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HealthLine Systems, Inc. On The Fast Track Explore a two-track credentialing model using QEW/ECHO as the implementation tool Presented by Lisa Rothmuller.

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Presentation on theme: "HealthLine Systems, Inc. On The Fast Track Explore a two-track credentialing model using QEW/ECHO as the implementation tool Presented by Lisa Rothmuller."— Presentation transcript:

1 HealthLine Systems, Inc. On The Fast Track Explore a two-track credentialing model using QEW/ECHO as the implementation tool Presented by Lisa Rothmuller

2 HealthLine Systems, Inc. Purpose of Fast-track Credentialing The purpose of expedited credentialing is to streamline the approval process for applicants to the staff who meet approved predefined criteria.

3 HealthLine Systems, Inc. JCAHO Standard Clarification 5/14/01 Temporary privileges may be granted when the applicant is waiting for a review and recommendation by the medical staff executive committee and approval by the governing body provided…

4 HealthLine Systems, Inc. JCAHO Standard Clarification There is verification of licensure, relevant training or experience, current competence, ability to perform privileges requested and other criteria required by medical staff bylaws. NPDB query has been obtained and evaluated.

5 HealthLine Systems, Inc. JCAHO Standard Clarification cont. Applicant has a complete application, no challenges to licensure or registration, not subject to involuntary termination of membership at any organization and not been subject to involuntary limitation, reduction, denial or loss of clinical privileges.

6 HealthLine Systems, Inc. What Helps Expedite Credentialing? Some conditions that should be met to fast-track a physician through the credentialing process include: The application is complete No actions against the practitioner at other facilities No disciplinary actions taken by any agencies and no criminal convictions No malpractice suits filed

7 HealthLine Systems, Inc. What May Prevent Expedited Credentialing? Some reasons for exclusions to the expedited process include: The applicant submits an incomplete application There is a current challenge or a previously successful challenge to the licensure or registration Actions have been taken against the practitioner by other facilities There has been a malpractice suit, judgment or settlement against the applicant Peer reference or affiliation indicate potential problems The applicant has held a substantial number of medical licenses across the U.S.

8 HealthLine Systems, Inc. Ways to Have Your Physicians Help You Expedite Them Requesting information from your applicants prior to processing their application can help expedite the process. Items requested may include: Copies of all current licenses, including State, DEA, Controlled Substance Copies of certificates from training programs Copy of Professional Liability Coverage Certificate Application fee

9 HealthLine Systems, Inc. MSLW/ECHO Is Here To Help You With The Process

10 HealthLine Systems, Inc. Provides a method, using checklists, to track whether the physician qualifies for fast-track credentialing or not

11 HealthLine Systems, Inc. Sample Category 1 Checklist in Echo

12 HealthLine Systems, Inc. Sample Category 1 Checklist in a Physician Record in Echo

13 HealthLine Systems, Inc. Sample Category 1 Checklist in MSLW

14 HealthLine Systems, Inc. Sample Category 2 Checklist in MSLW

15 HealthLine Systems, Inc. How MSLW/ECHO Can Help With The Process Provides a method, using checklists, to track whether the physician qualifies for fast-track credentialing or not Provides opportunities to run reports on fast-tracked physicians and non-fast-tracked physicians

16 HealthLine Systems, Inc. Echo Filter Finding All Category 1 Physicians

17 HealthLine Systems, Inc. Application Process Status Report

18 HealthLine Systems, Inc. Filter to Find Category 2 Applicants

19 HealthLine Systems, Inc. Application Status Report – Category 2

20 HealthLine Systems, Inc. How MSLW/ECHO Can Help With The Process Provides a method, using checklists, to track whether the physician qualifies for fast-track credentialing or not Provides opportunities to run reports on fast-tracked physicians and non-fast-tracked physicians Provides reporting capabilities to request additional items from applicants and provide status to applicants

21 HealthLine Systems, Inc. Sample Application Status Report Available Via The Internet

22 HealthLine Systems, Inc. Sample Letter to Physician Requesting Information

23 HealthLine Systems, Inc. How MSLW/ECHO Can Help With The Process Provides a method, using checklists, to track whether the physician qualifies for fast-track credentialing or not Provides opportunities to run reports on fast- tracked physicians and non-fast-tracked physicians Provides reporting capabilities to request additional items from applicants and provide status to applicants Provides methods for the physician to help you help them through the process

24 HealthLine Systems, Inc. Ways to Have Your Physicians Help You may request that the applicant request verifications be sent to you from their training and education programs. Items may include: Verification of licensure in other states Medical school verification Letter of reference from training programs Letter of reference from current affiliations

25 HealthLine Systems, Inc. Management Reports Reports can be generated to show management global information on fast-tracked and non fast-tracked physicians

26 HealthLine Systems, Inc. Filter for Applications Completing Fast-track

27 HealthLine Systems, Inc. Checklist Span for Fast-tracked Applicants

28 HealthLine Systems, Inc. Screen Shot of Checklist Span Output

29 HealthLine Systems, Inc. Checklist Span for Non-expedited Applicants

30 HealthLine Systems, Inc. Listing Report Showing Category 2 Disciplinary Action Cases

31 HealthLine Systems, Inc. Outcomes Assistance from physicians during the application process Faster process time for those who do not have issues Reports to assist with status information Management reports showing timelines and issues


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