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PubMed1997

A primer on risk management for ambulatory surgery.

This article shows that the trend for many types of surgery to move outside the inpatient hospital setting to ambulatory settings has implications for risk management in the areas of patient selection, patient education, physician credentialing, communication and documentation, discharge planning, and patient follow-up. This article identifies risk exposures in ambulatory surgery and presents strategies for mitigating these risks.

Ambulatory Surgical Procedures↗

PubMedDate not supplied

Preparation for burn center verification.

Today's managed care environment has challenged health care institutions to deliver quality cost-effective health care. In the burn community the American Burn Association/American College of Surgeons Burn Center Verification has become an increasingly sought after quality credential. Essential to successful completion of the verification process is the identification of key components that must be in place before an application is submitted. These components must be well documented and present in the application and during the site visit. Adequate burn team preparation is a significant contributor to successful verification. In addition, the process necessitates self-examination and acquires the benefits of validating current practices and identifying opportunities for improved patient care and efficient operation. This article details the preparation process undertaken by one burn center before its successful verification.

Burn Units↗

PubMed2002

Regulatory and medical-legal aspects of intraoperative monitoring.

Public policies are in place for health care to insure high quality, organized delivery of care to patients. Public policy issues for intraoperative monitoring include billing, coding, reimbursement, staffing, device approval, and liability. Staffing issues include privileging, credentialing, certifying, training, and professionalism. Those staffing processes provide ways that the profession passes judgment on individual's skills, knowledge, abilities, and training relevant to monitoring. These issues are reviewed here, along with a discussion of the respective roles of physicians and non-physicians in monitoring. Various billing codes for intraoperative monitoring are reviewed along with the circumstances in which they are to be used. Policy on the use of non-approved devices is also presented.

Credentialing↗

PubMed2003

Beyond the Magnet award: The ANCC Magnet Program as the framework for culture change.

The nursing shortage has turned the national spotlight onto the need to improve the conditions under which nurses work. The American Nurses Credentialing Center Magnet Recognition Program offers an evidence-based model for nurse leaders interested in transforming the practice climate. The author describes a community hospital's experience in using the magnet standards as the framework for change. The author describes 5 successful standard-driven strategies that have strengthened department infrastructure and refined processes for retaining a professional nurse workforce.

Awards and Prizes↗

PubMed2006

Evaluation of the Magnet Recognition Program.

Launched in the early 1980s, Magnet Recognition has been the focus of nurse administrators for over 2 decades in their quest for excellence in nursing practice and outcomes of patient care. The authors describe a comprehensive evaluation of the appraisal process within the Magnet Recognition Program commissioned by the American Nurses Credentialing Center and discusses recommendations for change in the program.

Awards and Prizes↗

PubMed1993

How to analyze nurse practitioner licensure laws.

Nurse practitioners (NPs) are capable of analyzing the regulation of their practice by state authorities. The annotated nursing statute, the medicine and pharmacy statutes, regulations from those three boards and cases noted in the annotated statutes should be read. Nurse practitioner definitions of practice can be broadly written (making relicensure in a state with similar definition easier) or specific (requiring all states to adopt similar qualifications for endorsement, as is done now with basic RN licensure). Requirements for NP credentialing by nonstate entities have advantages and problems too. State-granted monopoly of licensure is good for NP economics and bad for patient economics. Medical practice law is important to the NP. Pharmacy statutes are important even if the NP statute provides for prescribing. Revision of NP pharmacy law is becoming less necessary as more control of prescribing by guidelines is exercised on nurses and physicians alike. Rules for analysis of statutes are given.

Credentialing↗

PubMedDate not supplied

Best quality patient care: a historical perspective on Magnet hospitals.

Donabedian's Structure-Process-Outcome paradigm is used to analyze the evolution and research on the concept of magnetism through 4 phases. The identifying foci of the original 1983 study were 4 outcomes. A large number and array of structural features were derived from the identified Magnet hospitals. The quest for excellence in nursing care continued with the Gold Standard of Magnetism case studies utilizing all identified Magnet structures, processes, and outcomes. The advent of the American Nurses Credentialing Center Magnet Recognition Program stimulated much valuable and insightful research related to outcomes associated with the large group of magnetic structures. Magnet hospital staff nurses (SNs) identification of processes/functions most essential to quality patient care highlights the Process phase. Many of the vast array of structural features attributed to Magnet hospital in 1983 are outdated and differentially defined and have not been tested for their relationship to either processes or outcomes. Identification of magnetism from an SN perspective has lagged. Recommendations include updating and clarifying structural criteria; increasing focus on the SN perspective of magnetism by continuing identification of processes; and challenging leadership in Magnet hospitals to initiate multisite evidence-based practice initiatives to link structures with process-enabling outcomes. Now may well be the time for nursing to exert leadership in expanding the Magnet concept to the total patient-care operation in a hospital.

Awards and Prizes↗

PubMed2003

Magnet status attracts Russia.

Follow the efforts of Moscow's Central Clinical Hospital as it prepares a project demonstration for the Magnet Nursing Services Recognition Program of the American Nurses Credentialing Center.

American Nurses' Association↗

PubMed2003

The Magnetic pull.

Nursing Management profiles a number of hospitals that attained Magnet status from the American Nurses Credentialing Center.

