![6 Credentialing Metrics to Standardize](https://www.healthstream.com/images/default-source/blog/6-credentialing-metrics-to-standardize.jpg?sfvrsn=1fd5a912_0)
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Learn More“The industry is seeking comparative information on credentialing metrics, but because organizations use different definitions in their methods of collecting data there are not a lot of metrics yet. Without establishing industry standards on how credentialing metrics are defined, there cannot be benchmarks.”
The importance of establishing industry standards on how credentialing metrics are defined cannot be understated. Organizations should prioritize the following six metrics for standardization in order to benchmark data with other organizations. Only from there can an organization compare themselves to similar organizations and identify areas of strength and opportunities for improvement.
This is an important metric to track because it can show the value of completing an online application instead of submitting an application via email or mail. When you start analyzing your data you will quickly discover which method is taking the most time. It may be that a paper application takes longer because of the extra days needed for mailing; or the provider could be taking a long time to gather the requested information because you are asking for too much data. A lot can be learned by simply looking at what you are requesting and how the application is submitted.
The industry has a long way to go before agreeing on a standard definition of a completed initial application, but every organization should clearly define this internally so that they know when to begin verification. Typically, the two elements required for this are that the application has been signed and the critical components of that application are complete. Additionally, if the provider asks for privileges, they must have signed and submitted their privilege request. The industry is looking for how long it takes an organization to perform primary source verification after receiving the completed initial application.
There are several reasons that a file might be returned for additional verification. It could be that the file was incomplete, upon being audited not all of the policies and procedures were followed, the verifications were not done, or that once it reaches the decision-making process there are follow-up questions. Identifying how many initial files were returned and why can provide important data internally and nationally.
It is important to decide as an organization when an initial application is considered complete and ready for submission into the evaluation and decision-making process. Then, each step of the process should be measured—what is the amount of time it takes from when the primary source verification is complete to the evaluation and decision-making process to the final governing body decision? If this data can be collected and national averages can be gathered, you will have a starting place for analysis and comparison to other organizations.
Looking at the overall process time separately will be an important metric for your organization and the industry.
This metric looks at the length of time from the completion of the primary source verification to when a provider can exercise privileges, even if the applicant has only been given temporary privileges. Organizations should capture this data because most want to know how long it will take until the applicant can begin working, and some providers are able to start providing services before the board has made the final decision.
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View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
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View All ProductsStandardize policy and procedure management with an automated, customized, and centralized system.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
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View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsUnlocking the full potential of clinicians goes beyond aspiration – it’s a commitment we embody. Our competency development solutions help personalize learning for every clinician so you can confidently bridge the gap between theory and practice for your nurse residents while meeting the unique development needs of your seasoned clinician.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing challenges, standardize orientation and onboarding, and deliver an effective training program for your team to easily achieve and maintain certification with our critical, emergency, and acute care solutions.
View All ProductsWe understand the critical importance of earning and maintaining your patients' trust in the delivery of exceptional sedation and surgical outcomes. As a premier provider of healthcare education, we are committed to empowering you in promoting safer, more successful outcomes for each and every patient, without exception.
View All ProductsOur solutions are meticulously designed to cater to the diverse needs of patients, healthcare professionals, and organizations. Within this innovative framework, we have curated specialized subsets of solutions aimed at addressing the ever-evolving challenges faced by individuals dealing with illnesses or chronic conditions.
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