9:00 a.m. – 10:00 a.m.
A Tale of Two Peer Reviews 2.0
Peer Review Track
Presented by: Sara Cameron, CPCS, CPMSM and Sharon Beckwith
One of the biggest challenges for most medical staffs is what to do with low-volume and no-volume providers. How can the medical staff evaluate medical staff members who do not provide patient care at the hospital? For most accreditation bodies, these providers must undergo periodic appraisals of their current clinical competency during an appropriate evaluation time frame. This program will discuss best practices for determining competency and granting privileges for these providers.
Tomorrow's MSP® Skillsets: Analytical Thinking | Clinical Competence | Communication | Evaluation | Quality Review/Quality
Systemwide Criteria-Based Privileging: 5 Essential Steps for Achieving Buy-In and Success
Systems Track
Presented by: Sally J. Pelletier, CPMSM, CPCS and Frances Ponsioen, CPMSM, CPCS
As healthcare becomes more and more integrated through consolidation, acquisitions, and mergers, it becomes increasingly difficult for a system or network to achieve a highly effective systemwide, criteria-based privileging methodology. And yet, COVID crystalized the need for systems to be nimble in leveraging privileged practitioners across their delivery enterprise. This session will focus on five essential steps to achieve buy-in and success through the development and implementation of a systemwide, criteria-based privileging approach that addresses how to manage autonomous cultures, disparate criteria, and distinctly different formats, while embracing the use of technology and the need for systemness.
Tomorrow's MSP® Skillsets: Analytical Thinking | Change Management | Clinical Competence | Evaluation | Flexibility/Adaptability | Political Savvy | Professional Presence | Project Management | Relationship Building
The Many Roles of the MSP: Understanding How to Look at your Work through a Different Lens
Leadership & Professional Development Track
Presented by: Dustin N. Jackson, MHA, CPCS, CPMSM
Within the role of the Medical Services Professional, we often find ourselves interacting with others throughout the health system, such as legal services, risk management, and patient safety to name a few. This interactive session will teach us not only how to work with our trusted colleagues, but how to view the work that we are doing through their lens in order to create a strong partnerships and a cross functional team that adds value to our system, our patients and our own professional development.
Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Evaluation | Flexibility/Adaptability | Legal | Performance Improvement | Political Savvy | Professional Presence | Quality Review/Quality | Relationship Building | Risk Management
Internal vs. External Credentialing: How to Decide What’s Right for Your Organization and Best Practices for Delegation
Credentialing & Privileging Track
Presented by: Jennifer Gillespie, CHC, CHPC, CPMSM, CPCS, CCSFP, and Charlene Frail-McGeever, MBA, CP
Are you considering whether to delegate credentials verification or certify your internal team as a Credentials Verification Organization (CVO)? To help you determine the best option, this session will cover common rules of thumb such as organization size, number of locations, credentialing error rates, provider satisfaction, patient outcomes, cost, and efficiency. The presenters will discuss the pros and cons of internal vs. delegation and in the case of delegation and offer selection criteria to find the best match for optimum success in a sustainable and successful relationship. The presenters will outline the critical components of delegation agreements, and guidelines for periodic review and revision.
Tomorrow's MSP® Skillsets: Analytical Thinking | Change Management | Communication | Contracting | Evaluation | Flexibility/Adaptability | Managed Care | Performance Improvement | Relationship Building | Risk Management | Medical Staff Bylaws & Policies/Procedures NEW
11:15 a.m. – 12:15 p.m.