American Nurses' Association↗

PubMed2003

The Magnetic pull.

Learn how leading hospitals attained Magnet status from the American Nurses Credentialing Center.

American Nurses' Association↗

PubMed2004

The Magnetic pull.

Nursing Management profiles a number of hospitals that attained Magnet status from the American Nurses Credentialing Center.

American Nurses' Association↗

PubMedDate not supplied

The Cleveland Clinic's magnet experience.

The awarding of Magnet Status by the Magnet Nursing Services Recognition Program of the American Nursing Credentialing Center is acknowledged as the achievement of Excellence in Nursing. In this article, The Cleveland Clinic shares insights from its experience in becoming the 72nd Magnet hospital. Questions to ponder when conducting a readiness assessment before embarking on the Magnet journey, techniques to engage the staff in the application process, and writing and organizing tips are shared.

American Nurses' Association↗

PubMed1995

Physician understanding of the National Practitioner Data Bank.

National Practitioner Data Bank (NPDB) reports are part of the process for acquiring staff privileges, professional credentials, and licenses throughout a physician's entire career. We surveyed our hospital's 66 residents to assess their understanding of NPDB. Only 9 residents had heard about NPDB. A follow-up survey of the 10 medical schools in Pennsylvania and Maryland showed just 4 schools covered NPDB in their curricula. Finally, we did a third survey--of 1,410 Pennsylvania Medical Society members. Eighty-one percent did not know that denial of initial license application was not a reportable offense; 69% did not know that voluntary entrance into alcohol/drug rehabilitation was not reportable; and 75% did not know that denial of expanded privileges because of level of clinical competence was reportable. Only 13% knew how to obtain their files. Our surveys suggest physicians have a poor understanding of NPDB even though these reports could have career-jeopardizing implications, especially if the Clinton administration expands access to NPDB.

Adult↗

PubMed2001

Partnership for front-line success: a call for a national action agenda on workforce development.

Despite more than a decade of dialogue on the critical needs and challenges in public health workforce development, progress remains slow in implementing recommended actions. A life-long learning system for public health remains elusive. The Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry in collaboration with other partners in federal, state, local agencies, associations and academia is preparing a national action agenda to address front-line preparedness. Four areas of convergence have emerged regarding: (1) the use of basic and crosscutting public health competencies to develop practice-focused curricula; (2) a framework for certification and credentialing; (3) the need to establish a strong science base for workforce issues; and (4) the acceleration of the use of technology-supported learning in public health.

Centers for Disease Control and Prevention, U.S.↗

PubMedDate not supplied

The CCMC's national study of case manager job descriptions: an understanding of the activities, role relationships, knowledges, skills, and abilities.

Defining the roles and functions of case managers is crucial in today's healthcare environment and necessary for the case management field. One way to address this issue is through the examination of case managers' job descriptions used in various healthcare organizations. The study reported herein used qualitative analysis procedures and the latent class cluster analysis method to examine a national sample of 1028 job descriptions of case managers. The study identified the activities, role relationships, knowledge, skills, and abilities of case managers working in varied settings. It also described the changes that occurred in the practice of case management, based on these job descriptions, over 5 years: from the mid-1990s until the early 2000s. One benefit of this study was a change in one eligibility criterion of the CCM credential. Another was the development of a taxonomy of case managers' roles and functions that can be used as a step toward standardization of case managers' job descriptions.

Attitude of Health Personnel↗

PubMedDate not supplied

A nursing portfolio: documenting your professional journey.

Professional profiling may enhance one's career development. The opportunities to use a current profile abound, and include applying for a new position, a leadership role in a professional society, a scholarship or an award, or career advancement. The true professional updates the profile on an annual basis, emphasizing significant personal and professional accomplishments. Documentation and validation of one's credentials may require substantial effort-but such effort is worth it. Profiling is a step toward recognition and success.

Career Mobility↗

PubMed2004

Legal and ethical challenges in telepsychiatry.

Telepsychiatry in the 21st century poses a wide range of legal and ethical challenges. The authors review issues related to licensure, credentialing, privacy, security, confidentiality, informed consent, and professional liability in the use of telepsychiatry services and illustrate the discussion with hypothetical clinical vignettes. It is clear that there will be a need in the immediate future to create legal instruments as well as formal professional ethical guidelines for the practice of telepsychiatry.

Confidentiality↗

PubMedDate not supplied

Technical standards and guidelines for Huntington disease testing.

One mission of the ACMG Laboratory Quality Assurance (QA) Committee is to develop standards and guidelines for clinical genetics laboratories, including cytogenetics, biochemical, and molecular genetics specialties. This document was developed under the auspices of the Molecular Subcommittee of the Laboratory QA Committee by the Huntington Disease (HD) Working Group. These guidelines are not to be interpreted as restrictive or the only approach but to provide a helpful guide. Certainly, appropriately trained and credentialed laboratory directors have flexibility to utilize various testing platforms and design testing strategies with considerable latitude. We felt that it was essential to include technique-specific guidelines of several current technologies commonly used in laboratories providing HD testing, because the technologies discussed are available commercially and are widely utilized. We take the view that these technologies may change, and thus this document may change with future review.

Credentialing↗