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You are here > Home > Reading Lists & Books > Practice Management > The Top 40 Medical Staff Policies and Procedures

The Top 40 Medical Staff Policies and Procedures, 4th Edition
Hugh P. Greeley, Herman J. Williams, MD, MPH, MBA, Mary J. Hoppa, MD, MBA, CMSL

Softbound Book: 224 pages + bonus CD-ROM
Size: 9" x 7.2" book + CD-ROM
ISBN 1601467265
978-1601467263 
HCPro / Opus Communications
February 2010
(click the button below for the best currently available price for this important resource)

It’s like having a medical staff policy expert right at your desk.

This concise guide will help you develop medical staff policies and procedures that comply with Joint Commission requirements and promote current industry best practices. Save time, effort, and expense with these samples of the most complex policies and procedures you can implement immediately for positive results at your facility. This book and downloadable online documents will help you:

  • Avoid sorting through multiple, confusing, and unreliable resources or search engine results to find what you need

  • Save the personnel, resources, and finances it takes to develop policies from scratch

  • Base your own policies and procedures on expertly designed, field-tested samples

  • Make it easier to update traditionally complex policies

  • Trust in reliable guidance to ensure your policies and procedures comply with Joint Commission requirements

All of the policies in this resource have been reviewed and updated to meet the latest requirements. Plus, you can download every document online, saving you the time of recreating materials from scratch!
Check out the table of contents:

  • Administration

    • Advance Directives

    • Confidentiality Statement

    • History and Physical

    • Impaired Provider

    • Medical Records Completion Requirements

    • Physician Concern, Complaint, and Suggestion

    • Universal Protocol

    • Verbal and Telephone Orders

  • Credentialing and Privileging

    • Advanced Practice Professionals Credentialing and Privileging

    • Aging Physicians: Physical Assessment of Practitioners over the Age of [n]

    • Authorization of Clinical Assistants to Provide Services

    • Background Checks for Practitioners Processed through the Medical Staff

    • Clinical References

    • Content of Medical Staff Credentials Files

    • Credentialing: Burden on the Applicant

    • Credentialing Nonstaff Volunteer Practitioners for Disaster Responsibilities

    • Credentialing Reappointment and/or Renewal of Privileges

    • Credentialing of Telemedicine Practitioners

    • Credentials File: Content, Access, Control, and Retention

    • Credentials Information Verification

    • Delineating Clinical Privileges, Dispute Resolution, and New Technology

    • Emergency Privileges

    • Exclusive Contract

    • Expedited Credentialing

    • Initial Medical Staff Appointment

    • Low-Volume and No-Volume Practitioners

    • Temporary Privileges

  • Governance

    • Conflict Resolution

    • Joint Board, Hospital, and Medical Staff Professional Conduct

    • Leave of Absence

    • Medical Staff Member Rights

    • Medical Staff Member Special Appearance Requirement

    • Organization-wide Conflict of Interest

  • Quality

    • Communication and Use of Physician Competency Expectations

    • Credentialing, Confidentiality of Medical Staff Minutes, Quality Improvement, and Peer Review Information

    • Medical Staff Competency Expectations and Implementation: The Greeley Company Framework

    • Medical Staff Competency Expectations and Implementation: The Joint Commission Framework

  • Medical Staff Peer Review

    • Proctoring/Focused Professional Practice Evaluation

    • Validation of Perception-Based Rule Indicator Occurrences

Meet the contributors

  • Jonathan H. Burroughs, MD, MBA, FACPE, CMSL, is a senior consultant with The Greeley Company, working with medical staffs and boards throughout the country.

  • Mary J. Hoppa, MD, MBA, CMSL, serves as a senior physician consultant with The Greeley Company, a division of HCPro, Inc. Hoppa draws on 15 years of experience in hospital administration and medical staff leadership in academic and community hospital settings to assist physicians and medical centers in developing effective solutions to their most significant challenges.

  • Carol S. Cairns, CPMSM, CPCS, is president of PRO-CON, an Illinois consulting firm, and is a senior consultant and frequent presenter with The Greeley Company.

  • Claude (Bud) Pate, REHS, serves as vice president for content and development at The Greeley Company and is nationally recognized in patient flow and in hospital and health system regulation and accreditation.

  • Sally J. Pelletier, CPMSM, CPCS, serves as a senior consultant at The Greeley Company and president of Best Practices Consulting Group.

  • Richard A. Sheff, MD, CMSL, is the chair and executive director of The Greeley Company, with more than 25 years of healthcare management and leadership experience.

  • Robert J. Marder, MD, CMSL, vice president of The Greeley Company, has served in various roles and settings in senior hospital medical administration and operations management.

  • Lisa Eddy, RN, CPHQ, is a senior consultant with The Greeley Company and brings more than 20 years of experience in Joint Commission, CMS, HFAP, and NCQA accreditation and certification.

  • Herman J. Williams, MD, MPH, MBA, is the Vice President of Medical Affairs at Christus St. Elizabeth Hospital in Beaumont, Texas. Dr. Williams is also a senior consultant with The Greeley Company, bringing clinical experience, as well as a management perspective, to the health care field. He specializes in medical staff reengineering including bylaws and credentials review, medical staff mergers, and peer review activities.

  • Hugh Greeley is the founder and chair of The Greeley Company. He has served on the faculties of more than 2,500 seminars on medical staff organization, quality improvement, credentialing, trustee responsibility, antitrust, accreditation, and related subjects. Mr. Greeley is a contributing editor to many healthcare journals and the author of numerous books and articles.

With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing expertise in the areas of accreditation, medical staff affairs, credentialing, privileging, medical record management, nursing management, finance, quality/patient safety, infection control, workplace safety and regulatory compliance.

(information from the publisher)

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