Quality Systems Group, LLC.- Medical Management Consulting, Regulatory Staffing, Interim Staffing

MEDICAL STAFF SERVICES

Medical Staff members are an organizational aspect unique to hospitals. They have traditionally been both part of the hospital and apart from its functioning. Competitive pressures and changes in the external environment are eroding the traditional separations of Medical Staffs and hospitals.

New structures such as Physician-Hospital Organizations (PHO's) and Independent Practitioner associations (IPA's) are being formed to compete jointly for health care contracts, to establish direct contracting relationships with employers, and to distribute combined reimbursement systems. Additionally, hospitals and Medical Staff members are working as partners in developing clinical pathways, participating in interdepartmental improvement teams and addressing clinical care guidelines. Whether the issue is a traditional one or whether new structures and processes are being contemplated, an external perspective is often invaluable when working with change.

Quality Systems Group provides the following assistance with Medical Staff issues:

Organizing systems for measurement assessment and improvement of Medical Staff performance
Establishing effective Medical Staff and Allied Health credentialing processes
Utilizing performance data in credentialing functions
Assisting in Medical Staff bylaws and policy review and revision
Developing alternative Medical Staff structures
Planning and leading Medical Staff retreats
Evaluating compliance with the National Practitioner Data Bank, the Health Care Quality Improvement Act and related regulatory requirements
Assessing satisfaction with current hospital services
Orienting medical leaders to their roles, responsibilities, methodologies and systems
Assisting with the establishment of clinical pathways
Integrating Medical Staff leaders with hospital leadership development
Analyzing the effectiveness of Medical Staff Office operations; and
Assessing Medical Staff activities for compliance with Joint Commission accreditation standards and CMS Conditions of Participation regulations.