This week, CRC Daily focuses on privileging. A challenge that commonly arises in addressing crossover privileges occurs when one specialty recommends different criteria for the same privilege requested by another specialty. Although it might be simpler to make the criteria the same regardless of the specialty, this does not take into account the training and experience of the different parties. There is no specific Centers for Medicare & Medicaid Services language that requires that the criteria be exactly the same for every specialty. Medical staffs that have adopted a more flexible approach generally have not run into accreditation problems as long as they ensure the criteria is consistently applied.

Every day in the news, you can’t help but hear about the terrible impact of overuse and addiction to opioids. As our country desperately searches for solutions, one of the questions being asked is how much patient satisfaction survey questions on pain management have affected physician prescribing patterns.

In 2016, concerns were raised to CMS by 26 U.S. senators and multiple medical and hospital groups regarding whether linking pain management survey questions to economic rewards and penalties for hospitals had put pressure on physicians to overprescribe pain medication. In response, in November 2016, CMS temporarily removed the pain management questions from its HCAHPS survey so it could evaluate the issue. To refresh your memory, the three questions in the original survey were:

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Credentialing Resource Center is compiling and updating our directory of medical staff/credentialing contacts. 

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