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Management 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:
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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:
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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:
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QMCG will assess each component of the medical staff system and identify
strengths, opportunities and possible approaches for improvement:
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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
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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
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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
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Committee structure and formal communications between Medical Staff
functions, administration and the Board
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Use of outcomes of the peer review process including screening
data, follow up actions, committee minutes, hearings and appeals documentation,
and credentialing reposits
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The process of clinical service reviews including review of service
quality, assessment of criteria and QI systems as well as medical record review
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Sentinel events management and any failure of the Medical Staff
peer review program in sentinel event resolution.
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DURATION:
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A QMCG Peer Review System Evaluation can be accomplished in 4 to 6 months.
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