Join Tsveta Polhemus, MPP on Tuesday 12/12/23 at 2:00 pm ET for her presentation, "NCQA Credentialing Public Comment."

Date/Time:

• Tuesday December 12, 2023 - 2:00 - 3:00 pm ET

Speaker: 

• Tsveta Polhemus, MPP

Description: 

• In this session, Tsveta Polhemus will provide an overview of proposed updates to NCQA's credentialing standards in Health Plan Accreditation, Credentialing Accreditation and Credentialing Verification Organization Certification. The session will also provide guidance on how to offer public comment. Tsveta will reserve 15 minutes for Q&A.

  Learning Objectives: 

1. Understand NCQA's proposed updates to its credentialing programs. 
2. Know how to submit comments.
3. Offer feedback or clarifying questions regarding public comment.

CEs:

• This webinar has been approved for 1.0 CE credit.

Cost:

• NAMSS members: Free
• Non-NAMSS members: $75

This webinar covers the following  Core Functional Area(s) and Tomorrow's MSP Skillsets: 

Core Functional Area(s)

• Complies with Accreditation Standards and Regulatory Standards

Skillsets:

• Managed Care
• Quality Review/Quality
• Risk Management

Watch the recording of "The Many Roles of the MSP: Understanding How to Look at Your Work Through a Different Lens " by Dustin Jackson, MHA, CPCS, CPMSM. Then, complete the quiz and earn 80% or higher to receive CE credit.

Title: 

• The Many Roles of the MSP: Understanding How to Look at Your Work Through a Different Lens

Speaker: 

• Dustin Jackson, MHA, CPCS, CPMSM

Description: 

• Within the role of the Medical Staff Services Professional, we often find ourselves interacting with others throughout the health system, such as legal services, risk management, and patient safety to name a few.  This interactive session will teach us not only how to work with our trusted colleagues, but how to view the work that we are doing through their lens in order to create strong partnerships and a cross functional team that adds value to our system, our patients and our own professional development.

Objectives:  

• Identify key stake holders within the health care system and how they relate to their own role
• Identify opportunities within the participants day to day work to view their work within the lens of a key stake holder.  
• Participants will be able to identify and create cross-functional teams for overall success of the greater health system.

CEs:

• This webinar recording has been approved for 1 CE credit.

Cost:

• Hover over the "Register" button in the top right corner to see the price

This webinar covers the following Core Functional Area(s) and Tomorrow's MSP Skillsets: 

Core Functional Area(s)

• Manages Provider Enrollment Process
• Analyzes and Manages Data Verification
• Manages the Credentialing or Privileging Process 
• Conducts, Participates In, and Maintains Credentialing and Privileging 
• Conducts, Participates In, and Maintains Current Clinical Competency Evaluations and Peer Reviews 
• Complies with Accreditation Standards and Regulatory Standards 
• Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements 
• Conducts, Participates In, and Maintains Primary Source Verification 
• Manages Departmental Operations 
• Facilitates Medical Staff Functions

Skillsets:

• Analytical Thinking 
• Communication 
• Flexibility/Adaptability 
• Performance Improvement 
• Professional Presence 
• Quality Review/Quality
• Relationship Building
• Risk Management
• Team Building

Watch the recording of "Positivity and Empowerment " by Karen Claxton, CPCS, CPMSM, FMSP and Stephanie D. McCoy, CPCS, CPMSM. Then, complete the quiz and earn 80% or higher to receive CE credit.

Title: 

• Positivity and Empowerment 

Speaker: 

• Karen Claxton, CPCS, CPMSM, FMSP
• Stephanie D. McCoy, CPCS, CPMSM

Description: 

• Life is filled with ebbs and flows which impacts our ability to remain positive and feel empowered to be our best. Happiness is a choice, yet we struggle especially when facing hardships and challenges in our personal and professional life. Join Karen Claxton and Stephanie McCoy as they take you through their own personal journeys that forced them to dig deep to remain positive and be encouraged to be their best self despite the odds. Explore ways to stay positive such as changing your perspective, being mindful, discovering ways to bring joy to yourself and others, and pursuing your passion. Learn how to build your confidence to achieve your goals, and help others feel empowered to perform at their best.