Protecting Patients: Talking with Medical Leadership About the National Practitioner Data Bank
Credentialing & Privileging Track
Presented by: David Loewenstein
Is your medical leadership aware of the requirements of reporting to the NPDB and do they understand the immunity available as part of the peer review process? Each entity which takes a professional review action that adversely affects the physician’s clinical privileges for longer than 30 days must report that action. Additionally, if the entity accepts the surrender of clinical privileges of a physician who is under investigation by the entity relating to possible incompetence or improper professional conduct, or in return for not conducting such an investigation, those actions are also reportable. A “professional review action” is taken during professional review activity. It is based on the competence or professional conduct of a physician, and which affects (or may affect) adversely their clinical privileges. What’s reportable are adverse clinical privileges actions greater than 30 days related to professional competence or conduct; and surrenders of privileges while under investigation. Entities must report on physicians and dentists, and may report on other practitioners. Different elements and requirements of this reporting encompass investigations, nonrenewals, withdrawals of applications, summary suspensions, denials and restrictions, and proctoring. Lastly, there are resources MSPs can use to better understand NPDB clinical privileges reporting, such as infographics, videos, the NPDB Guidebook, and the NPDB web site.
Tomorrow's MSP® Skillsets: Change Management | Legal | Quality Review/Quality | Risk Management | Medical Staff Bylaws & Polices/Procedures (NEW)
Leadership Lessons from the Trenches
Leadership & Professional Development Track
Presented by: Brianna Foulkrod, CPCS, CPMSM, Mathieu Gaulin, CPMSM, CPCS, and Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP
This session will explore leadership lessons learned from the trenches of medical staff services, provider enrollment and medical staff governance. Join experienced MSP-PEP leaders who have lived through the good, the bad, the ugly, and the triumphs of being an MSP-PEP. Get real life tips and advice on taking your leadership journey to the next level and look towards the future of Tomorrow’s MSP. You don’t want to miss all the hot topics including hiring, motivating, recognizing, managing, and empowering staff, the organization and your medical staff.
Tomorrow's MSP® Skillsets: Analytical Thinking | Change Management | Communication | Flexibility/Adaptability | Performance Improvement | Professional Presence | Medical Staff Professionalism (NEW)
What Role(s) Should the Medical Staff Professional Play in Medical Staff Peer Review?
Peer Review Track
Presented by: Mark A. Smith, MD, FACS, CPHQ
This presentation intends to review the basics of the full scale Medical Staff Peer review process and discuss the scope of responsibilities that the Medical Staff Professional has in all the various aspects that comprose Peer Review.
Tomorrow's MSP® Skillsets: Clinical Competence | Performance Improvement | Professional Presence | Quality Review/Quality | Medical Staff Professionalism (NEW)
What Can I Say? What Should I Say?! - Disclosing Performance Concerns
Credentialing and Privileging Track
Presented by: Anne Roberts, Esq., CPMSM, CPCS and Brijen Shah, MD
Program Directors, Department Chairs/Chiefs and Peer References often struggle with how to complete clinical evaluations/reference requests for providers who have had performance concerns. This session will walk through what information should be disclosed and what legal protections are in place for the reviewer. We will also cover what healthcare organizations should be asking on these forms and how to address red flags. A case of a post-graduate trainee will be used to illustrate the session objectives and engage participants in a case based discussion about the legal, regulatory and educational concerns when disclosing provider performance.
Tomorrow's MSP® Skillsets: Clinical Competence | Communication | Evaluation | Human Resources | Professional Ethics | Quality Review/Quality | Medical Staff Professionalism (NEW) | Medical Staff Bylaws & Polices/Procedures (NEW)
Negligent Credentialing
Credentialing & Privileging Track
Presented by: John Synowicki, JD
Negligent credentialing issues can result in a hospital being forced to litigate a medical malpractice action where the hospital itself did nothing wrong, other than perhaps credentialing the physician. These cases also arise where a hospital does not fully disclose information to another hospital, and then gets pulled into someone else's malpractice claim. This presentation will focus on understanding how these claims arise, what you should do to avoid them, and why every hospital needs to be wary of this issue, even if negligent credentialing claims are barred by your state's law.
Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Confidentiality | Evaluation | Legal | Risk Management | Medical Staff Bylaws & Polices/Procedures (NEW)
1:45 p.m. – 2:45 p.m.
