twilson5715

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twilson5715
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  • Yes. We call it Infection Control Committee, but what's in a name! Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Blvd. St. Augustine, FL 32086 W: 904-819-4497 F: 904-819-4961 Terry.Wilson@flag…
  • We add a "Comment" Section to each privilege, so if there are any deletions, or conditions attached, it is indicated there. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Blvd. St. Augustine, FL 320…
  • We enter CORE privileges in MDSTAFF as one big paragraph. One check for the applicant. The only 'laundry list' would be a handful of special procedures outside of core, with each special requiring its own selection. Terry Wilson, BS, CPMSM, CPCS …
  • Here is our Bylaws language, which addresses criminal activity: 2.6 BASIC RESPONSIBILITIES OF MEDICAL STAFF MEMBERSHIP Except for the Honorary and Retired Staff, the ongoing responsibilities of each Member of the Medical Staff include: (…
  • NICU ARNPs is a separate form - attached Hospitalist ARNPs would do the general CORE on 2nd form attached Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Blvd. St. Augustine, FL 32086 W: 904-819-449…
  • Thoracentesis is in CORE privileges for: Pulmonology, Internal Medicine and Emergency Medicine. Thoracentesis is a SPECIAL privilege for Family Medicine, with criteria of proof of training within 3 years or 5 events in the past 1 year. Thoracente…
  • No and No. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 904-819-4497 F: 904-819-4961 terry.wilson@flaglerhospital.org
  • 3.7 THE COMMUNITY PHYSICIAN 3.7-1 QUALIFICATIONS The Community Physicians shall consist of Physicians who hold an Active/Unrestricted MD or DO License, and have completed the appropriate limited credentialing process…
  • 3.7 THE COMMUNITY PHYSICIAN 3.7-1 QUALIFICATIONS The Community Physicians shall consist of Physicians who hold an Active/Unrestricted MD or DO License, and have completed the appropriate limited credentialing process…
  • As a potential work-around, we allow an applicant who has finished training in the past 3 years to have their training program director sign off on their requested privileges to testify that they were trained, and are competent, in each privilege re…
  • We always put the burden on the applicant to supply the case logs, and we really haven't had any issues lately. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 9…
  • Attached is ours. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 904-819-4497 F: 904-819-4961 terry.wilson@flaglerhospital.org
  • Not here. C-Sections are done by OB's only. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 904-819-4497 F: 904-819-4961 terry.wilson@flaglerhospital.org
  • We don't have anything that specific here. As long as you keep the applicant informed of their deadline and what is missing in order to complete their reappointment file, I should think something as straightforward as this might do ... Dear ___ W…
  • TJC only requires an Executive Committee even though it is not stated in black-and-white. But, the only committee they define is the Executive Committee (MS.02.01.01) And if the Staff is so small, TJC even allows the Staff as a whole to act as the …
  • With respect to Physicians and Podiatrists who make an application for Staff membership and Clinical Privileges at the Hospital (other than an application for reappointment or reinstatement after a leave of absence) on or after May 16, 2002, the Phy…
  • Are you referring to FPPE for new privileges (vs an identified quality issue pattern)? If so, I know what you mean about them conveniently not being able to find the form (or remember that they even got one!). We too have struggled with this, and …
    in FPPE Comment by twilson5715 March 2016
  • We don't have outlying clinics, but we used to have a medical staff with members that never showed up. As we all know, this is a burden on our office because we are tracking licenses and DEAs and insurance and other items, for no good reason. But…
  • None. 335 beds. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 904-819-4497 F: 904-819-4961 terry.wilson@flaglerhospital.org
  • I "ditto" Kelli's comments below. I love MDSTAFF. I've had it here since 2000. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 904-819-4497 F: 904-819-4961 te…
  • DITTO to the process outlined below by Debbie... Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 904-819-4497 F: 904-819-4961 terry.wilson@flaglerhospital.org
  • We heard this was a hot topic a few years ago, so we just went ahead and added it to all our DoPs. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 904-819-4497…
  • We have no special policy/procedure, although it has been talked about many times. The final decision here is that as long as the physician remains competent, as evidenced through our quality management processes and credentialing processes, the ph…
  • Not here. QM does the summary report and sends it to us. We show it to the Chief and get him/her to sign off. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 9…
  • He would have to meet criteria for new privileges (eg 50 inpatients in the past year for Core). Since he couldn't meet that criteria, they would proctor him. Credentials Committee has the right to recommend if the proctoring would be concurrent or…
  • Here is our Addiction Core for Psychiatry ... Addiction Core: Admit, evaluate, diagnose, treat and provide consultation to adult patients (18 years of age and older) with alcohol, drug or other substance-related disorders and to individuals with t…
  • We do just like Shelly does ... the name gets added to our list of credentialing actions (appointments, reappointments, resignations, new privilege requests, etc.) and the list moves through the Credentials Committee and Medical Executive Committee …
  • Congratulations Tracy. What a relief that it is all over. Our last surveyor honed in on when we did state licensure checks, and made sure he looked at each of those verifications in all files pulled. He even "quizzed" me on when are the 3 times y…
  • Yes they must maintain PALS. Pediatrics is 17 and under. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 904-819-4497 F: 904-819-4961 terry.wilson@flaglerhospi…
  • I echo everything Deborah said below about MDSTAFF, plus they have a great support service when you need them. Terry Wilson, BS, CPMSM, CPCS Director, Medical Staff Services Flagler Hospital 400 Health Park Boulevard St. Augustine, FL 32086 P: 90…