Join Jackie Jones, CPMSM and Mendy Koscinski on Thursday, December 12, 2024 at 2:00 pm ET for their presentation, "We Don't Talk About Bruno, But We Do Talk About Privileges."

Date/Time:

• Thursday, December 12, 2024. 2:00 - 3:00 pm ET

Speakers: 

• Jackie Jones, CPMSM
• Mendy Koscinski

Description: 

•  “We Don’t Talk About Bruno” is a song from Disney’s 2021 computer-animated musical feature film “Encanto” and much like the Encanto family fears talking about Bruno, MSPs often fear talking about privileges. This session will address and alleviate a few of those fears by offering solutions to the more challenging aspects of privileging faced by MSPs today. Participants will be provided with best practice tools and strategies to help ensure their clinical privilege forms are reviewed and updated on an ongoing basis, contemporary methods and examples of how to address the privileging of Physician Assistants and Nurse Practitioners as their practice and specialties continue to evolve and expand, and informative insights affecting the future of privileging.

  Learning Objectives: 

• Participants will be able to describe the history and evolution of medical staff privileging and explain the difference between privileging and privileges.
• Participants will be able to discuss why privileging exists and explain its role in patient safety and quality.
• Participants will be able to apply the recommended solutions and actions to processes and procedures to ensure privilege forms are reviewed and updated on an ongoing basis.

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)

• Manages the Credentialing or Privileging Process
• Conducts, Participates In, and Maintains Credentialing and Privileging
• Complies with Accreditation Standards and Regulatory Standards

Skillsets:

• Analytical Thinking
• Clinical Competence Evaluation
• Risk Management
• Quality Review/Quality

This Proficiency in Practice Course is designed to provide healthcare professionals with a thorough understanding of peer review and performance review processes, their significance in maintaining high standards of care, and practical applications within healthcare organizations. Each session builds on the last, starting with foundational knowledge, followed by an in-depth analysis, and concluding with real-world case studies and common pitfalls to avoid.

Session 1: Introduction to Peer Review and Performance Review 

Duration: 1 hour

Date & Time: December 3, 2024 1pm ET

In the first session, participants will be introduced to the essential concepts tied to peer review and performance review. Attendees will leave understanding why peer review and performance review are important in healthcare quality assurance and regulatory compliance. Key terminology and the roles of different hospital departments will be explored.

Learning Objectives:

• Understand the basics of peer review and performance review.
• Familiarize with terminology used by accrediting bodies.
• Identify the departments and individuals responsible for these processes in hospitals.

Session 2: Deep Dive into Peer Review and Performance Review 

Duration: 1 hour

Date & Time: December 10, 2024 1pm ET

This session offers a detailed examination of the peer and performance review processes, including specific tools, methodologies, and their expected impact on clinical outcomes. Attendees will gain practical insights into how these reviews are conducted, how to measure performance, and how to document protocols and results to comply with applicable laws, regulations and accreditation standards. 

 Learning Objectives:

• Explore the detailed processes of peer and performance reviews.
• Understand the methodologies and tools used in these reviews.
• Analyze the impact of reviews on clinical outcomes and staff development.

Session 3: Common Pitfalls and Case Studies 

Duration: 1 hour

Date & Time: December 17, 2024 1pm ET

The final session focuses on common challenges encountered during peer and performance reviews, using case studies to highlight best practices and mistakes to avoid. Attendees will learn how to address these challenges and apply lessons learned from real-world examples.

Learning Objectives:

• Identify and address common pitfalls in peer and performance reviews.
• Learn from real-world case studies to improve review processes.
• Develop strategies to overcome challenges and enhance effectiveness.

 Price

Members: $299

Non-Members: $389

Watch the recording of "You Can't Make This Stuff Up: A Day in the Life of a MSP" by Stephanie M. Russell, BS, CPMSM, CPCS and Justine E. Spinosi, MBA, CPMSM, CPCS. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• You Can't Make This Stuff Up: A Day in the Life of a MSP

Speaker(s): 

• Stephanie M. Russell, BS, CPMSM, CPCS
• Justine E. Spinosi, MBA, CPMSM, CPCS

Description: 

• When you walk into an organization as a new manager or director in the Medical Staff Services Department (MSSD), there are certain processes and functions you assume are in place. Well, you know what happens when you assume! Even though you asked the right questions during your interview, after completing your first week, you soon realize they didn’t paint an accurate picture. It is evident the interviewer did not fully understand the ins and outs of an MSSD.
  
  This session is a case study that will examine various situations that MSSDs face on multiple levels. How do you navigate a change in leadership? How do you manage a new team that does not have any institutional knowledge? How do you prioritize anything when everything is urgent? What if everything in the MSSD “needs fixed” and you find yourself shaking your head thinking, “You can’t make this stuff up?!”
  
  This session will focus on key aspects you’ll find in every high-functioning medical staff services department and explore common situations that currently exist in facilities across the country. We will share real-life experiences of unexpected situations and discuss how we revamped existing processes and created new ones in order to achieve better results.

