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Vice President of Healthcare Risk Services
Tom Snyder x5852

Manager, Healthcare Risk Services
Phyllis DeCola x5897

Risk Management 

Princeton Insurance Hosts Roundtable
Workshop on Credentialing

Printable Version of this Article

 

Medical staff, physician leaders and officers, hospital committee members, risk managers, and medical staff services staff were in attendance at the Forsgate Country Club in Monroe Twp., NJ on Wednesday, November 14 to learn about emerging exposures in medical staff credentialing and steps they can take to protect themselves and their organizations.

 

Todd Sagin, MD, JD, served as the workshop’s featured speaker, drawing from his personal experiences as an executive and senior level staff member at numerous healthcare institutions and university medical centers. With over 25 years of clinical, managerial and legal work, Dr. Sagin speaks to physicians and hospitals across the country on a wide range of clinical and healthcare management topics.

 

Vice President of Princeton Insurance Healthcare Risk Services Tom Snyder welcomed the guests and introduced the topic before Dr. Sagin took the floor.

 

“Credentialing and privileging have become extremely complex in recent years,” said Snyder. “With increasing frequency, administrative and supervisory personnel are being implicated as responsible parties in cases alleging medical malpractice. They are being viewed as the ‘gatekeepers’ of quality care.”

 

Snyder explained that the workshop aimed to illustrate current regulatory and legal activity, demonstrate best practices and identify specific challenges currently faced by those in attendance who have the responsibility of credentialing and granting privileges to physicians and allied health practitioners within their organizations.

 

Negligent Credentialing

There are many different terms being used today for negligent credentialing, Dr. Sagin explained, including: corporate negligence, institutional negligence, negligent selection, negligent retention, negligent supervision and negligent peer review.

 

He said that, first and foremost, the reason a facility should have a solid credentialing process in place is to protect patients, while bringing high quality, competent doctors into the facility should be the number two reason.

 

“Protecting your facility or practice is an important reason for credentialing,” said Dr. Sagin. “Institutional reputation damage can take years to reverse. Hospitals were closed or sold because of these types of claims.”

 

He also stressed the need for the credentialing process to be perceived as fair and legitimate from the physician’s point of view. “Physicians need to feel as though they’ve been treated fairly,” said Dr. Sagin. “Lawsuits with physicians as the plaintiffs tend to go farther than patient lawsuits.”

 

Common Mistakes

Some of the most common mistakes that lead to credentialing-based claims include: sloppy records and/or poor documentation, inadequate evaluation of ‘red flags,’ and lax oversight of quality and/or inadequate re-credentialing and reappointment systems, explained Dr. Sagin.

 

He went on to list some of the new areas of risk relating to credentialing, such as credentialing of new technologies, turf battles resulting in multiple standards and growing performance databases and data transparency.

 

When screening a physician, Dr. Sagin said it’s important to ask about his or her malpractice history as far back as ten years. “Be sure to inquire about claims, suits and settlements,” he added.

 

“How many of you routinely call all the professional references,” he then asked the audience. “Not many. It’s a growing trend in the country to touch base with each one,” he advised.

 

An audience member then asked about how to handle a reference who offers a negative comment, but adds, “This is off the record.”

 

Offered Dr. Sagin: “Document it yourself and place the note into the physician’s file. You won’t make a decision based on that comment, but you will use it as a spring board to conduct further investigation.”

 

He added that anytime a reference says “off the record,” it should be considered a red flag. “It needs to be reported to the credentialing committee. You can document it and tell the committee about it, then ask the applicant for additional references.”

 

Dr. Sagin suggested that, when requesting additional references, it would be helpful to ask that specific questions are answered in the letters of reference, such as, “Has applicant ever been reprimanded?”

 

“It’s the doctor’s right to see the file, so keep that in mind,” he said. “Be sure to have a policy in place in case this situation arises.” He explained that typically, policies allow the applicants to see all factual information in the file, but not opinion-based documentation, such as a reference letter, complaint or peer review.

 

Other important credentialing information Dr. Sagin listed during his presentation include:

 

  • Lifetime licensure history
  • Lifetime medical education and training history
  • Specialty board status
  • Sanctions
  • Lifetime criminal history
  • Healthcare-related employment/appointment history
  • Past 6 to 12 months of clinical activity
  • Review for consistencies between applicant and verified information
  • Gaps in practice or malpractice coverage

Dr. Sagin noted that some good practices that will help to avoid negligence claims include excellent credentialing policies, periodic audits of compliance and documentation and adequate training of credentialing staff, physician leaders/committee members and board.

 

 

Credentialing, Page 2 

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