Working better and smarter, that’s what we all strive for, isn’t it? That’s definitely a goal of ours, which is why we recently released a smart logic functionality within Privilege smart logic. This new smart logic offered in CredentialStream® leverages industry-leading content (vContent) and unique curated data sets (vSource tables, VVP, and Insights) to assist in the speed, efficiency, and effectiveness of evaluating data during specific credentialing workflows. Privilege smart logic will help clinical and non-clinical decision-making, reduce variability, and optimize patient care delivery. Curious to see how it all works? Watch a recording of our webinar, CredentialStream Just Got Even Smarter: Use Smart Logic to Connect Privilege Smart logic Data or read below for a summary of the webinar for the main takeaways.
Privilege with CredentialStream Smart Logic functionality was created to facilitate the privileging process for providers and reviewers. Its purpose is to proactively make use of information about a provider’s education/training/board certification for privileges that are already contained within CredentialStream at the time the provider applies for privileges. It was also designed to help ensure that privileging criteria are clearly identified, obtained and that it’s clear to the decision-makers during the credentialing process whether or not criteria have been met.
The idea of smart logic functionality is to be more intentional about the process, and, well, more logical too. So that now, at the beginning of the application process, when the provider is filling out their application and deciding what they are requesting, the system automatically flags and indicates whether or not certain criteria for privileges are being met. Now that we understand the why, let’s dig into the how.
CredentialStream® has a provider Hub, which gives clinicians the chance to complete a variety of tasks, including their application. Within the privilege section of the Hub, the smart logic feature assists by confirming met requirements or by flagging any unmet needs.
Once the application is submitted through the Hub, the Medical Services Professional (MSP) will be presented with indicators of unmet qualification on the Application Review Screen. CredentialStream users will have the chance to review comments made by the provider and make any additional comments they believe reviewers down the line may find helpful. Users can use that same Application Review Screen to discuss missing criteria and, if applicable, eventually resolve the unmet qualification, which would then remove the comment altogether once it’s been addressed.
Note: The information grid on this screen allows for a column filter. One of the filters is called “Qualifications Met.” While using smart logic functionality, users can configure the grid to include this column so that any information related to the fulfillment of qualifications can be displayed.
Once the provider has submitted their application and the MSP has made their contributions, the application is ready for clinical review by the Chair or Chief. While in the Hub, the reviewer will receive an alert regarding any qualifications that have been flagged on any given privilege form. They will also have the ability to make recommendations and determinations on the form in the same way they do now.
One thing to note about the smart logic functionality is that it is only available to current CredentialStream users. When you’re ready to use the feature, all you have to do is navigate to the System Parameters System Settings tab and locate the Privilege Settings area. There you will be given the option to set the new toggle called “Use Privilege smart logic for Qualifications” to the yes position, and it will be activated.
For now, smart logic applies to two qualification types:
CredentialStream ensures that any areas being utilized by the smart connections from the provider Hub are automatically available within the Apply configuration.
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