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Foreign Medical Graduate Commission Updates Identity Certification Process

NAMSS - Wed, 09/05/2018 - 00:05

The Educational Commission for Foreign Medical Graduates (ECFMG) recently announced an enhancement to their process for certifying the identities of applicants, beginning in mid-September 2018. The current Certification of Identification form (Form 186) will now be required to be completed online, using NotaryCom.com. NotaryCam is an online service that provides 24 hour access to professional notaries, allowing applicants to bypass the sometimes complicated and burdensome process of using a notary in person.
Additionally, the online Form 186 will now be a requirement for applicants as part of the Application for ECFMG Certification. This is required before submission of an application to take the United States Medical Licensing Examination (USMLE). All new Certification of Identity forms will require the online process, as well as expiring or invalidated forms. Currently, the Certification of Identity form lasts for five years from the accepted date. Find more details about the new process here.
The ECFMG is the standard for international medical graduates (IMGs) to be evaluated on their qualifications before entering the US graduate medical education (GME) process, or to take the USMLE and obtain a license to practice medicine in the US. ECFMG also provides application, visa, and verification assistance for IMGs. Learn more about the ECFMG at https://www.ecfmg.org/

Safety Standards Pose Problems for TJC-Accredited Hospitals

Safety-related requirements continue to plague hospitals, according to The Joint Commission’s latest list of most-cited standards data through the first six months of 2018. Released in the September issue of Perspectives, the data was aggregated from 676 applicable Joint Commission hospital surveys from January 1 through June 30. The top-cited standard is LS.02.01.35, related to providing and maintaining fire [...]

NAMSS Releases Position Statement on MOC

NAMSS - Thu, 08/30/2018 - 00:34

Maintenance of Certification (MOC), the program through which ongoing physician competence is demonstrated through American Board of Medical Specialties (ABMS) and American Osteopathic Association (AOA) boards, has been controversial since its launch. As NAMSS members have heard, the ABMS has recently launched an initiative to reexamine MOC and provide recommendations for the future state of physician certification. NAMSS has engaged with this Vision Commission, with several NAMSS leaders participating in past meetings, and with other organizations to contribute the MSP perspective on this issue. As the issue has continued to affect MSPs directly and indirectly, NAMSS has released the following organizational statement on Maintenance of Certification.
The National Association Medical Staff Services (NAMSS) supports efforts by the American Board of Medical Specialties (ABMS) and stakeholders across the health care industry to re-envision the process of continuing board certification and the Maintenance of Certification programs. Demonstrating ongoing physician competence is an essential piece of maintaining patient safety, and is an important part of evaluating practitioners for credentialing and privileging decisions. Concerns around the existing continuing certification programs have led some states to propose or enact laws restricting their use in making these decisions, which infringes on the ability of Medical Services Professionals and Organized Medical Staffs to fulfill their duty in evaluating providers. However, physician burnout is an increasingly difficult issue as additional burdens are being placed on providers across the continuum of care.
Increased standardization, clarity of requirements, and reduced physician burden will all be integral parts of a modern, effective board certification program. NAMSS looks forward to the outcomes of the ABMS’ Vision for the Future Commission and to aiding in the evolution of board certification to best support our ultimate goal of patient safety.
NAMSS will continue to monitor the work of the ABMS Commission and other progress in the area of continuing physician education, and work to inform our MSPs about important developments. Find our position statement and others at the NAMSS website, and be on the lookout for further communications on this issue.

IHI Launches Maternal Care Improvement Project

The Institute for Healthcare Improvement (IHI) has begun a three-year project that aims to improve maternal outcomes for women and babies in the U.S. Supported by a grant from Merck for Mothers, the project’s goals are to spread the use of evidence-based care practices to reduce complications such as hemorrhaging, hypertension, and blood clots. It also plans [...]

HFAP ligature risk updates

To keep themselves as closely aligned with CMS as possible, HFAP has updated their Acute Care Manual with new prepublication requirements on removing ligature (hanging) risks in rooms meant for suicidal patients. Several standards have been affected: 04.01.01 – Staff Training – Identification of Patients at Risk for Harm 11.01.01 – Periodic Monitoring for Safety Issues 11.01.02 – Building Safety 11.01.08 [...]

