Tuesday October 22

10:15 a.m. - 11:45 a.m. 


Mastering the Mechanics of Managed Care Credentialing 
Amy Niehaus, CPMSM, CPCS, MBA
Credentialing and Privileging Track | TU02 | 1.5 CEs |  Mid-Level

Looking for that foundational knowledge that will enable you to establish a compliant managed care credentialing program from A-Z? This program is for medical services professionals that are new to the managed care field or are seeking delegation from payers.  Using best practices and real-life applications in the workplace, attendees will learn key concepts applicable to NCQA standards and CMS regulations in managed care, including policies and procedures, initial credentialing and recredentialing requirements, acceptable verification sources, ongoing monitoring, facility credentialing, and delegation.  

Resolving Credentialing Concerns for Clinicians Reentering Practice
Elizabeth Korinek, MPH and Sally Pelletier, CPMSM, CPCS
Credentialing and Privileging Track | TU03 | 1.5 CEs | Mid-Level

Returning to practice or reengaging in specific practice areas can be a daunting process, both for the clinician and for the hospital where they seek to practice.   Is your institution open to working with clinicians seeking to return to practice after an extended voluntary absence from patient care?  Do you know what resources are available to help these clinicians regain their skills?  Do you have consistent policies to guide decision-making when addressing requests from clinicians to expand/change their scope of practice and/or refresh skillsets they have not used in several years?  These situations present a career opportunity for the clinician and could address important staffing needs at the hospital. However, they also pose challenges for medical staff professionals (MSPs) tasked with credentialing these clinicians.

MSPs struggle with how to objectively and consistently navigate the requirements of privileging and credentialing processes, while at the same time ensuring that patients are safe and well cared for as these clinicians regain their clinical skills.  This session will identify the unique challenges presented by clinicians who have a gap in patient care or in experience in specific procedures or services.  The session will include an overview of national reentry trends, guidance on reentry policies to ensure you have appropriate processes in place, review of approaches to facilitate an effective and safe transition onto the clinical staff, methods for monitoring to meet focused practice evaluation expectations, and presentation of case studies.

Transforming the Medical Staff Office in a LEAN Process Improvement Environment 
Dustin Jackson, MHA, CPCS, CPMSM and Heather Woodring
Professional Development Track | TU04 | 1.5 CEs | Mid-Level

LEAN process improvement methodology has been used for years in manufacturing, and is gaining popularity in health care.  This session will give you the tools and knowledge to be at the forefront of LEAN performance improvement within your organization by providing fundamentals and principles of LEAN performance improvement methodology as well as real world applications to Medical Staff Office operations and credentialing.

Interactive Case Studies: New and Challenging Issues that Build "Character" 
Erin Mullenberg, JD, CPMSM and John Synowicki, JD
Accreditation and Regulatory Track | TU05 | 1.5 CEs | Advanced 

This interactive session will focus on real cases hospitals and health care organizations have faced.  You will be guided through discussions with your peers and others and then have an opportunity to anonymously vote on how you would have handled the facts.   Following the voting there will be further discussion of the facts, applicable laws and alternative solutions.  This will be a fun and informative session which will provide both networking and learning.

A Discussion with HFAP and URAC 
Accreditation and Privileging Track | TU06 | 1.5 CEs

Session presenters and description details coming soon

2:00 p.m. - 3:30 p.m. 


You're the Expert...Why Aren't You the Leader Yet?
Maggie Palmer, MSA, CPMSM, CPCS and Brianna Foulkrod, CPCS, CPMSM 
Professional Development Track | TU07 | 1.5 CEs | Mid-Level 

You LOVE being an MSP! You love the challenges and the fact no two days are ever the same.  You commit yourself to learning EVERYTHING and feel you are the SME (Subject Matter Expert) in your organization, but no one else notices.  What can you do to get to "the next level", know what the realities are for career growth, and get your leadership to see your potential?  We'll be sharing stories from the trenches as well as experiences of those who have made the trek to senior leadership. 

Verify and Comply: CMS, JC, NCQA, HFAP and DNV Credentialing Standards Compared and Contrasted 
Carol Cairns, CPMSM, CPCS and Sally Pelletier CPMSM, CPCS
Accreditation and Regulatory Track | TU08 | 1.5 CEs | Mid-Level

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.

