Federation of State Medical Boards (FSMB)



Federation of State Medical Boards (FSMB)

Presentation included information regarding the Board Action Data Bank (), a database of physician disciplinary actions. This database includes reported international actions but does not have malpractice actions (which are reported to/by the National Practitioner Data Bank). If physician information is not in the database it takes approximately 60 days for national information and 70 days for international information to get into the system. The FSMB’s annual meeting will be in Chicago April 10-11.

JCAHO

Announcing Shared Visions New Pathways, coming 1/1/2004, which is a reengineered approach to accreditation. This involves a shift from survey preparation to systems improvement with focus on patient care and safety. The process of shifting to this type of focus should/will take hospitals several years to accomplish.

The new approach will include an Organization Self Assessment, which focuses on all the standards and is completed by the 18-month point in the accreditation process. JCAHO will review and approve the plan.

The new approach also includes:

• Priority Focus Process that must be relevant to patient safety and quality of care specific to the health care organization

• Tracer Methodology following a patient through the health care system

A Medical Staff Task Force was created to evaluate the need for changes to the standards. Changes to the 2003 Medical Staff standards include:

1) Designated Equivalent Sources, e.g., AMA Masterfile, AOA, ECFMG, etc.

2) Temporary Privileges (MS5.14.4)

- A new applicant with a completed application waiting for MEC recommendation and governing body approval can have temporary privileges for up to 120 days

- Can be granted for patient care need which requires rapid authorization to practice

- Can be granted to offer life saving measures

3) Emergency Privileges (MS 5.14.4.1)

- Created as a response to 9/11

- Renamed “disaster” privileges

- Must support the Emergency Management Plan

- Minimum requirements (only 1 needed)

i. Acceptable ID includes current hospital ID badge, current license to practice and a picture ID

ii. Member of emergency medical team

iii. Personal knowledge by medical staff

- Should have a “Safety Net” which states the credentials verification process will have a high priority and the process should begin when the immediate situation is under control

New issues related to Credentialing and Privileging for 2004 include who should have medical staff privileges vs. medical staff membership. Groups being discussed include:

• Licensed Independent Practitioners (LIP)

• Licensed but supervised

• Practitioners with licenses who work through orders from LIPs

Questions and comments can be sent to Rawise@

ACCREDITATION OF PERSONNEL CERTIFICATION BODIES (Accrediting the accredit or)

Anticipated outcomes of this program:

• Increase the quality of personnel certification practices (“internationalize the workforce”)

• Identify best practices to share with certifying community

• Reciprocity agreements with other countries

• Creation of world conference on personnel certification

Progress to date:

• Creation of accreditation committee

• Certification courses for training assessors

• Pilot program

Will begin accepting applications 3/3/03

NCQA UPDATE

No NCQA representative. Per Chris Giles, NCQA want examples of survey/surveyor discrepancies

NPDB

Evaluating how residents are reported to NPDB and reporting/querying all licensed healthcare providers

AMA Physician Masterfile

Includes all MDs and 94% of the Dos

All information is primary source verified and updated annually

Shows all state licenses (past and present)

Gives sanctions but no detail

Check ABMS quarterly

DEA monthly

Medicare/Medicaid sanctions are checked

Upcoming:

• Website will be updated

• Online discrepancy tracking

• American Academy of Physician Assistants may be incorporated into website

NOTE: The AMA does not verify completion of training programs

CAQH (now Council for Affordable Quality Healthcare)

Have created the Universal Credentialing Data Source

Continues to be health plan focused

Some hospitals are starting to participate

Having discussions with JCAHO

Considering a “purchasing cooperative” for CVOs

CAQH owns the system and the data (not Geo Access)

Current cost is $3000/year maintenance fee and $4.50/MD/year

ACTION ITEMS:

Next forum: February 20-21, 2004 in Phoenix. Coordinator: Diane Oeste

Recommended topics for discussion:

• Biometrics

• Standardization of credentialing definitions for JCAHO

• Telemedicine

• Criminal background checks

• Non-licensed providers

• Pursue having a malpractice insurance carrier attend

• FSMB update on legislative information

Diane Oeste will pursue getting CEUs for the next forum

Group should consider creation of a group/liaison to JCAHO, NCQA, etc. from the forum

Carol Walker will put a page on her website for ongoing input from the group

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