WEBINAR – Preliminary Denial of Accreditation: Actions, Recovery, and Prevention

Presented on: Tuesday, August 28, 2018 |1:00-2:30 p.m. EST Presented by: Kurt A Patton, MS, RPh.\ Register: http://hcmarketplace.com/denial-of-accreditation  When the Joint Commission hands out a Preliminary Denial of Accreditation (PDA) decision, you have a small window to set things right. If you can’t get your hospital to band together to fix the problem, a PDA can cost you your accreditation, reputation, [...]

Catheters Pose More Risks Than Just CAUTIs

Catheter-associated urinary tract infections are a well-known issue related to urinary catheters. However, a new study in JAMA Internal Medicine finds the devices can cause more issues that previously thought. In fact, UTIs are five times less common than non-infectious problems caused by indwelling urinary catheters. In-depth interviews and chart reviews from more than 2,000 patients found more than half of [...]

Study: CMS Penalties for Hospital-Acquired Conditions Have Little Impact

A study published in Infection Control & Hospital Epidemiology found that hospitals may have dodged financial penalties by billing hospital-acquired conditions (HAC) as present at the time of the patient’s admission. The findings showed that a CMS policy to penalize hospitals for preventable complications had minimal impact on the reduction of hospital-associated infections. The targeted billing [...]

CMS Reverses Plan to Cut Reporting of HAIs

The Centers for Medicare & Medicaid Services (CMS) has decided not to carry out a proposal to remove public reporting of hospital-acquired infections (HAI), medical errors, and injuries. Instead, CMS will publish the information on the Hospital Compare site and in a database. After the plan was announced in June, there were complaints from patient safety advocates. A [...]

Survey: 36% of facilities struggle to meet TJC MRI standards

A new survey found that 36% of medical resonance imaging (MRI) providers do not comply with The Joint Commission’s (TJC) standards for diagnostic imaging services, which were released in 2015. The standards, which are in effect for hospital and ambulatory care programs, require that MRI facilities should collect data on incidents where ferromagnetic objects unintentionally entered the MRI scanner [...]

CMS Revises Memo on Requirements to Reduce Risk of Legionella Infection

Be prepared for renewed interest in your water management program and especially how it is designed to prevent the spread of Legionella infection. CMS just updated its memo from last year on requirements to reduce the risk of Legionnaire’s disease, in part to clarify expectations for hospitals and nursing homes (NH). While there are no new expectations for [...]

New CMS guidance on ligature risk says Joint Commission recommendations set the bar

Expect CMS surveyors to be referring to recommendations set out by The Joint Commission last fall when looking for ligature risk and other environmental hazards in the push to make hospitals and psychiatric units safer for patients at-risk of self-harm. For now, assess your hospital’s environmental compliance against those Joint Commission recommendations, regardless of what organization [...]

Press Room

Joint Commission News Releases - Wed, 08/01/2018 - 18:16
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AMA Releases New Resource on Addressing Disruptive Physician Behavior

NAMSS - Thu, 07/26/2018 - 21:17
As MSPs, maintaining an organized, productive staff office is an essential part of the job. Disruptive behavior by physicians can pose a threat to the functioning of your hospital, and dealing with instances of such behavior is a struggle for anyone working around it. Dealing with disruption in the workplace can be confusing, and it is important to be prepared if you encounter it in your hospital.

The American Medical Association (AMA) has recently released a free learning course addressing this topic. This 30-minute module will show you how to define appropriate, inappropriate, and disruptive behavior and present guidelines for dealing with these behaviors. Additionally, you will receive your own downloadable copy of the AMA Model Medical Staff Code of Conduct that you can integrate into your own medical staff bylaws.

You can access the module here. The course is designed for physicians and hospital administrators as well as medical staff, so please feel free to share within your facility.

