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On The Fast Track

On The Fast Track. Explore a two-track credentialing model using QEW/ECHO as the implementation tool. Presented by Lisa Rothmuller. Purpose of Fast-track Credentialing.

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On The Fast Track

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  1. On The Fast Track Explore a two-track credentialing model using QEW/ECHO as the implementation tool Presented by Lisa Rothmuller

  2. Purpose of Fast-track Credentialing The purpose of expedited credentialing is to streamline the approval process for applicants to the staff who meet approved predefined criteria.

  3. JCAHO Standard Clarification 5/14/01 Temporary privileges may be granted when the applicant is waiting for a review and recommendation by the medical staff executive committee and approval by the governing body provided…

  4. JCAHO Standard Clarification • There is verification of licensure, relevant training or experience, current competence, ability to perform privileges requested and other criteria required by medical staff bylaws. • NPDB query has been obtained and evaluated.

  5. JCAHO Standard Clarification cont. • Applicant has a complete application, no challenges to licensure or registration, not subject to involuntary termination of membership at any organization and not been subject to involuntary limitation, reduction, denial or loss of clinical privileges.

  6. What Helps Expedite Credentialing? Some conditions that should be met to fast-track a physician through the credentialing process include: • The application is complete • No actions against the practitioner at other facilities • No disciplinary actions taken by any agencies and no criminal convictions • No malpractice suits filed

  7. What May Prevent Expedited Credentialing? Some reasons for exclusions to the expedited process include: • The applicant submits an incomplete application • There is a current challenge or a previously successful challenge to the licensure or registration • Actions have been taken against the practitioner by other facilities • There has been a malpractice suit, judgment or settlement against the applicant • Peer reference or affiliation indicate potential problems • The applicant has held a substantial number of medical licenses across the U.S.

  8. Ways to Have Your Physicians Help You Expedite Them Requesting information from your applicants prior to processing their application can help expedite the process. Items requested may include: • Copies of all current licenses, including State, DEA, Controlled Substance • Copies of certificates from training programs • Copy of Professional Liability Coverage Certificate • Application fee

  9. MSLW/ECHO Is Here To Help You With The Process

  10. Provides a method, using checklists, to track whether the physician qualifies for fast-track credentialing or not

  11. Sample Category 1 Checklist in Echo

  12. Sample Category 1 Checklist in a Physician Record in Echo

  13. Sample Category 1 Checklist in MSLW

  14. Sample Category 2 Checklist in MSLW

  15. How MSLW/ECHO Can Help With The Process • Provides a method, using checklists, to track whether the physician qualifies for fast-track credentialing or not • Provides opportunities to run reports on fast-tracked physicians and non-fast-tracked physicians

  16. Echo Filter Finding All Category 1 Physicians

  17. Application Process Status Report

  18. Filter to Find Category 2 Applicants

  19. Application Status Report – Category 2

  20. How MSLW/ECHO Can Help With The Process • Provides a method, using checklists, to track whether the physician qualifies for fast-track credentialing or not • Provides opportunities to run reports on fast-tracked physicians and non-fast-tracked physicians • Provides reporting capabilities to request additional items from applicants and provide status to applicants

  21. Sample Application Status Report Available Via The Internet

  22. Sample Letter to PhysicianRequesting Information

  23. How MSLW/ECHO Can HelpWith The Process • Provides a method, using checklists, to track whether the physician qualifies for fast-track credentialing or not • Provides opportunities to run reports on fast-tracked physicians and non-fast-tracked physicians • Provides reporting capabilities to request additional items from applicants and provide status to applicants • Provides methods for the physician to help you help them through the process

  24. Ways to Have Your Physicians Help You may request that the applicant request verifications be sent to you from their training and education programs. Items may include: • Verification of licensure in other states • Medical school verification • Letter of reference from training programs • Letter of reference from current affiliations

  25. Management Reports Reports can be generated to show management global information on fast-tracked and non fast-tracked physicians

  26. Filter for Applications Completing Fast-track

  27. Checklist Span for Fast-tracked Applicants

  28. Screen Shot of Checklist Span Output

  29. Checklist Span for Non-expedited Applicants

  30. Listing Report Showing Category 2 Disciplinary Action Cases

  31. Outcomes • Assistance from physicians during the application process • Faster process time for those who do not have issues • Reports to assist with status information • Management reports showing timelines and issues

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