Credentialing & Privileging | 09.29.20
NAMSS Conference Session Snapshot: Proctoring, Precepting, Privileging and Practice Predicaments
Imagine a cartoon showing a small cat sitting on top of a giant lion’s head with the caption, “Okay, I caught him, now what do I do with him?” You might just feel that way when you get into a “not run-of-the-mill” situation involving a grant of privileges, a decision to proctor a provider, or a decision to provide a preceptor to teach a new skill. It might be that you did not realize that using a proctor for 35 days triggered a reporting requirement or it might be that your preceptor is not really qualified. It might be that you are dealing with a low volume provider or it might be that you are dealing with a very aggressive provider who is constantly pushing the envelope.
In “Privileging, Proctoring, and Preceptoring” we will lay out the basic ground rules and then propose some scenarios to see how those situations actually play out. Because, as we all know, no matter how hard you try to create documents that cover every situation, you will inevitably come up with situations that are not covered. It then becomes even more important to start from the beginning and come up with a solution that fits the situation-- not the individual provider. For example, if a hospital decides it does not want to permit a procedure to be performed at its facility, you do not need to create a privilege set. If a provider needs a proctor because of quality issues (as contrasted with an initial grant of clinical privileges), it may be the provider’s responsibility to arrange for an acceptable proctor.
Be sure to register for the NAMSS 44th Educational Virtual Conference and Exhibition to attend this amazing session and many more!
Catherine Ballard works with clients in the areas of hospital/medical staff integration, medical staff and hospital-employed physician integration, quality assessment and performance improvement, and related peer review matters. She develops medical staff/advanced practice provider governing documents and also provides advice on Medicare conditions of participation and private accreditation, provider scope of practice, physician recruitment/employment and general patient care. Additionally, she provides fair hearing officer services. From 1985–1987, Catherine served as a law clerk to Judge John D. Holschuh of the Federal District Court for the Southern District of Ohio. She is a regular speaker at national forums where she speaks on a variety of health care issues, such as health care quality management, credentialing and peer review, medical staff governance, fair hearings, ethics and related patient care issues.
From 1985–1987, Catherine served as a law clerk to Judge John D. Holschuh of the Federal District Court for the Southern District of Ohio. She is a regular speaker at national forums where she speaks on a variety of health care issues, such as health care quality management, credentialing and peer review, medical staff governance, fair hearings, ethics and related patient care issues.
Beth Bolyard is an accomplished health care attorney with extensive knowledge and regulatory compliance experience in clinical operations and related laws and regulations. She has over 18 years of regulatory and compliance experience focused in health care and hospital operations within a law firm setting, as well as over a decade of in-house counsel experience for a large, multi-hospital health system and academic medical center with numerous affiliated health care service lines. Beth devotes her practice to working with hospitals and their medical staffs on governance documents including medical staff bylaws, rules and regulations, manuals and policies.
Beth also works extensively with hospitals on credentialing and enrollment (including CVO operation and delegated credentialing), peer review matters, graduate medical education and provider scope of practice. She has also been involved in matters involving hospital and clinical service accreditation, health care professional licensure, physician employment and clinical affiliations for the education of health science students and training of allied health care providers. She helps her clients understand risk in order to develop and manage their policies accordingly. Beth also counsels on telemedicine and virtual health services. Importantly, Beth is able to identify, analyze and resolve concerns and risk exposure to ensure and maintain compliance with accreditation standards, federal and state laws and regulations, while also obtaining the business objectives of multifaceted organizations. She is also known for managing and counseling on highly sensitive investigations for credentialing, employment and peer review for overall performance management.