Learning objectives: 

• Identify the characteristics of a high functioning Medical Staff Services Department
• Identify red flags before you walk into a new leadership role
• Identify strategies for optimizing and managing workflows and team organization to create a high-functioning team that can effectively manage the department and team when changes occur.

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

• Analytical Thinking
• Change Management
• Team Building
• Performance Improvement
• Communication

CE Credits: 

• This conference recording is eligible for 1.0 CE

Watch the recording of "Achieving, Exceeding & Celebrating Success" by Tiffany A. Long, CPCS, CPMSM, FMSP. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• Achieving, Exceeding & Celebrating Success

Speaker(s): 

• Tiffany A. Long, CPCS, CPMSM, FMSP

Description: 

• The role of the MSP has evolved dramatically over the past decade. The MSP has grown from the job title of secretary and coordinator to that of vice president and operations. This session will examine barriers to achieving success including Tall Poppy Syndrome, The Jonah Complex, and Imposter Syndrome. We will explore alternative perspectives on success that challenge notions of perfectionism and self-doubt, encouraging individuals to redefine their achievements and celebrate their success!

Learning objectives: 

• Examining the psychological effects of imposter syndrome and offering insights on how individuals can cultivate resilience and celebrate their accomplishments authentically.
• Understand what The Jonah Complex, Imposter Syndrome, and Tall Poppy Syndrome are and how to recognize the symptoms.
• Discuss how we can build stronger teams by helping them adopt a growth mindset, where they view challenges as opportunities for growth rather than obstacles.

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

• Analytical Thinking
• Relationship Building
• Change Management
• Team Building
• Communication
• Medical Staff Professionalism
• Medical Staff Wellness
• Professional Presence
• Flexibility/Adaptability
• Human Resources

CE Credits: 

• This conference recording is eligible for 1.0 CE

Watch the recording of "Legal Insights Q&A: Addressing Your Top 10 Medical Staff Topics" by Avery A. Schumacher, Esq., MHA, Stephen Kleinman, Esq., Kim Parks, Esq. and Jeremy Morris, Esq. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• Legal Insights Q&A: Addressing Your Top 10 Medical Staff Topics

Speaker(s): 

• Avery A. Schumacher, Esq., MHA
• Stephen Kleinman, Esq.
• Kim Parks, Esq.
• Jeremy Morris, Esq.

Description: 

• In this Q&A panel discussion, seasoned attorneys will tackle YOUR most pressing legal inquiries on ten critical medical staff topics. Topics addressed will be those that panelists get asked about most frequently in practice, including sharing information about problem providers, aging practitioner policies, telehealth (credentialing by proxy, prescribing), medical staff documents (hot topics), scope of practice, and more. Panelists will introduce each topic, and then open the floor for audience interaction, before moving on to the next. Don't miss this opportunity to gain clarity on navigating the complex legal landscape of medical staff services.

Learning objectives: 

• Upon completion, participant will be able to list trending topics and hot button issues affecting medical staff professionals.
• Upon completion, participant will be able to describe takeaway messages on ten distinct legal topics.
• Upon completion, participant will be able to issue spot (i.e., identify) red flags related to a number of different legal topics.

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 

Watch the recording of "Best Practices for Developing, Implementing and Maintaining Clinical Privileges" by Lisa L. Velasco, MSM, LPTA, FMSP, CPMSM, CPCS and Mark A. Smith, MD, MBA, CPHQ. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• Best Practices for Developing, Implementing and Maintaining Clinical Privileges

Speaker(s): 

• Lisa L. Velasco, MSM, LPTA, FMSP, CPMSM, CPCS
• Mark A. Smith, MD, MBA, CPHQ

Description: 

• Developing clinical privileges is a critical aspect of every Medical Staff Office which involves the collaboration between the physician leaders and medial service professionals as the gatekeepers of patient safety, in coordination with the board of each hospital which has the responsibility for the overall care provided in the hospital. This session is designed to provide valuable information for new physician leaders and medical service professionals that are challenged with developing new privileges, reviewing, and revising privileges and the elements of privilege development and the process for implementing them will be reviewed.

Learning objectives: 

• Name three reasons why/how privileges reflect current practices in healthcare organizations
• Define three essential elements in the process for developing, implementing, and maintaining clinical privileges.
• Distinguish the different statuses in privileging. Distinguish different statuses in privileging. Discuss the role/responsibilities of the MSP and Physician Leader in the development, review & revision of clinical privileges.