Objectives:  

• Participants will examine root causes of negativity and have the tools to reignite a positive attitude to improve performance.
• Participants will identify unhealthy factors within their environment and focus on creating a supportive network that will lead to a professional presence (respect, confidence, optimism, and passion). 
• Participants will gain confidence to empower others to be their best self and set up their team for success.

CEs:

• This webinar recording has been approved for 1 CE credit.

Cost:

• Hover over the "Register" button in the top right corner to see the price

This webinar covers the following Core Functional Area(s) and Tomorrow's MSP Skillsets: 

Core Functional Area(s):

• Tomorrow's MSP

Skillsets:

• Relationship Building
• Change Management
• Team Building
• Performance Improvement
• Professional Presence

Watch the recording of "ECFMG Certification and Beyond:  The Journey of the International Medical Graduate (IMG)" by Danielle Tinder, MS; Christine Shiffer, MBA, MSL; and Alison Webster, MBA, CPCS, CPMSM, CPHQ. Then, complete the quiz and earn 80% or higher to receive CE credit.

Title: 

• ECFMG Certification and Beyond:  The Journey of the International Medical Graduate (IMG)

Speaker: 

• Danielle Tinder, MS
• Christine Shiffer, MBA, MSL 
• Alison Webster, MBA, CPCS, CPMSM, CPHQ

Description: 

• Join speakers from Intealth and ECFMG, a division of Intealth, for a discussion of the process through which international medical graduates (IMGs) enter U.S. graduate medical education. Topics will include the ECFMG Certification process and requirements; the Electronic Residency Application (ERAS®) and Match® process for IMGs; and J-1 Visa Sponsorship. Alison Webster of University of New Mexico Health and former NAMSS Board Member will provide insight into the importance of MSP knowledge of these processes.

Objectives:  At the conclusion of this webinar, MSPs will be able to:

• Gain insight into the role of IMGs in the U.S. health care system
• Understand the process through which IMGs become eligible for, apply for, and ultimately enter U.S. GME programs 
• Explore resources available to support MSPs in credentialing of IMGs

CEs:

• This webinar recording has been approved for 1 CE credit.

Cost:

• Hover over the "Register" button in the top right corner to see the price

This webinar covers the following Core Functional Area(s) and Tomorrow's MSP Skillsets: 

Core Functional Area(s):

• Analyzes and Manages Data Verification
• Manages the Credentialing or Privileging Process 
• Conducts, participates in, and maintains Credentialing & Privileging 
• Complies with Accreditation Standards and Regulatory Standards 
• Manages Compliance with State and Federal Accreditation Standards and Regulatory requirements 
• Conducts, participate in, and maintains primary source verification.

Skillsets:

• Analytical Thinking
• Database Management 
• Flexibility/Adaptability 
• Legal 
• Risk Management

Watch the recording of "Overcoming Resistance to Change" by Dr. Kathy L. Gruver. Then, complete the quiz and earn 80% or higher to receive CE credit.

Title: 

• Overcoming Resistance to Change  - Webinar Recording

Speaker: 

• Dr. Kathy L. Gruver

Description: 

• No one likes change, but it is an inevitable part of life. Explore the seven most common reasons that we are resistant to change. Some of these are completely subconscious and others we are well aware of. Learn the hidden reasons that we want to stay unchanged and ways we can shift to a growth mindset and be more open and willing for those inevitable changes in life. This interactive presentation offers usable solutions to get your psyche ready to accept those changes in your life. Perhaps you'll even start to instigate changes that were previously shy-ed away from. Fun, educational and always thought provoking!

Objectives:  At the conclusion of this webinar, MSPs will be able to:

• List and discuss the 7 most common things that keep us resistant to change.
• Master practical, customizable techniques that can help expand mindset and minimize common resistance.
• Identify which is your most common block and which techniques will work best to help you eliminate your fears and resistance.

CEs:

• This webinar recording has been approved for 1 CE credit.

