The magnetic pull.
Nursing Management continues this popular series that examines the major attributes of organizations earning Magnet status from the American Nurses Credentialing Center.
Academic Medical Centers↗
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Results for “Credentialing”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
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The New York State postgraduate fifth-year dental residency as a new licensure path: concerns for public protection.
The recently enacted law creating an alternative pathway to dental licensure in New York state is benchmark legislation. Along with the positive effects of dental education that may ensue, the author has serious concerns that the strongly emotional and political debate occurring during the bill's consideration obscured important considerations for public safety and the erosion of standards for licensure in New York. In addition, this pathway has potential to negatively affect freedom of movement and licensure by credentials for practice in other jurisdictions.
Accreditation↗
Quality assurance and hospital structure: how the physician-hospital relationship affects quality measures.
Mr. Spaeth writes about the relationship between hospital administration and the physician, and how that relationship affects the quality of medical care delivered to the patient. The article focuses on the differences between the employment structure in an academic teaching hospital, and the open, independent contractor medical staff typical of a traditionally smaller community hospitals. The individual traits and nuances of these structures and how they can be distinguished from one another create dynamic differences in the approach for quality care. Peer review, credentialing, and management of adverse outcomes are just a few of the ways in which hospitals continue to strive to provide higher quality care, but the way these methods are implemented and performed in different hospital structures are dramatically different, yielding distinct results. Mr. Spaeth argues that the challenges faced by community hospitals in their effort to provide higher quality care and eliminate medical error are exacerbated because of their unique structure and the particular relationship physicians share with the hospital and its administration.
Contract Services↗
PLANNING HOSPITAL LIBRARY QUARTERS: REFERENCES TO HELP THE LIBRARIAN.
When a hospital planned an addition that would allow library expansion, the librarian looked into relevant literature for information on what improvements she should request for the new library. Shortly she was reading not for self-instruction alone but also to strengthen her credentials for membership on the planning team. The bibliography which resulted has been annotated and, by means of an index, classified. Topics examined in the twenty-five references range from library standards and the writing of a significant building program to attainment of happy collaboration between librarian and architect, space relationships designed to facilitate work flow, planned flexibility for the sake of the future, and heating, lighting, decoration, library equipment, and furniture.
Architecture↗
The med.pro domain.
The evolution of the Internet Domain Name System is summarized. The credentialing requirements with respect to licensure, board certification, and affiliations for obtaining a med.pro address are described. Security issues are discussed, and the mechanisms for obtaining a med.pro are delineated. The relative advantages and disadvantages of the med.pro domain are presented.
Computer Security↗
The Magnetic pull. The U.S. health care infrastructure now boasts more than 100 magnet facilities--and counting.
Discover the major attributes of the facilities that earn Magnet status from the American Nurses Credentialing Center.
American Nurses' Association↗
The Magnetic pull. Hospitals use Magnet status to attract new talent.
Three hospitals share the processes through which they earned Magnet status from the American Nurses Credentialing Center.
Community-Institutional Relations↗
The Magnetic pull: does your facility have what it takes to attain Magnet recognition?
Review the processes and unique offerings through which six hospitals gained the coveted Magnet recognition from the American Nurses Credentialing Center.
Benchmarking↗
A shortage of health information management professionals: how would we know?
The introduction of computers, the expansion of health insurance coverage through employers and government programs, and the increased use of personal health information have created a demand for a new breed of qualified medical record and health information personnel. The health information management workforce, which is entrusted with accurately coding, maintaining, storing, managing, analyzing, and disseminating all personal health information created from health care encounters, is reportedly in short supply. Given the complexity in defining and enumerating the profession, it is challenging to determine if such a shortage exists. There is a lack of uniformity across scope of practice, job titles, educational paths, and credentials. We report selected findings from a study of the health information management profession in North Carolina illustrating the methodologic problems encountered when measuring the supply and demand of this workforce. A case is made that greater standardization across these multiple facets of the profession would be beneficial to the workforce, and we offer recommendations on how this could be accomplished.
Certification↗
Review exclusive contracts in light of recent challenges.
Many hospitals hold exclusive physician contracts, primarily with hospital-based specialists such as pathologists, radiologists, emergency physicians and anesthesiologists. But some physicians are beginning to view exclusive contracting as a form of economic credentialing, and have begun challenging such contracts in the courts in a number of states.
Constitution and Bylaws↗
Evaluation of a new method to verify CE completion.
Methods of verifying completion of continuing education activities have changed recently as a result of adjustments in the criteria established by the American Nurses Credentialing Center's Commission on Accreditation. Evaluation of the new method of verifying completion of CE articles in Urologic Nursing in 2003 yielded findings that demonstrated that individuals who sent CE answer/evaluation forms for CE articles were thoughtful and insightful in their responses. The responders reported that they learned new information and planned to apply the new knowledge to their practice.