The Exponential Growth of Telegraph: Essential Knowledge for Organizations That Credential Practioners 
Todd Sagin, MD, JD and Vicki Searcy
Credentialing and Privileging Track | TU09 | 1.5 CEs | Mid-Level 

The scope and breadth of telehealth is transforming the health care industry. It is critical that health care organizations understand the requirements relating to the credentialing telemedicine practitioners. This presentation will first review the current status of telehealth, its acceptance among physicians and patients, and the evidence for its efficacy. The faculty will present the requirements for the privileging of telemedicine practitioners and the challenges posed by evolving and diverse regulatory and accreditation requirements. Several case scenarios will be described to highlight the various considerations that must be weighed by credentialing bodies. 

Enrollment and Credentialing: The Integration Opportunity 
Amy Niehaus, CPMSM, CPCS, MBA
Provider Enrollment Track | TU10 | 1.5 CEs | Mid-Level 

As healthcare organizations continue to search for ways to reduce costs while maintaining quality, the credentialing and enrollment departments are coming to the forefront as ideal candidates for integration.  While both perform distinct and critical functions, there is significant overlap with the practitioner data and skill sets as well as an interdependency crucial for an organization’s success.  Through real-life examples, attendees will learn approaches to successfully integrate these two functions and leverage this opportunity to achieve greater efficiency and enhance revenue within their organization.

Hiding in Plain Sight- 2019 
Erin Muellenberg, JD, CPMSM and Kay Brown, CPMSM, CPCS
Credentialing and Privileging Track | TU11 | 1.5 CEs | Mid-Level


This session will discuss contemporary cases involving providers and impersonators that impacted patient or community safety. Updates will be provided on other cases that have recently been in the news. Finally, this session will identify “red flags” and credentialing processes to help you further investigate findings.

4:00 p.m. - 5:30 p.m.


Telemedicine Credentialing: A Real World Perspective
Angie Kozicky, CPCS, Roberta Monte, Doinique Juif-Robertson and Leslie Gore 
Credentialing and Privileging Track | TU12 | 1.5 CEs | Mid-Level


The world of telemedicine is new, exciting and rapidly changing. In this Q&A session, we will discuss how MSPs manage telemedicine credentialing and privileging, and apply practical examples. Utilizing our combined knowledge of this emerging industry, guidance will be offered to streamline your process and define your organization's role in terms of oversight and quality assurance.

Applying Emotional Intelligence as an MSP
Faith Rhoades, MMHC, CPMSM, CPCS, FMSP
Professional Development Track | TU13 | 1.5 CEs | Advanced   


What is your EQ/emotional intelligence, and what impact does it have on your leadership?  This session investigates the elements that define EQ/emotional intelligence, and looks at ways to develop your EQ for personal and professional growth.  This session relies on audience interaction and participation.   

Understanding CMS Credentialing and Privileging Requirements for Hospitals, Ambulatory, and Critical Access 
Kathleen Matzka, CPMSM, CPCS, FMSP
Accreditation and Regulatory Track | TU14 | 1.5 CEs | Introductory 


The Centers for Medicare and Medicaid regulations for acute care hospitals and critical access hospitals are required to be met by all facilities providing care to Medicare and Medicaid Patients.  This program will cover the CMS requirements for credentialing and privileging and will also discuss what CMS surveyors expect to see when surveying a hospital.

Unifying Medical Staffs: The 'Systemization' of Medical Staff Activities in Multi-Campus Health Systems
Todd Sagin, MD, JD
Accreditation and Regulatory Track | TU15 | 1.5 CEs | Mid-Level


More than half the nation's hospitals are part of multi-campus health systems, typically with multiple medical staffs. This session will explore the options for creating more efficient and effective use of physicians and support professionals by merging medical staffs or medical staff activities. The pros and cons of this activity will be outlined; the legal and regulatory considerations enumerated; common implementation challenges explained; and a review of best practices and most successful models discussed. This session will be relevant to physicians and medical staff professionals who are currently in multi-hospital systems or may find themselves in one in the near future.

Showcasing Your Successes Through Quality Monitoring and Audits 
Tawna Miles, CPCS
Executive Managment Track | TU16 | 1.5 CEs | Advanced


Performing quality and file auditing can be a solution for achieving audit ready files, uniform standards of quality, measures for performance and productivity, methods for identifying staff education and performance improvement and improved data integrity.

