What is Medical Staff? How does it ensure safe, quality patient care?

1. what is Medical Staff Management?

2. Medical Staff Management is … Meeting Management Credentialing Medical Library Continuing Medical Education Graduate Medical Education Customer Service

3. Medical Staff Management … saves patient lives …

4. how does credentialing save lives?

5. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD ten newsworthy doctors

6. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD killed 35 patients term’d from OSUH, VA Sioux Falls, and SUNY

7. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD carved initials onto patient after c-section; numerous other complaints about erratic behavior

8. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD 33 counts of Medicare fraud – unnecessary procedures

9. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD physician impersonator for 20 years in California; at least one death

10. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD physician impersonator doing laser procedures; murdered one patient

11. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD charged with murder and negligence in 87 patient deaths

12. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD surgeon impersonator for almost 10 years in Michigan!

13. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD murdered 260 patients via opiate injections

14. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD impersonated a psychiatrist with 100’s of patients in Philadelphia

15. Jeffrey Askanazi, MD Alan Zarkin, MD Michael Swango, MD Gerald Barnes, MD Dean Faiello, MD Jayant Patel, MD David Tremoglie Neel Sheth Dennis Roark, MD Harold Shipman, MD physician impersonator in Ohio residency program

16. when bad or imposter physicians slip through the system, patients pay the price!

17. what is credentialing ? how does it stop bad / imposter physicians from reaching patients?

18. credentialing is …. applications and forms Federal law requires that hospitals develop applications and privilege request forms for new and re-applying physicians

19. credentialing is … getting your hands dirty and verifying with the “ primary source” the following: (1) Medical School , (2) Internship , (3) Residency , (4) Fellowship , (5) Board Certification , (6) Fluoroscopy , (7) Medical Licensure , (8) ECFMG , (9) DEA , (10) Insurance [malpractice claims history], (11) current and previous hospital affiliations and work sites , (12) peer references , (13) NPDB , (14) OIG , (15) GSA , (16) Megan’s Law , (17) CME , (18) PPD / health status ; and (19) current clinical competency (activity logs from current and previous hospitals)

20. credentialing is … reading between the lines Verifying everything claimed with everything verified

21. credentialing … saves lives

22. what else is Medical Staff Management?

23. meeting management … “ if it’s not documented it didn’t happen”

24. Board of Trustees Medical Executive Committee Department of Anesthesia Department of Pathology Department of Pediatrics Department of Radiology Department of Surgery Multidisciplinary Peer Review Committee Department of Medicine Department of Obstetrics & Gynecology Performance Improvement Committee Pharmacy & Therapeutics Committee Physician Well-Being Committee Utilization Management Committee Bylaws Committee Cancer Committee Credentials Committee Ethics Committee Presidents Council Patient Safety Subcommittee AMI+CHF Core Measure Team Pneumonia Core Measure Team SCIP Core Measure Team Medication Usage and Safety Team Quality Council Departments and Committees Infection Control Committee Health Information Committee Interdisciplinary Practice Committee CME/GME/Library Committee This is what Medical Staff Management “documents”

25. minutes are what regulators review to evaluate evidence of compliance.

26. anything else?

28. orientation

29. how can I tell if my medical staff is saving patient lives?

30. 8710 the a medical staff management professional consultancy [email_address] [email_address]