1. Medical Staff Services Department Overview
Faisal B. Sharif, CPMSM, CPCS, MSOW-C
Supervisor, Medical Staff Services Department
Stanford Health Care
December 2016
Disclaimer: The MSOW upgrade in 2016/17 may result in some processing changes and/or program features, which may change some of the content in this presentation. For any clarification, please contact MSSD.

2. Services Provided
Credential and/or Privilege for the following entities under the Stanford “umbrella” (Sharing Agreements)
Stanford Health Care (Hospital and Clinics)
Lucille Packard Children's Hospital Stanford (Hospital and Clinics)
Vaden
Packard Children’s Health Alliance (PCHA)
University Healthcare Alliance (UHA)
Affinity – IPA
Stanford Health Care – ValleyCare: Support as needed (TBD)
“Affiliations”
John Muir – Provide Support with Stanford Related Information for their Process
Oregon Health & Science University – Distant Site Credentialing (LPCH Telemedicine)
SOM - Free Clinic
Business Relationships (i.e., Qualcom, Dreamworks)
Provider “Types”
Physicians, Psychologists, Dentists, Advanced Practice Professionals, Allied Health Professionals
Faculty and Community
Allied Health Professionals (PT, OT, SLP, SW)

3. Services Continued
Comply with State, Federal, and Regulatory Agency Standards
Coordinate over 34 Health Plan Audits Annually
Participate in Joint Commission Surveys
AAAHC Survey (Vaden)
Assist with Data Management via MSOW
SOM, GME, Managed Care, Provider Enrollment, Referring Services
Apogee Implementation (3/16) – Managed Care & Provider Enrollment Tracking
MSOW Considered Provider Source of Truth
Maintain Credentialed Provider Information
Database Feeds – Approx. 34 Clinical Systems (i.e., EPIC, Tapestry--04/16, Marketing)
Strict Data Entry Guidelines for Data Integrity
More Involvement Organization-Wide as Technology Implemented

4. New Application Process Overview
MSSD Notified of New Applicant via New App Request Form
Medical Staff Services Account
Monitored Daily
Reduces Likelihood of Missing Requests
Applicant is Sent Application Link
10 Day Turnaround Time – Withdrawn if not Submitted
5 Day Notice to Applicant and Department
Requests for Additional Time to Complete Noted in File and Kept Open
Missing Items Report Available to Departments

5. Within 24 hours of receiving New App Request Form – Applicant is ed instructions on how to access their electronic application and complete it.

11. Credentialing/Privileging
Receive Application and Privilege Form (if applicable)
Import New Applications First, Daily then Reappointments
Turnaround Time 35 Days.
During High Volume Turnaround Increases – Constantly Prioritizing (start dates, new files)
Managed Care, Provider Enrollment, EPIC Team Alerted to Initiate Processes
Faculty Appointment Expected to be in Process Already
Send Peer References, Education, and Verification Letters
Collect Information As Returned
Review Responses
Obtain Clarification as Needed
Send Follow-up Requests to Missing Items Weekly or Biweekly
100% Internal Quality Audit (QA) Conducted
Coordinator Collects Information Based on QA Report or Routes for Approvals
Submit File for Review/Approval
Files Presented to In Person Credentials for Items Leadership has categorized as Category II
Approvals Obtained Weekly or More Often in Summer

12. High Volume Season May Through August Higher Volume
Start Process Early – January
Two Part Process
“Regular” Credentialing Occurring During this Timeframe
Notification Sent to Program Directors via GME Office to Verify Education
No Single Source (i.e., Report, Feed) to Verify Completion
Program Directors Respond to MSSD with Final Verification on Completion Date (Local and Out of State)

13. High Volume Season Approval Process Additional Meetings
Rely on Program Director Response - GME Sent March w/ Instruction
Service Chief Response – to be Sent in April
Credentials and Medical Executive Committee Response – Committee Aware of Dates
Board of Directors Response – Requested Additional Board Meetings
Temporary Privileges or Final Approval Issued Depending on Board Approval
Additional Meetings
Annually, additional meetings are scheduled to accommodate onboarding.
Up to three meetings a week if possible.
MSSD Processes Files Upon Approval
Notify Departments (including IS for Access) Upon Approval
If Faculty Appointment Not Received, Provider’s Membership is Approved and Privileges are Not Released until Appointment Received (tied to Malpractice Insurance)

16. Questions?