Cost:

• Hover over the "Register" button in the top right corner to see the price

This webinar covers the following Core Functional Area(s) and Tomorrow's MSP Skillsets: 

Core Functional Area(s):

• Tomorrow's MSP

Skillsets:

• Relationship Building
• Change Management
• Team Building
• Communication
• Human Resources

Watch the recording of "Legal Year in Review: Best and Better Practices for MSPs" by Michael Callahan, JD. Then, complete the quiz and earn 80% or higher to receive CE credit.

Title: 

• Legal Year in Review: Best and Better Practices for MSPs

Speaker(s): 

• Michael Callahan, JD

Description: 

• The purpose of the Year in Review presentation is to discuss relevant legal developments since the last annual conference which address developments affecting the day to day responsibilities of MSPs. The court decisions will summarize developments in the areas of peer review, peer review privilege protections, the Data Bank, HCQIA, employment and related areas. In addition to summarizing these decisions the presentation will identified recommended best practices which will affect their understanding of the legal impact on their work, the need to review and recommend changes to medical staff bylaws and policies, how to best protect confidential and privileged documents, how to maximize immunity protections and obtain a better understanding of what disciplinary actions are and are not reportable to the Data Bank I have given a presentation on this topic, Al being updated, for about the last 10 years.

Learning Objectives:

• Compare recommended best practices to their own procedures in order to determine whether to recommend changes to medical staff bylaws, rules and regulations and policies
• Use the information obtained along with best practices to educate medical staff leaders and senior hospital staff 
• Improve their analytical understanding and thinking by understanding how the courts examine legal issues affecting the day to day responsibilities of MSPs

This course covers the following Tomorrow's MSP®  Skillsets:

• Analytical Thinking
• Legal
• Risk Management
• Confidentiality
• Medical Staff Bylaws & Policies/Procedures

CE Credits: 

• This conference recording is eligible for 1.0 CE

Cost: 

• Hover over the "Register" button in the top right corner to see the price

Watch the recording of "Switching Gears: Understanding Provider Enrollment with a Credentialing/Privileging Mindset" by Monica Martin. Then, complete the quiz and earn 80% or higher to receive CE credit.

Title:

• Switching Gears: Understanding Provider Enrollment with a Credentialing/Privileging Mindset

Speaker(s): 

• Monica Martin, CPCS

Description: 

• A career change from hospital credentialing to clinic administrator led to a crash course in provider enrollment. This session will review the lessons learned as the lack of knowledge led to delays in approval and the ability to bill. Attendees will be challenged to gain a better understanding of both processes and understand the ramifications that credentialing delays can cause

Learning objectives:

• Upon completion of the session, attendees will be able to identify 3 differences between credentialing and provider enrollment. 
• Upon completion of the session, attendees will be able to describe the complexities of the provider enrollment process. 
• Upon completion of the session, attendees will be able to demonstrate an understanding of the financial impact associated with provider enrollment and a physician-owned clinic

This course covers the following Tomorrow's MSP®  Skillsets:

• Analytical Thinking
• Relationship Building
• Communication
• Flexibility/Adaptability

CE Credits: 

• This conference recording is eligible for 1.0 CE

Cost: 

• Hover over the "Register" button in the top right corner to see the price

Watch the recording of "Tying  it Together Quality,  Patient Safety & Peer Review" by Karen Reed-Coffman & Tiffany Lambeth & Kimberly Brey . Then, complete the quiz and earn 80% or higher to receive CE credit.

Title: 

• Tying  it Together Quality,  Patient Safety & Peer Review

Speaker(s): 

• Karen Reed-Coffman, MBA, CPMSM, CPCS
• Tiffany Lambeth, MD
• Kimberly Brey, BSN, RN

Description:

• Come along on a journey of transformation from a “punitive peer review” to a collegial process with education and patient safety at the forefront. Working together the Medical Staff, Administration and the Medical Services Professional (MSP) a change is occurring in the culture. Driving toward engagement, patient safety and quality a change has occurred. With a strong medical staff leader, a change in policies, communication and collaborating, we together are change agent.

Learning objectives:

• Upon completion, participant will be able to list who they would want to partner with to drive a change within their system working with internal departments and medical staff.
• Upon completion, participant will be able to conduct a review their peer review policy, evaluate the need to revise/update the policy and review their state guidelines. 
• Upon completion, participant will be able to demonstrate leadership skills in driving the change.

