Why Primary Source Verification is Critical When considering a new physician for your staff, ensuring the accuracy of the information and documentation they provide during the credentialing process is critical. A typical practitioner applying for a staff position needs to provide a considerable amount of information – licensure, certifications, education details, references, etc – and it's incumbent upon the credentialing professional to ensure every item and statement is as it appears to be.
Few would argue the fact that hospitals have a responsibility to ensure their medical staff has the competence and capability to provide quality patient care. To do this, hospitals are to adhere to complicated and often lengthy credentialing and privileging processes to screen applicants, verify their suitability to practice, and determine which procedures they are competent to perform.
It's packed with valuable insights to make governance, risk, and compliance the simplest part of your day.
I received a question today from one of our Cactus users asking about the difference between the role of a credentialing coordinator and a medical staff professional. I'd like to share the answer to that question in the blog today, as well as address the difference between credentialing and privileging.
Remember the 80’s? Wow, we’ve come a long way since then - from fashion, sure, but also in the healthcare industry. Take a stroll down memory lane with me as I discuss how much change the concepts of credentialing and privileging have seen in the past 30 years, and what we can expect in the next 30.
The Background Hospitals started implementing event reporting policies earlier than the 1990s, but the main focus on medical errors in the American healthcare system during the ’90s led to a surge in mandatory reporting systems. Namely, in 1991, a landmark study documented medical errors in 30,000 hospital discharges in New York.[i]
You work in Quality, your job isn’t in technology and you’re not overly comfortable with all the technical jargon – or ‘tech talk’. That’s alright; you don’t have to be. Your knowledge and understanding of clinical quality data is what’s important and will help bridge the gap when it’s time to discuss terms like interface, platforms, b2b, file specs, etc. Nevertheless, here’s a little “Tech Talk 101” for when the time comes…