Credentialing↗
Development of certified health education specialists (CHES) in the United States: focusing on the CHES responsibilities and competencies.
Health education is an important profession. The certification of health education specialists (CHES) has evolved in the United States (U.S.) over the past 50 years. This article briefly focuses on the CHES system in the U.S. and research studies related to this topic, including coverage of the CHES responsibilities and competencies by professional school programs in the U.S., as well as other CHES issues. The CHES credentialing system in the U.S. was successfully developed over a long period of time, and its history in the U.S. is unique. Japan has now started to develop a similar certification process and is concerned about academic programs for training Japanese health educators. Awareness of the CHES system and the U.S. health education certification process and framework may help Japanese health educators and academics to tailor their health education certification processes more effectively.
Certification↗
Fitness, knowledge, progress: assessing physician qualification.
The informed and empowered consumer is an ideal invoked by many would-be health care reformers. An actual consumer wishing to don the mantle of power may be hindered by the scarcity of information available, particularly with respect to choosing among physicians. How is one to know who is best qualified? This issue brief looks at the basics of physician qualification and the processes by which physicians are licensed, credentialed, and board-certified. It examines how the evolution of these processes (for example, the move from lifetime certification to ongoing maintenance of certification) affects clinicians and their patients. The rise of quality measurement and pay-for-performance programs is considered as well.
Clinical Competence↗
Insurer policies create barriers to health care access and consumer choice.
A national survey shows that most insurance companies refuse to credential nurse practitioners in nurse-managed health centers as primary care providers. These prohibitive policies along with weak federal and state laws threaten the long-term sustainability of nurse-managed health centers as safety net health care providers, and the ability for nurse practitioners to become an accepted primary health care source in the United States.
Attitude to Health↗
Addressing the need for HIV specialists: the AAHIVM perspective.
HIV medicine is a complex and rapidly changing field that requires experienced care providers. Clinical research has shown what has always been intuitive: providers with more experience have patients with better outcomes, and the resultant decrease in morbidity, mortality, and inpatient costs of expert care are cost-effective. As a result, there is a need to identify providers who can give the best quality care to persons living with HIV/AIDS. The American Academy of HIV Medicine has established a credentialing process to identify HIV specialists who demonstrate continuing competency in key aspects of HIV medicine from among a broad range of HIV health care providers. Several other organizations have attempted to identify qualified HIV medical providers but differ in key aspects of their definition of an HIV expert, with differing effects on the quality of health care delivered to persons living with HIV/AIDS. There is a need for all interested parties to come together to find solutions; to address the need for, and barriers to, increasing the number of HIV specialists; and to come to a consensus about the best way to ensure quality care for all those living with HIV/AIDS.
Clinical Competence↗
Survey: employee, MD issues top list of D&O insurance claims.
A new survey finds that the number of directors' and officers' liability insurance claims in health care has increased since last year. Wrongful employee termination and physician credentialing topped the list of claims.
Credentialing↗
Pharmacist career ladder with clinical privilege categories.
The development of a career ladder program for staff pharmacists at a Department of Veterans Affairs (VA) medical center is recounted. Center policy required the establishment of clinical privileges for all pharmacists with direct patient contact and specified three VA privilege categories with increasing degrees of autonomy. The pharmacy department supported the need for all pharmacists to incorporate clinical activities into their daily practice but faced several problems, including inadequate instruction, insufficient incentives, fragmentation of clinical services, and subjectivity of measures of competence. In response, a pharmacy credentialing committee created a career ladder with three levels based on the established system of clinical privileges. Level A integrated basic clinical pharmacy knowledge with dispensing activities. Level B increased the number of clinical skills required and allowed the pharmacist to act as a therapeutic consultant. Level C incorporated the skills necessary for specialty practice. Instructors were designated for each clinical service area, readings and sample problems were assigned, and staff development presentations were improved. Objective tests of skills were designed. Combining the three levels on the career ladder with the three categories of clinical privileges formed a matrix of nine options for advancement. Pharmacists applying for advancement must master all requisite skills and submit relevant documentation. Each level carries a pay increase of 2%. A total of 53% of the staff pharmacists have participated in the program, which has had a favorable impact on staff retention. By combining nationally established categories of clinical privileges with an institution-specific career ladder, a pharmacy department helped ensure the consistency of services and promote the development of clinical practitioners.
Career Mobility↗
The process of quality assurance. Quality indicators in clinical pathology.
The process of developing and using indicators of quality performance in laboratory medicine presents significant problems for clinical pathologists. Although there have been many proposed indicators, many fail to provide meaningful information. Four types of quality indicators (data reliability, laboratory management, clinical utilization, and pathologist credentialing) are proposed and examples of their use are given.
Credentialing↗