This course covers the following Tomorrow's MSP®  Skillsets:

• Analytical Thinking
• Relationship Building
• Legal
• Political Savvy
• Professional Ethics
• Medical Staff Bylaws and Policies/Procedures
• Quality Review/Quality

CE Credits: 

• This conference recording is eligible for 1.0 CE

Cost: 

• Hover over the "Register" button in the top right corner to see the price

Watch the recording of "Commercial CVO’s: Friend, Foe or Both?" by Mark Hirschhorn & Jamie Kates  . Then, complete the quiz and earn 80% or higher to receive CE credit.

Title: 

• Commercial CVOs: Friend, Foe or Both?

Speaker(s): 

• Mark Hirschhorn, CPCS
• Jamie Kates, MHA, CPCS

Description: 

• Outsourcing your primary source verifications and sanction monitoring is a difficult decision that many payors and provider groups struggle with. Weighing and exploring all of the pros and cons are crucial prior to making the decision to outsource or keep in house. The session will take a look at:
  • What is a Commercial CVO?
  • Making the decision, evaluating options.
  • Typical scope of Commercial CVO’s services, who are Commercial CVO’s clients (what can and can’t a CVO do)
  • Challenges: for clients, for commercial CVO
  • Benefits of using Commercial CVO
  • Potential challenges of working with a Commercial CVO
• At the end of the session it is the hope of the presenters that the audience has a better understanding of
  • What a Commercial CVO is
  • Some challenges, pros and possible cons when outsourcing to a commercial CVO

Learning objectives:

• Have a better understanding of what a Commercial CVO is and the scope of services that can and can't be provided
• Have a basic understanding of how to evaluate the possibility of outsourcing services to a Commercial CVO as well as possible pros and cons
• A basic understanding of how to: begin, manage and have oversight over the relationship with a Commercial CVO

This course covers the following Tomorrow's MSP®  Skillsets:

• Relationship Building
• Managed Care
• Team Building
• Communication
• Professional Presence

CE Credits: 

• This conference recording is eligible for 1.0 CE

Cost: 

• Hover over the "Register" button in the top right corner to see the price

Watch the recording of "Impactful Conversations: The Talks That Save Careers, a Fireside Chat" by Sara Cameron, Donald Lefkowits and Mark Smith. Then, complete the quiz and earn 80% or higher to receive CE credit.

Title:

• Impactful Conversations: The Talks That Save Careers, a Fireside Chat

Speaker(s): 

• Sara Cameron, CPMSM, CPCS
• Donald Lefkowits, MD, FACEP
• Mark Smith, MD, MBA

Description: 

• One of the most challenging roles of a Medical Staff Leader is having difficult conversations with peers. Medical Staff Professionals who support the processes, can find these conversations equally challenging. These conversations can focus on errors in clinical care, negative interactions with staff members, patient interactions, medical record delinquencies, or even dress code. Addressing these problems can feel ambiguous and uncomfortable. Some Medical Staff leaders will avoid the conversation because it is uncomfortable, and the problem persists. This presentation supports Medical Staff leaders and Medical Staff Professionals in identifying the value of these conversations and the successful navigation of the often reactionary responses to these conversations through interactive real-life scenarios.

Learning objectives:

• Understand and develop techniques to address the barriers to managing provider behavior that undermines the culture of safety
• Discuss the identification, remediation, monitoring, and support mechanisms available for medical staff members who demonstrate behavioral concerns
• Determine how medical staff professionals can assist medical staff leaders to navigate crucial conversations that impact safety and review success stories, failures, and lessons learned.

This course covers the following Tomorrow's MSP®  Skillsets:

• Analytical Thinking
  Relationship Building
• Legal
• Risk Management
• Team Building
• Clinical Competence
• Performance Improvement
• Communication
• Political Savvy
• Medical Staff Professionalism
• Confidentiality
• Medical Staff Wellness
• Professional Ethics
• Evaluation
• Professional Presence
• Medical Staff Bylaws & Policies/Procedures
• Flexibility/Adaptability
• Quality Review/Quality

CE Credits: 

• This conference recording is eligible for 1.0 CE

Cost: 

• Hover over the "Register" button in the top right corner to see the price