Human Trafficking and Healthcare

This June, The Joint Commission released Quick Safety Issue 42 on identifying human trafficking victims. The Health and Human Services Department estimates that 88% of trafficking victims visit a healthcare provider at least once during their captivity and aren’t recognized as victims. Misconceptions and a lack of awareness have caused many providers to inadvertently send victims back [...]

Sending Sepsis Patients Home May Not Harm Them

Researchers at Intermountain Healthcare are challenging the conventional wisdom for sepsis treatment in emergency departments. “Based on our data, we are trying to document something that was previously unrecognized in the literature—a significant fraction of patients with clinical sepsis are not admitted to the hospital after presenting to the ED,” says Ithan Peltan, MD, MSc, an attending physician at Intermountain [...]

Hawaii Hospital Investigates Possible Legionella Outbreak

Hawaii health officials are investigating a possible Legionella outbreak at Queen’s Medical Center in Honolulu after one patient died and three others were hospitalized with Legionnaire’s disease, according to KHON-TV. The patient died in May after being admitted with pneumonia-like symptoms and may have had an underlying medical condition. Doctors believe the deceased patient and another who has been [...]

CMS Delays Hospital Star Ratings Update, Again

Citing “stakeholder concerns,” the Centers for Medicare & Medicaid Services has once again postponed an update to its Overall Hospital Quality Star Ratings. “When changes are made to the underlying measures it is vital to take the time needed to understand the impact of those changes and ensure we are giving consumers the most useful information,” [...]

AHRQ Data Shows Drop in Hospital-Acquired Conditions

A new report from the Agency for Healthcare Research and Quality (AHRQ) found that hospital-acquired conditions (HAC) dropped between 2014 and 2016, preventing an estimated 8,000 deaths and saving $2.9 billion. The AHRQ National Scorecard on Hospital-Acquired Conditions estimated that 350,000 HACs, including adverse drug events and injuries from falls, were avoided and the rate was reduced by [...]

How the Leadership Certificate Program Helped Meredith Land a New Job

NAMSS - Thu, 06/21/2018 - 20:07
The NAMSS Leadership Certificate Program can have a great impact on you and your career path. Read how Meredith Miller used the program to gain the confidence she needed to land the job she wanted. 
Did the Leadership Certificate Program help you gain any new skills, or help increase your confidence as a leader?I absolutely gained new skills and confidence from the Leadership Certificate Program. I felt that the online modules were a great learning tool and the extra resources provided were a bonus. As a Credentialing Specialist, and not a manager, this program was extremely helpful in learning new skills, and I was able to gain a wealth of knowledge from both the online modules and the in-person course. I really feel as if I now have more effective communication skills, even in my personal life, which has greatly increased confidence in myself. 
How are you using what you learned from the Leadership Certificate Program in your current role?Just prior to attending the in-person course, I resigned from a hospital that I had been working as a Credentialing Specialist for 14 years, with the past 12 having been offsite working from home. I decided at the beginning of January that I wanted to go back into the office setting and work closer to where I live. I applied for a Credentialing Coordinator position and was offered the job the day after the interview. During the hiring process, I was able to use the effective negotiating skills and communication techniques that I learned from the Leadership Certificate Program. I felt that my communication, calmness, and confidence during the interview process was very effective and I can say that the gained knowledge I attained from the program played a role in getting the job.
What aspect of the program did you enjoy most?I immensely enjoyed the In-Person Course -- the instructors were fantastic and made everyone feel relaxed and at ease in being ourselves. It was fun working in teams and interact with other professionals that held different positions from mine. I ended up working with three managers in my group and it was very interesting to see their different management and leadership styles.
Would you recommend the Leadership Certificate Program to your peers?I would absolutely recommend the Leadership Certificate Program to my peers and have already done so! In my opinion, the online modules are a wealth of useful information for both experienced and entry-level MSPs. The program helped me look at things from a different perspective in terms of communicating with others in a professional setting. I think the In-Person Course really allows you to apply what was learned during the online portion, and the live group scenarios was a confidence builder. Overall, I felt it was a very effective course and will continue to recommend it to others!

Visit the NAMSS website to learn more about the Leadership Certificate Program.


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