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

2. 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. 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. 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. 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. 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. 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. 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. MSLW/ECHO Is Here To Help You With The Process

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

11. Sample Category 1 Checklist in Echo

12. Sample Category 1 Checklist in a Physician Record in Echo

13. Sample Category 1 Checklist in MSLW

14. Sample Category 2 Checklist in MSLW

15. 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. Echo Filter Finding All Category 1 Physicians

17. Application Process Status Report

18. Filter to Find Category 2 Applicants

19. Application Status Report – Category 2

20. 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. Sample Application Status Report Available Via The Internet

22. Sample Letter to Physician Requesting Information

23. 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. 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. Management Reports
Reports can be generated to show management global information on fast-tracked and non fast-tracked physicians

26. Filter for Applications Completing Fast-track

27. Checklist Span for Fast-tracked Applicants

28. Screen Shot of Checklist Span Output

29. Checklist Span for Non-expedited Applicants

30. Listing Report Showing Category 2 Disciplinary Action Cases

31. 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