Provider Enrollment Basics: What to Do on Day 1, Week 1, Month 1 and Year 1
Provider Enrollment Track
Presented by: Mathieu Gaulin, CPMSM, CPCS, and Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP
Congratulations you’re a Provider Enrollment Professional! Now what? This presentation will walk you through some tips for getting you through Day 1, Week 1, Month 1 and Year 1. Leave better prepared to tackle the most common Enrollment challenges and questions.
Tomorrow's MSP® Skillsets: Analytical Thinking | Change Management | Communication | Flexibility/Adaptability | Managed Care | Performance Improvement
PAs (& APRNS): Emerging Trends and FAQs
Credentialing & Privileging Track
Presented by: Tricia Marriott, PA-C, MPAS, MJ Health Law, CHC and Greg Thomas
With over half a million PAs & APRNs practicing in the US, medical staff professionals are increasingly navigating credentialing challenges related to these practitioners. This session will address the emerging trends in scope of practice and specialty trends, state laws and regulations, and certification/maintenance. FAQs collected from MSP inquiries and social media posts will be covered, including PA/NP interchangeability, FPPE/OPPE, data attribution, and risk management. MSPs will increasingly interact with and facilitate credentialing and privileging for PAs (& APRNS),with a predicted growth of 37% for this workforce in the next few years. This information will keep the MSP "ahead of the curve" and enable them to serve as a trusted resource for their organization.
Tomorrow's MSP® Skillsets: Clinical Competence | Evaluation | Legal | Risk Management | Medical Staff Bylaws & Polices/Procedures (NEW)
Medical Staff Services Performance Measures and Leading Practices
Operational Management Track
Presented by: Kendra Zepeda, CPCS, CPMSM & Kaysha Hervey, CPCS, CPMSM
This presentation will assist in understanding and enhancing operational effectiveness of medical staff services department. Additionally, we will provide recommendations on metrics that impact accreditation and regulatory compliance, and how to create a corrective action plan resulting in measurable improvements. It allows MSPs to set performance expectations that align with regulatory and accreditation standards and organizational policies and procedures. This allows Tomorrow’s MSP to advance the importance of the medical staff services department to the organization and patient safety.
Tomorrow's MSP® Skillsets: Analytical Thinking|Evaluation|Performance Improvement
There's an Imposter Among Us?
Leadership & Professional Development Track
Presented by: Brianna Foulkrod, CPCS, CPMSM and Maggie Palmer, CPCS, CPMSM
Have you ever found your way into a job and felt like you didn't deserve to be there? Have you felt like a fraud at work and like everyone knows that you'll be 'found out' at any moment? Do you have trouble accepting your own successes? You are not alone! Imposter Syndrome is real! In this session, we will learn all about Imposter Syndrome and ways to identify, overcome, and become the hero you always were. This presentation is designed to help MSPs get over their own internal conflict and self-limiting behaviors to ensure that they are Tomorrow's MSP! The hope is that this information is passed down and continually used to create self promotion for years to come.
Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Performance Improvement | Professional Presence | Relationship Building
Harnessing The Intersection of Hospital Quality Improvement and Medical Staff Peer Review
Peer Review Track
Presented by: Dayna Nicholson Gabriella Sherman, MD
Quality metrics and activities are becoming increasingly important both for patient safety and for reimbursement, and hospitals are continuing to integrate into larger health systems, so the interplay between a medical staff’s peer review obligations and hospitals’ quality improvement activities will continue to become more complex. This session will prepare you to address and create synergies in those situations where peer review and quality improvement intersect to improve patient care overall.
Tomorrow's MSP® Skillsets: Clinical Competence | Performance Improvement | Quality Review/Quality | Medical Staff Professionalism (NEW) | Medical Staff Wellness (NEW)
3:45 p.m. – 4:30 p.m.
Reading Between the Lines: Finding the Less Obvious Credentialing Flags
Credentialing & Privileging Track
Presented by: Dustin Jackson, MHA, CPCS, CPMSM
As Medical Staff Professionals we have become proficient at finding the glaring red flags within our credentialing and privileging processes that cause us to immediately pause for assessment, but what about those hidden messages or small clues that can give us insight into larger concerns? This course will give insight into these lesser known credentialing flags and give examples of some of these less obvious flags and how to interpret them.
