From the June 2011 issue of HealthCare Business News magazine
These CVOs specialize in finding lapsed or expired licenses, sanctions, de-certifications and other issues that might affect patient care and provider services and flagging that information to offer a more complete credentialing picture of each provider. This type of outsourced technology approach is becoming increasingly efficient and cost-effective for hospitals forced to reduce resources, but still comply with quality measures in today’s competitive health care market. Of course, hospitals cannot delegate the ultimate decision to appoint a physician, but obtaining the information necessary to make that decision may be a needlessly expensive and error-prone exercise that should be outsourced.
Conclusion
Consistent and real-time credentialing is the first line of defense in protecting patients, staff and a hospital’s reputation. The more rigorous the process, the higher the quality of the resulting doctors, patient care and industry standing. Hospitals and health care facilities are coming to terms with the importance of understanding their providers past, present, and future. Avoiding knowledge of provider issues is a perilous path, so remember: “Who you know, what you know and when you know it” is the new normal.
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Matthew Haddad is president and CEO of Medversant, a Web-based data management provider. As a health care industry consultant, Mr. Haddad has arranged financing and provided interim management to acute care facilities, skilled nursing facilities, psychiatric care facilities and assisted living centers. He serves on the Board of the American Association of Preferred Provider Organizations and has published numerous articles on credentialing, technology and healthcare-related issues. Mr. Haddad received a B.S. in Business Administration from the State University of New York at Albany and his JD from Boston University. He maintains state bar licensure in New York, California and Massachusetts.
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