We all think we are doing a stellar job by being efficient, timely and producing high quality work.  Yet, how many times have you had to defend it?  How many times are you challenged on it?  Have you ever asked yourself “How do I know we are achieving it, meeting targets, meeting our customer and organization expectations?”  

Come hear how one health system CVO incorporates a quality structure to effectively track, monitor, communicate and report their efficiencies in credentialing, provider enrollment and database management.  You will see how effectively communicating those results and being transparent with the good, and the not so good, in your processes will gain you trust, appreciation, credibility and fewer frustrations.

Wednesday October 23

8:15 a.m. - 9:00 a.m.


Employed Physicians: How to Navigate HR and Peer Review for Employed Physicians 
John Synowicki, JD
Accreditation and Regulatory Track | WE05 | 0.75 CEs | Advanced  


This presentation will focus on a trending area in peer review, where an employed physician (or one who is affiliated through an affiliate employer) is subject to review on the employment side and on through peer review.  Employers can save themselves considerable time and heartache if they learn to navigate when to address a matter on the employment side, when to do so on the peer review side, and when they may need to do both.

Work Smarter, Not Harder 
Inna Voskrensky, MHA, CPCS, CPMSM 
Professional Development Track | WE03 | 0.75 CEs | Mid-Level 


This session covers time management skills, self-awareness and its role in MSPs professional growth, and strategies for increasing effectiveness and efficiency. It would suit all level MSPs regardless of their experience. It is thought and action provocative and provides attendees with great resources for improving their effectiveness and productivity and tools for better stress management. 

Clinical Contractors, How Do We Credential Them and Do We Need To?
Maggie Palmer, MSA, CPCS, CPMSM 
Credentialing and Privileging Track | WE02 | 0.75 CEs | Mid-Level 


Are Healthcare Industry Representatives (HCIR/Vendors) and Clinical Contractors running a muck in your organization?  Have you ever thought:  "WHO is managing the credentialing of these people and their access to our facility?"  This session will introduce you to Vendor Credentialing Management (VCM), who manages them, are they in your future and where do you start?

Leadership: Now is the Time 
Melissa Walters, MHA, CPMSM, CPCS, MSOW-C
Professional Development Track | WE04 | 0.75 CEs | Advanced  


As a volunteer leader or potential leader, no one is better positioned to affect the future of NAMSS and/or your state association than you. Learn what it takes to become a volunteer leader as we take an indepth look at the NAMSS Leadership Principles, what it means to be a mentor and the pitfalls and challenges of volunteer leadership.

Hot Topics in the Medical Services Industry: Social Media
Kimberly Daniel Esq., and Jonathan Sumrell Esq. 
Executive Management Track WE06 | 0.75 CEs | Mid-Level

Join us for a look at a hot topic in the medical services industry. Specific session details will be released in the coming weeks.

9:15 a.m. - 10:00 a.m. 

Healthcare Finance Bootcamp for Medical Services Professionals 
Jon Burroughs, MD, MBA, FACHE, FAAPL
Executive Management Track | WE09 | 0.75 CEs | Mid-Level


Medical Services Professionals are growing in their executive management functions and must understand the fundamentals of healthcare finance to be effective in their expanded roles. This presentation covers basic financial concepts that will enable Medical Staff Services Professional to be successful in linking what they do and oversee to the financial performance of their organization.

What Does an ECFMG's CVS Report Really Tell You About an International Medical Graduate
Mark Malachesky 
Credentialing and Privileging Track | WE08 | 0.75 CEs | Mid-Level 


International medical graduates comprise approximately one quarter of the physician workforce in the United States and ECFMG Certification is the standard for evaluating the qualifications of these physicians before they enter U.S. graduate medical education.  Hospitals, credentialing agencies, state medical licensing boards, and residency programs all rely on ECFMG Certification to evaluate the qualifications of international physicians.  For 20 years, The Joint Commission has recognized direct verification with ECFMG of a physician’s certification status as satisfying The Joint Commission’s requirement for primary-source verification of medical school completion for international medical graduates.