Tomorrow's MSP® Skillsets: Analytical Thinking | Clinical Competence | Evaluation | Legal | Quality Review/Quality | Risk Management
What You Need to Know When the Medical Staff and Social Media Collide
Operational Management Track
Presented by: Ian Donaldson, JD
Maybe a practitioner at your hospital has tweeted something offensive. Or maybe they have inadvertently posted patient information on their Facebook page. These are all becoming more common occurrences and there are certain tips every MSP needs to know as we enter the wild world of social media!
As more and more of the world shifts to the “metaverse,” we expect incidents of data breaches and other unprofessional behaviors related to the use of social media to explode over the next 5-10 years. MSPs need to be ready to deal with this type of activity when it occurs in their hospitals.
Tomorrow's MSP® Skillsets: Analytical Thinking | Information Technology | Legal | Performance Improvement | Professional Ethics | Risk Management | Medical Staff Professionalism (NEW) | Medical Staff Bylaws & Polices/Procedures (NEW)
Board Certification Requirements: How to Ensure Non-Certified Providers "Stay Sharp"
Credentiailing and Privileging Track
Presented by: Anne Roberts, Esq., CPMSM, CPCS and Brijen Shah, MD
MSP's play an important role in ensuring practitioner competence. As the role of the MSP continues to expand, MSP's must gain deeper insight into the ongoing performance management aspect of a practitioner's practice within their organization and understand the implications of waving criteria set forth in the medical staff Bylaws. MSP's must not only be aware of the Bylaws, but the risks involved in waiving criteria, having inconsistent criteria and ensuring there is equivalent competencies across the organization, particularly when criteria has been waived. As board certification is an increasing quality requirement, MSPs need to be familiar with elements of maintaining certification and when a waiver is issues, supporting medical staff leaders to be able to develop an equivalency for the competencies of medical knowledge and patient care.
Tomorrow's MSP® Skillsets: Analytical Thinking | Change Management | Clinical Competence | Evaluation | Medical Staff Bylaws & Polices/Procedures (NEW)
Provider Enrollment: Challenging Case Studies
Provider Enrollment Track
Presented by: Diana "Di" Hall, CPCS, CPMSM, FMSP
Provider Enrollment has become an essential competency for Medical Service Professionals and research has demonstrated the core function this expertise plays in the profession to become Tomorrow’s MSPs. This panel discussion session will evaluate Provider Enrollment challenging case studies and those issues that keep you up at night. Of course, we all hope our jobs go smoothly; but, what happens when things go off the walls?! How do you respond to the “horror story” level situations, like fraud, or if you/your facility are sued for not getting enrollments done in a timely manner? You, as the audience, will share some of your past horror stories but more importantly, how you got through them—and how your peers can too. You will walk away with the understanding that you are not alone in your navigation of the provider enrollment world, insights into lessons learned and how to apply them to future difficult experiences, and practical resources for Provider Enrollment Professionals.
Tomorrow's MSP® Skillsets: Analytical Thinking | Managed Care | Change Management | Communication | Flexibility/Adaptability
NCQA's Credentialing Processes and Fundamentals
Accreditation & Regulatory Track
Presented by: Gerald Stewart, Tandeece Mazloum-Yazdi
Ever wish you could get your questions answered concerning the NCQA credentialing standards relative your specific credentialing situation or organization type? This session will cover the new credentialing system security controls requirements and expectations for the organizations and delegates. Feel free to ask questions about requirements related to the accuracy practitioner directories and member materials. This course blends a short, focused lecture with a live extended Q&A to optimize the learning experience. Let’s talk about what matters to you!
Tomorrow's MSP® Skillsets: Risk Management | Managed Care | Communication | Confidentiality | Flexibility/Adaptability | Quality Review/Quality/Performance Improvement | Medical Staff Professionalism | Medical Staff Bylaws & Policies/Procedures | Remote People Management
4:30 p.m. – 5:30 p.m.
