, MD

David Tremoglie

Alan Zarkin, MD

Jayant Patel, MD

Neel Sheth

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

carved initials onto patient after c-section; numerous other complaints about erratic behavior

Michael Swango, MD

Dean Faiello, MD

David Tremoglie

Alan Zarkin, MD

Jayant Patel, MD

Neel Sheth

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

33 counts of Medicare fraud – unnecessary procedures

Michael Swango, MD

Dean Faiello, MD

David Tremoglie

Alan Zarkin, MD

Jayant Patel, MD

Neel Sheth

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

physician impersonator for 20 years in California; at least one death

Michael Swango, MD

Dean Faiello, MD

David Tremoglie

Alan Zarkin, MD

Jayant Patel, MD

Neel Sheth

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

physician impersonator doing laser procedures; murdered one patient

Michael Swango, MD

Dean Faiello, MD

David Tremoglie

Alan Zarkin, MD

Jayant Patel, MD

Neel Sheth

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

charged with murder and negligence in 87 patient deaths

Michael Swango, MD

Dean Faiello, MD

David Tremoglie

Alan Zarkin, MD

Jayant Patel, MD

Neel Sheth

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

surgeon impersonator for almost 10 years in Michigan!

Michael Swango, MD

Dean Faiello, MD

Alan Zarkin, MD

Jayant Patel, MD

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

murdered 260 patients via opiate injections David Tremoglie

Neel Sheth

Michael Swango, MD

Dean Faiello, MD

David Tremoglie

Alan Zarkin, MD

Jayant Patel, MD

Neel Sheth

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

impersonated a psychiatrist with 100’s of patients in Philadelphia

Michael Swango, MD

Dean Faiello, MD

David Tremoglie

Alan Zarkin, MD

Jayant Patel, MD

Neel Sheth

Jeffrey Askanazi, MD

Gerald Barnes, MD

Dennis Roark, MD

Harold Shipman, MD

physician impersonator in Ohio residency program

bad or imp oste r when

physicians slip through the system,

patients pay the pric e!

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?

“if it’s not documented it didn’t happen”

meeting management …

Department of Anesthesia

Board of Trustees

Presidents Council

Medical Executive Committee

Cancer Committee CME/GME/Library Committee

Department of Obstetrics & Gynecology Department of Pathology Department of Pediatrics Department of Radiology

Quality Council

Bylaws Committee

Department of Medicine

Department of Surgery Multidisciplinary Peer Review Committee

Departments and Committees Performance Improvement Committee Pharmacy & Therapeutics Committee Physician Well-Being Committee

Credentials Committee

Utilization Management Committee

Patient Safety Subcommittee AMI+CHF Core Measure Team

Ethics Committee Pneumonia Core Measure Team

Health Information Committee Interdisciplinary Practice Committee Infection Control Committee

SCIP Core Measure Team Medication Usage and Safety Team

This is what Medical Staff Management “documents”

minutes are what regulators review to evaluate evidence of compliance.

anything else?

Continuing Medical Education

Graduate Medical Education

Medical Library

- 100 hours req’d every 4 years - weekly activities

- medical student, resident and fellow rotations

- over 100 medical journals and 2 databases

orientation

how can I tell if my me dical staff is saving patient

8710

the

a medical staff management professional consultancy

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