The ECFMG Certification Confirmation (CVS) Reports that hospitals, employers and other organizations receive from ECFMG contains not only verification of certification but other valuable information.  For example, when ECFMG determines that a physician has violated one of ECFMG’s policies and procedures (e.g. submitted false documents or information to ECFMG), ECFMG may make a determination of “irregular behavior.” Although such instances of irregular behavior are rare, they will result in a permanent annotation on a physician’s ECFMG record. This session will help professionals in credentialing and privileging make the most of the information disclosed in an ECFMG CVS Report. 

Single Source Vertification: Is it Enough? 
Christine Mobley, CPMSM, CPCS
Credentialing and Privileging Track | WE10 | 0.75 CEs | Mid-Level


MSPs today have many sources to consider when verifying credentials. The question is, "is more better" OR, should you choose one that you trust?  Also, different on-boarding paths might define which source would be better or when you should utilize more than one source.  Utilizing a primary source verification grid grid can be helpful and guide you to making the right choice and establish the protocol for all to follow in your organization.

Enter Here, Exit There: Beginning Your Career Well and Finishing It Exceptionally 
Kathy Matzka, CPMSM, CPCS
Professional Development Track | WE07 | 0.75 CEs | Mid-Level 


Ever wonder where you are heading on your career path? This presentation will provide the participant with professional development ideas and career options.  It includes a “roadmap” of various stages in the career of an MSP – from entering the profession to retirement.

Hot Topics in the Medical Services Industry: Delegated Agreements 
Tawna Miles, CPCS, Heidi Thompson, MBA, CPMSM, CPCS, FMSP
Provider Enrollment Track | WE11 | 0.75 CEs 

Join us for a look at a hot topic in the medical services industry. Specific session details will be released in the coming weeks.

10:30 a.m. - 12:00 p.m. 

Managing Ambulatory Healthcare 
Jon Burroughs, MD, MBA, FACHE, FAAPL  
Executive Management Track | WE15 | 1.5 CEs | Mid-Level


The healthcare industry is rapidly moving into the ambulatory environment and credentialing, privileging, peer review, and quality oversight must go with it. This presentation summarizes some of the key trends and issues for executives to create an oversight infrastructure that will capture ambulatory quality data and to provide optimized clinical and business outcomes throughout the continuum of care.

Provider Enrollment: From Onboarding to Claim Release 
Kristina Music, CPCS and Dr. Jennifer Jackson, CPCS
Provider Enrollment Track | WE14 | 1.5 CEs | Introductory 


“Do you want to get paid for that?” Effectively streamlining the onboarding process, completing payor applications, and managing follow-up are critical elements to achieving and maintaining payor reimbursements.  This session delivers a step-by-step review of the provider enrollment cycle, from onboarding to claim release.  Sample checklists and real-world scenarios will be presented, while common delays and obstacles are explored.

National Practitioner DataBank Guidebook Update 
Kimberly Daniel, Esq. 
Accreditation and Regulatory Track | WE12 | 1.5 CEs | Mid-Level 


With little advance notice, the National Practitioner DataBank issued its updated Guidebook in October 2018. Review  established  and  expanded  reporting  requirements  to  confirm  your facility’s reporting practices are compliant and analyze recent cases challenging NPDB reports to develop best practices for compliance.

Telemedicine Credentialing and Privileging by Proxy 
Frances Ponsioen, CPMSM, CPCS
Credentialing and Privileging Track | WE16 | 1.5 CEs | Introductory  


The delivery of healthcare is ever changing and as more and more organizations continue to face challenges in recruiting for sub-specialties or look to expand services, they increasingly view telemedicine as the solution.  How does an increase in telemedicine affect the credentialing and privileging process?  How is it possible to assure the competency of practitioners who never grace your hallways? During this session, we will explore how to develop a telemedicine process that effectively addresses the four steps of credentialing by embracing the flexibility provided by the regulators and accreditors; working smarter, not harder.

System Privileging: The Good, The Bad, The Ugly, and the Do Over 
Heidi M. Thompson, MBA, CPMSM, CPCS, FMSP
Credentialing and Privileging Track | WE13 | 1.5 CEs | Advanced 


System privileging is a challenge in environments with multiple facilities, locations, and demographics.  Development of privileging criteria to meet the needs of large tertiary care facilities, medium sized acute care hospitals, critical access hospitals, and outpatient clinics requires management of the change process and buy-in on multiple levels.  Join us as we catalog the journey of a hospital system navigating the challenges of system privileging. 