Gold Standard Sessions
Provider Enrollment Basics: What to Do on Day 1, Week 1, Month 1 and Year 1
Provider Enrollment Track
Presented by: Mathieu Gaulin, CPMSM, CPCS, and Jenny Jackson, EdD, MBA, CPMSM, CPCS, FMSP
Congratulations you’re a Provider Enrollment Professional! Now what? This presentation will walk you through some tips for getting you through Day 1, Week 1, Month 1 and Year 1. Leave better prepared to tackle the most common Enrollment challenges and questions.
This aligns to a well rounded MSP/PEP of tomorrow through learning about other career opportunities or ways in which to expand their skillsets.
Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Flexibility/Adaptability | Managed Care | Performance Improvement
Verify and Comply: CMS, JC, ACHC, DNV, and NCQA Credentialing Standards Compared and Contrasted
Accreditation & Regulatory Track
Presented by: Sally J. Pelletier, CPMSM, CPCS and Frances Ponsioen, CPMSM, CPCS
Compliance with multiple regulatory and accreditation standards is mandatory for healthcare organizations; however, it is becoming increasingly challenging to understand the similarities and differences in requirements. This session compares and contrasts the specific standards for the five agencies in a manner that is unlike any other. Join us to receive an informative and concise understanding of accreditation requirements related to credentialing. If you are working toward your certification, this session is for you. Don’t miss it!
Tomorrow's MSP needs to understand the broad perspective of regulatory and accrediting organization's standards to enhance their value across their enterprise. This session also helps to prepare them to take that next step in their professional career - achieving certification.
Tomorrow's MSP® Skillsets: Analytical Thinking|Evaluation|Risk Management
Mentoring 101
Leadership & Professional Development Track
Presented by: Chris Hinton, CPCS, CPMSM, and Phillip Iverson, CPCS, CPMSM
Hitting the headlines are the physicians who are the subject of arrested, class actions or who become the subject of news media and documentaries. They have treated multiple patients over the years and been productive members of the medical staff. Now hundreds of patients are banding together to file actions that can bankrupt an organization or when peer review fails the investigative reporters and criminal system intervenes. The culture of silence needs to be changed and it can be changed through education and transparency. Join Kay and Erin as they explore new actions against providers and discuss strategies for avoiding this at your organization.
Tomorrow's MSP® Skillsets: Analytical Thinking | Communication | Human Resources | Performance Improvement | Presentation Skills | Professional Presence | Relationship Building | Team Building | Medical Staff Professionalism (NEW)
Hiding in Plain Sight
Credentiailing and Privileging Track
Presented by: Kay Brown, CPMSM, CPCS and Erin Muellenberg, JD, CPMSM, CPCS
Hitting the headlines are the physicians who are the subject of arrested, class actions or who become the subject of news media and documentaries. They have treated multiple patients over the years and been productive members of the medical staff. Now hundreds of patients are banding together to file actions that can bankrupt an organization or when peer review fails the investigative reporters and criminal system intervenes. The culture of silence needs to be changed and it can be changed through education and transparency join Kay and Erin as they explore new actions against providers and discuss strategies for avoiding this at your organization.
Tomorrow's MSP is key to identifying the potential problem practitioners, imposters and criminals. Knowing these problems exist Tomorrow's MSP can claim their seat at the executive table by having processes in place to identify and stop these individuals.
Tomorrow's MSP® Skillsets: Coming Soon
Systems Panel Discussion
Systems Track
Presented by: Michelle Higgins, CPMSM, CPCS, BA; Karen Claxton, CPCS, CPMSM, FMSP
Hospital mergers and acquisitions are expected to increase and exceed pre-pandemic records in the United States. This panel discussion session will discuss systems integration as it pertains to the Medical Staff and Medical Staff Services Department, providing a unique insight from both sides of the table.
Tomorrow's MSP® Skillsets: Change Management | Communication | Medical Staff Bylaws/Policies | Flexibility/Adaptability | Project Management | Relationship Building | Team Building
= session to be offered in person and livestreamed for virtual-only attendees