The Medical Staff's Guide to Overcoming Competence Assessment Challenges Carol S. Cairns, CPMSM, CPCS; Sally Pelletier, CPMSM, CPCS; Frances M. Ponsioen, CPMSM, CPCS; Anne Roberts, CPMSM, CPCS Identify and overcome common medical staff assessment challenges with this new resource! From advanced practice professionals to telemedicine providers, The Medical Staff's Guide to Overcoming Competence Assessment Challenges will walk you through every step of collecting performance data to ensure quality of care and comply with accreditors' standards. Our expert MSPs, including Sally Pelletier, Carol Cairns, Anne Roberts, and Frances Ponsioen, address many of the common challenges that medical services professionals face when collecting performance data. Never again wonder whether your organization has covered all its bases--ensure compliance and practitioner competence with this new book. This resource will help you: Create strategies to collect performance data for telemedicine providers, advanced practice professionals, low- and no-volume providers, practitioners in the ambulatory setting, and single practitioners in a specialty Differentiate between medical staff membership and privileges Attribute performance data to the correct practitioner Determine when new technology, procedures, or techniques are appropriate for your facility and successfully assess the competence of the practitioners who will be using them Update your medical staff bylaws, policies, and procedures to reflect changes to competency assessment requirements Take a look at the table of contents: Chapter 1: Competence Assessment for Initial Appointment Establishing minimum threshold criteria Evaluating competence Cross privileges and turf wars Determining initial competence for low- and no-volume providers Clinical evaluations Evergreen or "forevermore" evaluations Competence confirmation through FPPE after granting clinical privileges Common missteps during initial credentialing Chapter 2: Assessing Competence in the Ambulatory Setting Understanding healthcare delivery in ambulatory settings Requirements of accreditors and regulation agencies Scope of privileges at the ambulatory site Responsibility for privileging in an ambulatory setting Medical staff category versus privileges Competence assessment in the ambulatory setting Assessing the competence of APPs in the ambulatory setting Chapter 3: Temporary Privileges for Patient Care Needs What does 'immediate patient care need' mean? Developing a temporary privilege policy Pendency of an application/committee approval Temporary privileges for locum tenens Assessing the competence of proctors Visiting professors Chapter 4: Attribution Challenges Patient handoffs Teaching services Group practices Advanced practice professionals Chapter 5: Ongoing Competence Challenges and Validation at Reappointment After initial appointment, what are the next steps in assessing competence? Developing indicators for ongoing competence assessment Implementing OPPE and addressing competence concerns Addressing competence concerns identified during the ongoing review process FPPE for cause, including OPPE and peer review findings and leave of absence reinstatement Competence assessment at reappointment Allied health annual competence reviews Chapter 6: Assessing the Competence of APPs Collecting data on APP performance Chapter 7: How to Manage the Expanding Role of APPs Training up Chapter 8: Assessing the Competence of Telemedicine Providers Introducing a telemedicine service at your facility Defining telemedicine Who provides telemedicine services? Requirements of regulators and accreditation agencies Effect of telemedicine regulations Privileging telemedicine practitioners Competence assessment unique to telemedicine Evaluation of telemedicine specialty by specialty Chapter 9: Assessing a Single Practitioner in a Specialty Area Determining competence with no reference point Conducting ongoing evaluation of the specialist External reviews Chapter 10: New Technology, Services, and Procedures New technology, equipment, and procedures New techniques Chapter 11: Low- and No-Volume Practitioners Introduction to low- and no-volume practitioners Assessing the competence of the practitioner who is active at another facility Dr. Rose and Dr. Cares-A-Lot: Two solutions to the low- and no-volume challenge Matching privileges to current competence Avoid denying privileges Chapter 12: Selective Practice Affecting Competence, Privileges, and Call Coverage Add EMTALA-based language to privileging forms ED call coverage for practitioners who are not competent to assess, stabilize, and determine the disposition of patients Burden on the applicant Revisiting Specialized Medical Center