Monday October 21

10:15 a.m. - 11:45 a.m.

An Overview of ABMS: Advancements in Continuing Certification 
Jennifer Michael, MSHA and David Urda, MBA
Credentialing and Privileging Track | MN02 | 1.5 CEs | Mid-Level

The American Board of Medical Specialties (ABMS) and the 24 Member Boards, are striving to continuously innovate and enhance the ABMS Program for Maintenance of Certification (ABMS MOC®). This session will share the latest updates, planned changes and advancements to the continuing certification process that are underway.  We will share the recommendations from the “Continuing Board Certification: Vision for the Future” initiative (Vision Commission), a collaborative and transparent process bringing together multiple stakeholders to assess the current state of continuing board certification and envision its framework for the future.  In addition, ABMS will share the current state on the legislative activity occurring across the US.

Payor Enrollment Table Talk 
Donna Goestenkors, CPMS; Dina Solis, Yesenia Servin, CPMSM; Larry DeHoyos, CPCS; and Phillip Iverson, CPCS, CPMSM
Provider Enrollment Track | MN03 | 1.5 CEs | Advanced

When it comes to payor enrollment, one-size does not necessarily fit all.  Solutions and workflows that are effective in one organization may not be the best fit for another team.  In this first-of-its-kind group learning session, you will huddle with experienced colleagues from various backgrounds in payor enrollment to discuss current industry trends, share best practices for handling unique challenges, and identify improvement opportunities.

Your Biggest Challenge: Managing Practitioner Health Issues 
Susan Marie Lapenta, Esq 
Credentialing and Privileging Track | MN04 | 1.5 CEs | Mid-Level

Physicians, and other members of the Medical Staff, suffer from impairment at the same rate as the general population.  This means that 10% to 15% of your Medical Staff will suffer from impairment, and their impairment may adversely affect their ability to safely and competently practice.  All too often, we ignore the signs of impairment until it is too late.  The key to dealing with impairment is to spot the symptoms early and work with the practitioner in a confidential and supportive manner. 

Things that Scare Us About Your Medical Staff  Bylaws 
Kim Parks, Esq. and Stephen Kleinman, Esq. 
Accreditation and Regulatory Track | MN05 |1.5 CEs | Introductory 

This Program will address best practices and risk areas to consider in preparing medical staff governing documents (e.g., medical staff bylaws, policies, etc.)

2019 Overview of the NCQA Standards
Accreditation and Regulatory Track | MN06 | 1.5 CEs 

Session presenter and description details coming soon

12:45 p.m. - 2:15 p.m.

Locum Tenens SWOT Team  
Donna Goestenkors, CPMSM; Tammy Pressnall, CPMSM, CPCS; and Susan Collier, MHA 
Credentialing and Privileging Track | MN07 | 1.5 CEs | Mid-Level

Healthcare leaders predict the shortage of physicians will continue to rise, risking the quality of patient care. Locum Tenens organizations can be beneficial for supplementing the physician base during periods of specialty scarcity and relieve the burden of physician burn-out. During this solutions-driven panel discussion, our experienced SWOT Team will provide first-hand knowledge about the strengths, weaknesses, opportunities, and threats affecting the locum tenens field and offer best practices for solving the most challenging issues your organization faces.

Addressing Workplace Conflict and Implementing Self-Care 
Julie Pettinato, LCSW and Yesenia Servin, CPMSM
Professional Development Track | MN08 | 1.5 CEs | Mid-Level |

MSPs are wired to take care of business. MSPs are used to preventing and putting out fires.  Unfortunately, that can lead to exhaustion and burnout. MSPs struggle with putting work down and prioritizing self-care. Did you know that workplace conflict is one of the number one causes of professional burnout? Not to mention it erodes business productivity, profits, and increases employee turnover. Learn the strategies, communication styles, and thinking skills to manage day-to-day and long-standing workplace conflicts. Believe it or not, workplace conflicts can be prime opportunities to achieve personal, professional, and relationship growth.  Learn how to avoid tip-toeing around workplace conflict. Hear from a professional with over 10 years of experience helping healthcare professionals.

