On The Fast Track

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On The Fast Track

• Explore a two-track credentialing model using
  QEW/ECHO as the implementation tool

Presented by Lisa Rothmuller
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Purpose of Fast-track Credentialing

• The purpose of expedited credentialing is
  to streamline the approval process for applicants
  to the staff who meet approved predefined
  criteria.

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JCAHO Standard Clarification 5/14/01

• Temporary privileges may be granted when the
  applicant is waiting for a review and
  recommendation by the medical staff executive
  committee and approval by the governing body
  provided

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JCAHO Standard Clarification

• There is verification of licensure, relevant
  training or experience, current competence,
  ability to perform privileges requested and other
  criteria required by medical staff bylaws.
• NPDB query has been obtained and evaluated.

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JCAHO Standard Clarification cont.

• Applicant has a complete application, no
  challenges to licensure or registration, not
  subject to involuntary termination of membership
  at any organization and not been subject to
  involuntary limitation, reduction, denial or loss
  of clinical privileges.

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What Helps Expedite Credentialing?

• Some conditions that should be met to fast-track
  a physician through the credentialing process
  include
• The application is complete
• No actions against the practitioner at other
  facilities
• No disciplinary actions taken by any agencies and
  no criminal convictions
• No malpractice suits filed

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What May Prevent Expedited Credentialing?

• Some reasons for exclusions to the expedited
  process include
• The applicant submits an incomplete application
• There is a current challenge or a previously
  successful challenge to the licensure or
  registration
• Actions have been taken against the practitioner
  by other facilities
• There has been a malpractice suit, judgment or
  settlement against the applicant
• Peer reference or affiliation indicate potential
  problems
• The applicant has held a substantial number of
  medical licenses across the U.S.

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Ways to Have Your Physicians Help You Expedite
Them

• Requesting information from your applicants
  prior to processing their application can help
  expedite the process. Items requested may
  include
• Copies of all current licenses, including State,
  DEA, Controlled Substance
• Copies of certificates from training programs
• Copy of Professional Liability Coverage
  Certificate
• Application fee

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MSLW/ECHO Is Here To Help You With The Process
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• Provides a method, using checklists, to track
  whether the physician qualifies for fast-track
  credentialing or not

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Sample Category 1 Checklist in Echo
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Sample Category 1 Checklist in a Physician Record
in Echo
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Sample Category 1 Checklist in MSLW
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Sample Category 2 Checklist in MSLW
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How MSLW/ECHO Can Help With The Process

• Provides a method, using checklists, to track
  whether the physician qualifies for fast-track
  credentialing or not
• Provides opportunities to run reports on
  fast-tracked physicians and non-fast-tracked
  physicians

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Echo Filter Finding All Category 1 Physicians
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Application Process Status Report
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Filter to Find Category 2 Applicants
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Application Status Report Category 2
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How MSLW/ECHO Can Help With The Process

• Provides a method, using checklists, to track
  whether the physician qualifies for fast-track
  credentialing or not
• Provides opportunities to run reports on
  fast-tracked physicians and non-fast-tracked
  physicians
• Provides reporting capabilities to request
  additional items from applicants and provide
  status to applicants

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Sample Application Status Report Available Via
The Internet
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Sample Letter to PhysicianRequesting Information
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How MSLW/ECHO Can HelpWith The Process

• Provides a method, using checklists, to track
  whether the physician qualifies for fast-track
  credentialing or not
• Provides opportunities to run reports on
  fast-tracked physicians and non-fast-tracked
  physicians
• Provides reporting capabilities to request
  additional items from applicants and provide
  status to applicants
• Provides methods for the physician to help you
  help them through the process

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Ways to Have Your Physicians Help

• You may request that the applicant request
  verifications be sent to you from their training
  and education programs. Items may include
• Verification of licensure in other states
• Medical school verification
• Letter of reference from training programs
• Letter of reference from current affiliations

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Management Reports

• Reports can be generated to show management
  global information on fast-tracked and non
  fast-tracked physicians

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Filter for Applications Completing Fast-track
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Checklist Span for Fast-tracked Applicants
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Screen Shot of Checklist Span Output
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Checklist Span for Non-expedited Applicants
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Listing Report Showing Category 2 Disciplinary
Action Cases
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Outcomes

• Assistance from physicians during the application
  process
• Faster process time for those who do not have
  issues
• Reports to assist with status information
• Management reports showing timelines and issues