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

• Analytical Thinking,
• Relationship Building
• Legal
• Risk Management
• Clinical Competence
• Performance Improvement
• Communication
• Medical Staff Professionalism
• Confidentiality
• 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 

Watch the recording of "Be a Wellbeing First Champion for Credentialing" by James C. Feist, JD, MBA. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• Be a Wellbeing First Champion for Credentialing

Speaker(s): 

• James C. Feist, JD, MBA

Description: 

• Like everyone, health workers deserve the right to pursue mental health care without fear of losing their job. Through the Dr. Lorna Breen Heroes' Foundation's Wellbeing First Champion Challenge, many NAMSS members removed one of the most substantial system barriers to health workers' well-being—intrusive mental health questions on credentialing applications. During this session, watch your peers be recognized for making it safe for their health workers to seek care, as well as learn how your organization can take three steps to become a Wellbeing First Champion for Credentialing.

Learning objectives: 

• Understand how institutional stigma, including intrusive mental health questions on credentialing applications, impact health workers' mental health and well-being.
• Be equipped on how to audit and update your credentialing applications to remove intrusive mental health questions.
• Learn from other hospitals and health systems who updated their credentialing applications and are Wellbeing First Champions for Credentialing.

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

• Analytical Thinking
• Confidentiality
• Human Resources
• Communication
• Evaluation
• Flexibility/Adaptability
• Professional Ethics
• Professional Presence
• Relationship Building
• Medical Staff Professionalism
• Medical Staff Wellness

CE Credits: 

• This conference recording is eligible for 1.0 CE

Watch the recording of "NCQA's Credentialing Updates: Learn, Prepare and Reduce Fear" by Tsveta Polhemus and Stephanie M. Russell, BS, CPMSM, CPCS. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• NCQA's Credentialing Updates: Learn, Prepare and Reduce Fear

Speaker(s): 

• Tsveta Polhemus
• Stephanie M. Russell, BS, CPMSM, CPCS

Description: 

• NCQA has driven improvement throughout the healthcare system for over 35 years. Recently through interviews with more than 70 organizations and industry experts, NCQA found significant changes in the industry. As a result of these findings, NCQA has recommended updates to the credentialing category of Health Plan Accreditation, Credentialing accreditation standards and Credentialing Verification Organization (CVO) Certification. If you fall into these categories, you need to know what these changes are and how they impact mitigating risk at your organization. This session will address not only the changes in the NCQA standards, but the “why” behind those changes and the value they bring to your organization. These changes are not as scary as they may appear, and the time frames are not the only change. With the experience of Chartis/Greeley on process improvement and adapting to change, and the knowledge of NCQA on accreditation standards, this team will help you learn how to meet the new expectations and when you will be held to these new standards.

Learning objectives: 

• Identify the changes in the NCQA standards relating to:
  • CVO Certification
  • Health Plan Accreditation – credentialing
  • Credentialing overall
• Understand the why behind these changes and how they incentivize quality.
• Identify strategies to meet the new standards.

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

• Risk Management
• Change Management
• Performance Improvement
• Project Management
• Quality Review/Quality

CE Credits: 

• This conference recording is eligible for 1.0 CE

Watch the recording of "Starting a Delegated Credentials Program" by Kimberly R. Olson, CPMSM, RHIA, CPCS and Megan Sherwood, CPCS, RHIT. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• Starting a Delegated Credentials Program

Speaker(s): 

• Kimberly R. Olson, CPMSM, RHIA, CPCS
• Megan Sherwood, CPCS, RHIT

Description: 

• Learn more about a small health system's journey to creating a Delegated Credentials program and seeking NCQA CR certification. This session will include the development of governance structure and policies, educating stakeholders, handling the delegated credentialing process, and completing pre-delegation audits.

Learning objectives: 

• Upon completion, participants will be able to identify key components of a delegated credentials program.
• Upon completion, participants will be able to describe key milestones in developing a delegated credentials program.
• Upon completion, participants will be able to understand potential controllable and uncontrollable factors relative to the delegated credentials program

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

• Analytical Thinking
• Change Management
• Managed Care
• Performance Improvement
• Project Management

CE Credits: 

• This conference recording is eligible for 1.0 CE

Watch the recording of "The Good, the Bad, and the Ugly of Peer Review" by John T. Synowicki, JD. Then, complete the quiz and earn 80% or higher to receive CE credit. 

Title: 

• The Good, the Bad, and the Ugly of Peer Review

Speaker(s): 

• John T. Synowicki, JD

Description: 

• This session will include a discussion of how to handle complex and complicated peer reviews. The focus of this session will be to walk through complicated and complex peer reviews that often become more difficult as they progress, and to discuss the various ways in which those issues can be addressed. The discussion will include cases that ended well, those that ended poorly, and those that became ugly in the process.

Learning objectives: 

• Understand the objectives to keep in mind as peer review moves along, and when it might be necessary to circle back to a previous concern.
• Describe how unexpected turns in a peer review are handled and what considerations went into making those decisions.
• List various options available to the MSO as they begin reviewing matters for collegial intervention through formal investigation.

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

• Analytical Thinking, Legal, Risk Management, Confidentiality, Flexibility/Adaptability

CE Credits: 

• This conference recording is eligible for 1.0 CE