Professional Practice Evaluations: Overcoming Challenges and Implementing Process Improvements 
Ursula Brozek, PhD, RN
Accreditation and Regulatory Track | MN09 | 1.5 CEs | Mid-Level

Healthcare organizations continue to find the Joint Commission’s (TJC) Medical Staff standards for focused and ongoing professional practice evaluations (FPPE and OPPE) challenging as they prepare for their next accreditation survey.  This is the case despite the development of these standards more than 10 years ago. The University of Illinois Hospital and Clinics, a large academic medical center located in Chicago, Illinois recently initiated process improvements in professional practice evaluation (PPE), including the development of a peer review process following outside consultation. While organizations vary by size, structure and resources, and that responsibilities for professional practice evaluation may be found in departments outside of Medical Staff Services, this session will explore improvements that you can make to ensure compliance with this challenging standard.

Joint Commission 2019 Medical Staff Standards Update 
Accreditation and Regulatory Track | MN10 

Session presenter and description details coming soon 

Achieving a Just Culture Approach to the Medical Staff and APPs
Michael Callahan, JD
Executive Management Track | MN11 | 1.5 CEs | Mid-Level|

All too often hospitals and medical staffs engage in the "blame game" when there is an adverse event which causes patient injury rather than also focus on existing policies, procedures or system failures which may have contributed to that injury. The concept of Just Culture is instead to evaluate all contributing factors with the goal of identify remedial steps which can assist the health care practitioner in improving their practice standards and avoid disruptive behavior without the need to trigger hearing rights or Data Bank reports.

3:00 p.m. - 4:30 p.m.

PAs & NPs: Updates and Emerging Issues in 2019 
Tricia Marriott, PA-C, MPAS, MJ Health Law, CHC and Greg Thomas, PA-C Emeritus, MPH 
Credentialing and Privileging Track | MN12 |1.5 CEs | Mid-Level 

Physician assistants (PAs) and nurse practitioners (NPs) are increasingly providing care in new settings and specialties, creating challenges for the credentialing committee and medical staff professionals.  This session will address emerging issues and provide detailed information on certification, regulatory compliance, and case examples.

Credentialing for Excellence 
Susan Marie Lapenta, Esq. 
Credentialing and Privileging Track | MN13 | 1.5 CEs | Introductory 

The credentialing process is the foundation for the quality of care delivered in your organization.  A thorough, well-defined, expertly executed credentialing process will support consistently excellent care being delivered to your patients.  Conversely, a credentialing process in which red flags are ignored, shortcuts are taken, or routine exceptions to threshold criteria are granted because “we’ve already employed the applicants” will compromise patient care. 

Beyond Certification: You are Certified Now What?
Ropizah Ervin, CPCS, CPMSM 
Professional Development Track | MN14 | 1.5 CEs | Mid-Level

Obtaining Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Service Management (CPMSM) certifications is becoming a popular options within the healthcare industry. Becoming certified afforded a promotion for Medical Staff Professionals (MSPs)with some employers while other employers may required CPCS and/or CPMSM certifications as a requirement within certain time limits after a promotion. However as MSPs these certifications are a ticket to career advancement beyond promotion. Do you know what they are?

Balancing the Quality of Roles of the Medical Staff and Service Lines
Catherine Ballard, Esq. and Stephen Kleinman, Esq. 
Executive Management Track | MN15 | 1.5 CEs | Advanced 

Over the past 10 years, most hospitals have begun to develop “Service Lines” separate and distinct from the Medical Staff structure.  Although fiscally driven, there is a very strong quality component as these service lines strive to meet defined quality indicators and are promoted to achieve a stronghold in the market place.  The problem is that there is often a substantial overlap between the quality responsibilities of the Service Line Chief and the quality responsibilities of the Medical Staff.  The purpose of this session is to discuss the distinctive roles in relation to credentialing, corrective action, professional practice evaluation, and when and how this information should (and should not) be shared.

Year in Review: Legal Developments Affecting MSP Responsibilities 
Michael Callahan, JD 
Accreditation and Regulatory Track | MN16 | 1.5 CEs | Mid-Level

The purpose of this presentation is to summarize the major case law, accreditation, Data Bank and other legal developments which will impact the daily responsibilities of MSPs. These developments will be categorized along with Lessons Learned so that the members will obtain practical guidance and recommendations that they can take back to the hospital and medical staff leaders in the areas of peer review, privileging and credentialing, Data Bank reporting obligations and other areas of legal compliance.