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QM Services: Medical Staff Office Functional
Assessment
New to the position? Position in transition? Overwhelming Workload? Allow a QMCG consultant to work with you to optimize the administrative support function of medical staff services. Onsite support is provided by experienced, flexible partners who will strive to customize processes, streamline activities and give confidence in usable structures of necessary functions. All project discussions are confidential and proposals are complimentary.
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GOAL: |
To objectively assess the strengths of the
of the Medical Staff Functions with emphasis on the internal peer review within a system.
The goal is to identify opportunities and approaches to
strengthen the myriad of functions effectiveness. |
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WHEN NEEDED: |
QMCG Medical Staff Function System Evaluation is
appropriate to reduce potential negligent credentialing and malpractice claim risks by
developing a standardized process and to improve the effectiveness of the performance
improvement process and strengthen credentialing and reappointment decisions, and to hone other
required functions such as Executive Committees and leadership. |
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DESCRIPTION: |
QMCG will assess each component of the
medical staff system and identify strengths, opportunities and possible approaches
for improvement:
Medical Staff procedures for: Staff membership and
credentialing, granting of new privileges, privilege eligibility standards, concurrent
screening of patient care, focused peer review, corrective action, fair hearing and
appeals processes Program structure including agreed upon values,
practitioner-performance profiling system, department performance standards, screening
indicator and performance standard update mechanisms, and MEC and governing body review of
performance data Peer review training including orientation of new
practitioners, QI and peer review updates to current medical staff, and leadership as well
as committee member training Committee structure and formal
communications between Medical Staff functions, administration and the Board Use of outcomes of the peer review process including screening
data, follow up actions, committee minutes, hearings and appeals documentation, and
credentialing reposits The process of clinical service reviews including review of service
quality, assessment of criteria and QI systems as well as medical record review Sentinel events management and any failure of the Medical Staff
peer review program in sentinel event resolution.
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DURATION: |
A QMCG Peer Review System Evaluation can
be accomplished in 4 to 6 months. |
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