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  Credentialing and Privileging Advisor Credentialing and Privileging Advisor 
 
National credentialing and privileging expert Sally J. Pelletier, CPCS, CPMSM, delivers useful and timely information in her weekly "Credentialing and Privileging Advisor" column.

October 10, 2008   (Volume 10, Issue 38)
 
Focused Professional Practice Evaluations - Update

Anne Roberts, CPMSM, CPCS, is the director of medical affairs at Children’s Medical Center of Dallas, where she oversees the medical administration, graduate medical education, and medical staff services departments.

Dear credentialing colleague:

In January 2008, The Joint Commission implemented the standard for focused professional practice evaluations (FPPE). At that time, hospitals struggled to implement FPPE for all initial applicants granted privileges. The first steps toward implementation were determining the appropriate level of FPPE, how the FPPE would be conducted, and who would monitor the FPPE process.

 
Get ready for NAMSS: Attend the Core Privilege Plus luncheon

Are you planning to attend the NAMSS conference on October 13-15 and need to purchase a new or improved online software system with core privilege forms built in? If so, register in advance for our live luncheon demonstration of Core Privilege Plus Software. Email Executive Editor Maureen Coler at mcoler@hcpro.com or call 781-639-1872 x3741 for more information.

 
Editor's Pick: Use CertiFACTS On-Line to verify board certification data

CertiFACTS On-Line is your direct link to the most current board certification data for all 24 ABMS Member Boards, updated daily by ABMS. Powered by ABMS Direct Connect, it’s one of a select few programs to be designated by ABMS as an Official Display Agent and offer saved search functionality. Data from the database is recognized by The Joint Commission, NCQA, and URAC as satisfying primary source requirements for board certification verification of physicians. For more information please go to www.certifacts.org or call 800-733-2267.

 
MS.4.00 makes Joint Commission's list of least complied with standards

Only one medical staff standard made it onto The Joint Commission’s Standards and NPSGs with Highest Non-Compliance Rates list for 2007. MS.4.00 (which will become MS.06.01.01 on January 1, 2008 under the Standards Improvement Initiative) had a 10% non-compliance rate at critical access hospitals, according to the September 2008 issue of This Month, published by The Joint Commission.

 
Tip of the week: Send reference requests with a checklist
One way to ensure that a practitioner providing a peer review includes relevant information is to give the reviewer a checklist of information to include. Additionally, your medical staff may send out a form for the reviewer to complete in addition to sending a letter of reference. This form may include information such as the dates and context of the situation in which the reviewer knew the applicant.
 
Ask the expert: What is the NCQA requirement for checking medical staff membership?
The NCQA requires applications to include a dated attestation statement from the applicant regarding his or her history of all past and present circumstances regarding limitations or loss of clinical privileges or other disciplinary activity at all facilities where the individual has held or holds privileges.
 

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