Axuall Key Terms

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Axuall Key Terms

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Primary Source Verification (PSV)

Patient Safety

Credentialing Impact

Privileging

index

Patient Safety

Patient safety, as defined by the World Health Organization, is the prevention of errors and adverse effects to patients that are associated with health care. Safety is what patients, families, staff, and the public expect from Joint Commission–accredited organizations. While patient safety events may not be completely eliminated, harm to patients can be reduced, and the goal is always zero harm. The Joint Commission (TJC) Link

Defined

• Clinician meets minimum requirements to practice medicine
• For any privilege request, has the clinician performed it recently and well?
• Allow ‘bad’ clinicians to be denied privileges based off of all the information collected
• Avoid passing ‘bad doctors’ on to other states and hospitals.
• Avoid clinician imposters

Credentialing is the front door to ensure patient safety

Patient Safety: Credientaling Impact

• Proof of Identity
• Education and Training
• Military Services
• Professional Licensure
• DEA and State CDS's
• Board Certification
• Affiliation and work history
• Criminal Disclosures
• Sanctions
• Health Status
• NPDB
• Malpractice Insurance
• Professional and Peer Referenes

Credentialing

Types of Information Verified during credentialing include:

Credentialing vs. Privileging

The authority granted to a [clinician] by a hospital governing board to provide patient care in the hospital. Clinical privileges are limited to the individual’s license, experience, and competence. Any individual permitted by law and by the organization to provide care, treatment, and services, without direction or supervision within the scope of his or license, and in accordance with individually granted clinical privileges.

Privileging = Where

The process of obtaining, verifying and assessing the qualifications of a healthcare practitioner to provide patient care services in or for a healthcare entity. The collection, verification, and assessment of information regarding three critical parameters, current licensure, education and relevant training and experience, ability and current competence to perform the requested privilege(s)

Credentialing = What

Priamary Source Verification (PSV)

The process by which a health plan or hospital checks an individual provider’s reported credentials and qualifications. This crucial step not only protects the provider but also the hospital, health plan and – more importantly – the patient. Council for Affordable Quality Healthcare (CAQH)

Defined

Priamary Source Verification (PSV)

This crucial step not only protects the clinician but also the hospital, health plan and – more importantly – THE PATIENT

'TRUST BUT VERIFY'

False

True

Question 1/5

Primary Source Verification is the process by which a health plan or hospital checks an individual provider’s reported credentials and qualifications. This crucial step not only protects the provider but also the hospital, health plan and – more importantly – the patient.

Key Terms Review

correct answer

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Privileging

Credentialing

Key Terms Review

Question 2/5

Credentialing or Privileging? The process of obtaining, verifying and assessing the qualifications of a healthcare practitioner to provide patient care services in or for a healthcare entity.

correct answer

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Privileging

Credentialing

Key Terms Review

Question 3/5

Credentialing or Privileging? Any individual permitted by law and by the organization to provide care, treatment, and services, without direction or supervision within the scope of his or license, and in accordance with individually granted clinical privileges.

correct answer

Way to go!

Privileging

Key Terms Review

Question 4/5

________ as defined by the World Health Organization, is the prevention of errors and adverse effects to patients that are associated with health care.

Primary Source Verification

Patient Safety

Credentialing

correct answer

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Avoid passing ‘bad doctors’ on to other states and hospitals.

All the above

Clinician meets minimum requirements to practice medicine

Key terms review

Question 5/5

Credentialing is the front door to ensure patient safety

Allow ‘bad’ clinicians to be denied privileges based off of all the information collected

For any privilege request, has the clinician performed it recently and well?

Avoid clinician imposters

correct answer

Way to go! You sure know the impact of credentialing on patient safety!

Key terms review

• Define key terms
• Recgonize the difference between Credientialing and Privilaging
• Apply the impact of credentialing on Patient safety

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