In addition to a detailed description of the update, the Federal Register also includes charts (such as the one on the left) that offer a side-by-side comparison of the HCQIA (NPDB), Section 1921 (NPDB), and Section 1128E (HIPDB) to answer the questions:
- Who reports?
- What information is available?
- Who can query?
The National Practitioner Data Bank (NPDB) issued a press release earlier this week about the implementation of Section 1921, which expands the practitioner information the data bank collects. More details about the new Section 1921 regulation will be published in the Federal Register within the next five to 10 days.
Nevertheless, the press release revealed that Section 1921 will expand the information contained in the National Practitioner Data Bank (NPDB) to include:
- Adverse licensure actions taken against all licensed healthcare practitioners
- Any negative actions or findings by State licensing agencies, peer review organizations, and private accreditation organizations against all health care practitioners and entities
On January 1, 2010, the American Board of Pediatrics’ (ABP) announced an amendment to its board certification process that may change the future maintenance of certification (MOC). Starting in 2010, newly issued certificates of board certification will not contain a specific end date. This means that copies of this certificate cannot be used to verify a physician’s board certification status. Rather, a physician’s board certification status will be linked to his or her status in the MOC process, which can change over time depending on whether the physician is up to date in the MOC process. Medical staffs can verify MOC on the ABP Web site.
This change presents several questions for MSPs including:
- When and how often should MSPs check MOC status?
- Should medical staffs or specialty boards track the continuing education of certified physicians?
Although the ABP is still working on clarifying this topic for the field, MSPs can read more about the issue in the latest edition of Medical Staff Leader Connection.
Check back on the Credentialing Resource Center Blog for more information about this evolving topic.
If you’ve helped arrange treatment for a practitioner with substance abuse problems, chances are you’re familiar with state physician health programs (PHP).
Recent studies of 16 state PHPs indicate an outstanding success rate with physicians monitored by state PHPs over an average 7.2 years (source: How are addicted Physicians treated? A national survey of physician health programs (2009), Journal of Substance Abuse Treatment). Of 904 physicians, 78% completed this monitoring without relapse. Of those who did relapse, additional treatment resulted in over 90% doing well at the end of the study period.
Want to learn more about MSPs’ responsibilities in these matters? Check out “Substance abuse policies: Know your role in testing, treating, and recredentialing practitioners,” in the February issue of Briefings on Credentialing.
Is your organization’s conflict of interest policy prescriptive or filled with open-ended disciplinary options? Take our poll and see how your organization compares to others.
If you didn’t see an answer option below that describes your organization’s policy, share the details of your organization’s policy in the comment boxes below.
Looking for resources designed specifically for small and critical access hospitals? Look no further than our latest Webcast series.
Click below to listen to a short audio clip about the series.
Rome wasn’t built in a day and neither are talented credentialing teams. Join Greeley experts and MSPs from the field as we once again gather at Caesars Palace in Las Vegas for the 13th Annual Credentialing Resource Center Symposium.
Click here to learn more about the event and check back on the blog for the latest Symposium previews.
(Don’t forget to take advantage of early bird rates before March 5, 2010!)
Christiana Care Health System’s VEST Center is one of the the latest member medical simulation center to open in the U.S., according to a January 4 press release. Practitioners who train at the center work in various simulated environments, including a:
Simulated training environments are a popular way for practitioners to gain clinical skills while avoiding the accidents that may occur during live patient training. There are 106 member medical simulation centers across the nation, according to the Society for Simulation in Health Care.
“The VEST Center provides the most up-to-date education facilities for physicians, as well as residents, medical students, nurses and allied health care personnel and staff,” said Brian Little, M.D., Ph.D., vice president for Academic Affairs and Research. “Medical schools, postgraduate training programs, credentialing committees and licensing and specialty boards are all placing greater emphasis on using simulation modalities to evaluate competence.”
The February issue of Briefings on Credentialing features the article “Medical staff security concerns: Keeping practitioners cool during high-pressure meetings.” The idea for the article came from a reader who heard a news report about the shooting at Fort Hood and the warning signs the practitioner displayed. She was interested in the details of the case and wanted to know more about what MSPs can do when they spot behavioral warning signs in practitioners.
It is so rare for a practitioner to become violent that when it does occur, the incident makes headlines. Such was the case in fall 2009 when Nidal Hasan, a psychiatrist working at Fort Hood in Texas, killed 13 people in a shooting. As the case began to unfold, Hasan’s history of unstable behavior was revealed, along with memos from his supervisors stating that he demonstrated a pattern of poor judgments and lacked professionalism. Although these assessments don’t suggest that Hasan would become violent, they do raise doubts about his ability to properly care for patients.
To listen to a National Public Radio audio report about the case, including excerpts from the performance review memos, visit http://tinyurl.com/y9phh34.
The report also contains opinions from experts about how Hasan’s behavior should have been handled by his supervisors. Do you agree with these assessments? How would your medical staff leaders handle a case like this?