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Friday, July 13, 2018
 

Weekly Roundup: Physician Employment

Featured content: Tips for becoming a physician executive

A fatal mistake physicians often make when stepping into a leadership role is to convince themselves that they can become an effective leader just through their proven clinical skills. This will set you up for failure because the skills, training, and traits that make you an excellent clinician may be antithetical to the skills that will make you a respected and successful executive leader. Just as you knew little about clinical care before beginning medical school, acknowledge that you know very little about executive leadership skills and that you need to begin a new kind of “school.”

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Leadership insights: Increased attending physician supervision doesn't reduce medical errors

The overall rate of medical errors made by residents did not differ significantly between groups with increased direct supervision by attending physicians and those with standard supervision, according to study published in JAMA Internal Medicine.

Heard this week

Free resource: Information sharing agreement

An increasingly common mechanism is to establish a formal information-sharing agreement between the hospital medical staff and the employed physician group. These agreements allow the parties to recognize that patient safety and the effectiveness of their credentialing, privileging, and peer review processes can be improved by the appropriate sharing of credentialing, quality improvement, and peer review information related to physicians—in other words, peer review activity.

Quick tip: Communication with HR is key

It is very important for the medical staff to be clear on what, if any, impact an employment decision has on a physician’s clinical privileges. Effective communication between HR, administration, and the medical staff (particularly the medical staff president and MSP) is crucial, the experts say.

 

New Content: Members Only

Take full advantage of your multispecialty peer review committee

More medical staffs are implementing multispecialty peer review committees in the hopes of having one committee that can objectively review and assess the work of colleagues. Although there may be initial cultural resistance to this approach, having a multispecialty committee can eliminate issues such as only having one physician in a specialty or developing non-specialty-specific indicators.

How to prevent ineffective communication

Inappropriate communication among physicians and other hospital staff can take many forms—from verbal outbursts and threats to failing to complete medical records or notes in a timely fashion. Whether overt or subtle, these behaviors undermine team interactions, creating an uncomfortable, nonproductive work environment. Such an environment can lead to medical errors, poor patient satisfaction, and gaps in staffing. In September 2016, The Joint Commission reissued a Sentinel Event Alert stating that “behaviors that undermine a culture of safety” should not be tolerated.

Q&A: Best practices for texting PHI

Earlier this year there was some confusion over CMS’ texting policies. The agency later confirmed that providers are allowed to text patient health information (PHI) using a secure messaging app. However, texting medical orders is still forbidden. Chris Apgar, CISSP, is president and CEO of Apgar & Associates and former HIPAA compliance officer for Providence Health Plans. He spoke with CRCJ about texting policies and compliance.

 

CRC Announcements

The 2018 MSP Salary Survey is now open!

Take our new poll: Approving temporary privileges

Who approves temporary privileges in your organization? Answer our latest poll question to let us know. You must be signed in with your free or paid CRC account to participate.

This question was first posed on the Credentialing Resource Center Forums. Have something on your mind? Click here to get the conversation started.

CRC is heading to Las Vegas

The 2019 Credentialing Resource Center Symposium will be held February 26-28 in Las Vegas at the MGM Grand. With so many credentialing, privileging, and medical staff leadership topics to cover, the Symposium has been expanded to 2.5 days and will feature a new provider enrollment track. Stay tuned as we announce our speakers and agenda, but in the meantime, mark your calendars!

 

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Karen Kondilis
Managing Editor
Credentialing Resource Center
kkondilis@hcpro.com

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