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Breaking Down (International) Borders: Determining the Professional Equivalency of People

Breaking Down (International) Borders: Determining the Professional Equivalency of People. Stephen Permison, MD sbpermison@credentialing.org. Healthcare Credentialing. Credentialing. Process by which Education Training Licenses Experience, and Current Competence

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Breaking Down (International) Borders: Determining the Professional Equivalency of People

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  1. Breaking Down (International) Borders: Determining the Professional Equivalency of People Stephen Permison, MD sbpermison@credentialing.org Healthcare Credentialing

  2. Credentialing • Process by which • Education • Training • Licenses • Experience, and • Current Competence • Claimed by a healthcare provider • Are Verified. Industry Standard = Primary Source Verification

  3. Medical Staff Credentialing Model • Primary Source Verification = • Trusted Data from • Deemed Sources assures: • Credentials files are transferable • Individual is whom they claim to be Blind Eye How the Medical Establishment let a Doctor get away with Murder James B. Stewart

  4. RequirementsSystem must provide a Safety Net Assuring Quality of Healthcare Providers • Medical Model for Credentialing • Consistent • Trustworthy • Secure • Exchangeable • Reasonably Cost License to Steal Malcom K. Sparrow Rate-Able = Raid-Able

  5. Sources for National HC Accreditation Standards • JCAHO • NCQA • URAC • CARF • AAAHC NSSB NOCA ANSI

  6. Drivers for Accreditation • Quest for Quality • Quality of Life Goals - Healthy People 2010 • Patient Safety - IOM Report • Thirst for Reimbursement • No accreditation • No reimbursement $

  7. Trends in Healthcare Credentialing • Systems are changing from paper to electronic; from software to web-based • Regional systems are becoming national; national systems are becoming international • Cost for credentialing is decreasing while quality and security is increasing Common: - Data - Business Culture - Business Rules

  8. Federal Programs • National • Federal Credentialing Program • CCQAS • Electronic Database for Public Health Volunteers • Public Health Security and Bioterrorism Response Act of 2001 (PL 107188) • J-1 Visa Waiver Credentials Verification Project • HHS Assists USDA in processing waiver requests • International • International Hospital Accreditation Project • APEC • JCAHO

  9. Summary • Question: What paperless, secure, web-based credentialing model is being adapted publicly,privately, nationally and internationally? • Answer: Federal Credentialing Program

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