HealthStream 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 ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
View All ProductsTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsNurseGrid and Keener - HealthStream's mobile apps built by nurses, for nurses - help nurses take control of their schedules, practice self-care, and build a more sustainable career.
View All ProductsTake the stress out of scheduling with real-time technology that engages nurses and healthcare workers from HealthStream.
View All ProductsProvide an easier way to view healthcare staff capacity insights while seeing a patient’s journey with HealthStream’s operational intelligence and machine learning products.
View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreThe following guest blog post from VerityStream, was written by Randy Carden, Contract Research Consultant, HealthStream.
Medical Services Professionals (MSPs) are the gatekeepers of patient safety for healthcare organizations, according to NAMSS (National Association Medical Staff Services), a professional organization comprised of 6000+ MSPs. What does this gatekeeper role mean in the healthcare industry? Credentialing and privileging are designed to assess the competency of providers who deliver healthcare services to an organization’s patients. Most MSPs would say that their involvement in the credentialing, privileging and re-credentialing of providers (physicians, dentists, podiatrists, psychologists and additional advanced practice professionals such as nurse practitioners and physician assistants) is the critical factor in making MSPs the gatekeepers of patient safety.
MSPs obtain data about providers, verify and assess the information and then manage the decision-making process of the medical staff leadership and governing body. The decision-making process determines the provider’s membership (credentialing) and specific services (privileging) that may be delivered within the healthcare system.
The World of Credentialing is Undergoing Significant Change
In today’s healthcare organizations, there may be a MSO (Medical Staff Office) or a CVO (a centralized verification office that performs credentialing on behalf of multiple facilities within a health system). A CVO may provide credentialing services to multiple MSOs within a health system—as well as to an enrollment department, where processes are put in place to enroll providers with multiple payers. The landscape of this essential healthcare function is changing rapidly.
In order to explore the issues involved in more detail, a survey was conducted between December 2017 and January 2018 that includes responses from 683 MSPs. This study was conducted independently by VerityStream. A previous study, conducted in 2016 and published in 2017, was performed cooperatively with NAMSS. On a few key issues you will see how responses changed from the previous survey to this survey.
The following table shows a full list of the activities included in the study and the degree they have been fully or partially successfully implemented. Text in orange indicates items that are most closely related to improvement of each of four initiatives based on a step-wise regression analysis of the results. These items should be prioritized for improvement as they are most predictive of respondents’ overall ratings of that initiative.
Initiative Activities Fully or Partially Implemented
% Fully or Partially successfully implemented |
|
PROCESS IMPROVEMENT |
|
Reducing initial and re-credentialing time frames through automation |
78.3% |
Implementing an automated, paperless process for primary source verifications |
71.6% |
Implementing an automated, paperless process for online provider applications |
63.6% |
Implementing electronic, paperless credentialing files for your providers |
63.1% |
Implementing an automated, paperless process for delineation and tracking of privileges |
57.5% |
Implementing a paperless process for your committee reviews and decisions |
42.8% |
Automating OPPE performance profiles and workflow |
33.9% |
Automating the peer review process |
32.4% |
PROVIDER DATA MANAGEMENT |
|
Implementing a single, master provider database for your enterprise that is the single source of truth for provider data |
76.2% |
Integrating your provider data with downstream applications including EMR, laboratory, pharmacy, billing, payer and marketing databases |
45.1% |
Managing, updating, and validating data on referring providers |
44.1% |
Creating new data roles within your MSO or CVO including Director of Provider Analytics, Database Administrators, Data Scientists, or others |
25.8% |
Adding data to your provider database including CAHPS data, social media information, and information that reflects patient input |
13.5% |
CENTRALIZATION & STANDARDIZATION |
|
Implementing a single online application for your entire organization |
61.9% |
Standardizing privileging criteria, forms, and core privileges across the enterprise |
57.6% |
Updating medical staff by-laws to reflect enterprise processes and standards |
56.2% |
Implementing a centralized or regional CVO separate from your MSO |
46.1% |
Integrating your Provider Enrollment activities within your MSO(s) or CVO |
42.8% |
Implementing a centralized or regional MSO to support multiple facilities |
39.2% |
SERVICE EXPANSION |
|
Managing the Provider Directory for your “Find the Doctor” functionality on your website |
55.8% |
Handling Delegated Credentialing services |
49.7% |
Developing an integrated provider onboarding process across multiple departments |
48.8% |
Managing the Provider Enrollment process for your providers by requesting their participation in a health insurance network as a Participating Provider |
40.5% |
Providing and tracking Continuing Medical Education (CMEs) for your providers |
38.2% |
Handling network management and managed care responsibilities for the payer and ACO entities within your organization |
30.9% |
Managing or coordinating graduate medical education programs |
26.6% |
Non-provider credentialing services for employees including nurses and other staff |
22.1% |
Download the report here.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
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 ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
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.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsImprove the preparedness of your staff, increase survival rates, and cut costs with the advanced resuscitation training services from HealthStream.
View All ResuscitationNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsDelivers everything you need to request, gather, and validate information about a provider to create a single source of truth for downstream processes.
View All CredentialingMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All Scheduling & Capacity ManagementNurseGrid and Keener - HealthStream's mobile apps built by nurses, for nurses - help nurses take control of their schedules, practice self-care, and build a more sustainable career.
View All ProductsTake the stress out of scheduling with real-time technology that engages nurses and healthcare workers from HealthStream.
View All ProductsProvide an easier way to view healthcare staff capacity insights while seeing a patient’s journey with HealthStream’s operational intelligence and machine learning products.
View All Products