Your Link to MSPs From Across the Nation

Transcription

1 Your Link to MSPs From Across the Nation

2 Learning Objectives 1. Describe the history of NAMSS, strategic initiatives and impact on the industry. 2. Identify elements of the NAMSS Leadership and Volunteer Pathways to better support the profession. 3. Discuss verification benchmarks and grassroots efforts NAMSS is supporting to improve credentialing efficiencies.

3 History of NAMSS 1970 s NAMSS was first formed in California in 1971 The first national conference was held in 1977 The certification process was initiated in 1978

4 History of NAMSS (cont.) 1980 s Membership grows and NAMSS gets a new name in 1980 Education expands and a relationship between NAMSS and the AMA is born in 1984 NAMSS goes regional in 1986

5 History of NAMSS (cont.) NAMSS gets represented on the TJC Task Force in 1987 Introduction of the Charlotte O. Cochrane scholarship in 1988 State presidents come together at first state president s educational retreat in 1989

6 History of NAMSS (cont.) 1990 s Education extends to managed care organizations in 1994 The CPCS credential is Introduced in 1994 Overview becomes Synergy in 1998

7 History of NAMSS (cont.) 2000 s The Leadership Council is developed in 2000 NAMSS exams go electronic in 2003 NAMSS moves to the nation s capital in 2005

8 History of NAMSS (cont.) Important changes to the CE requirements to recertify were made in 2008 Credentialing 101 and MSP Roles and Responsibilities were born in 2009

9 History of NAMSS (cont.) 2010 s NAMSS PASS launched in 2013 A year of firsts in 2014 A journey of leadership in 2015

10 What Does NAMSS Do for MSPs? Serves as the voice of the profession, advocating on behalf of MSPs across the nation. Provides essential education and professional development opportunities. Informs and connects a network of medical staff and credentialing services professionals. Supports state affiliates and associations on the local level.

11 Strategic Objectives Objective 1: Ensure that NAMSS professionals are qualified, skilled and competent in assessing healthcare providers Objective 2: Emphasize NAMSS professionals as the gatekeepers of patient safety and the beginning of the revenue cycle Objective 3: Establish a recognized career leadership pathway for NAMSS professionals who are assessing the competency of healthcare providers

12 Achieving our Objectives Ensure that NAMSS professionals are qualified, skilled and competent in assessing healthcare providers Develop a new competency model which includes additional skills and knowledge areas outside the traditional functions of the profession.

13 Achieving our Objectives Emphasize NAMSS professionals as the gatekeepers of patient safety Educate the public and stakeholders on the professions role of assuring that providers are qualified, competent, and professional to ensure patient safety, reduce risks and improve quality outcomes for the patient Become the go-to organization for the profession Actively educate and advocate to implement the Ideal Credentialing Solution (ICS) Promote best practice(s)

14 Achieving our Objectives Establish a recognized career leadership pathway for NAMSS professionals who are assessing the competency of healthcare providers Enhance and support NAMSS professionals with the skills and confidence needed to be leaders in the profession and in their careers as the field changes and develops Develop, strengthen and recognize NAMSS leaders

15 NAMSS Volunteer Path Support of Medical Staff Services Entry Level Intermediate Advanced Joins State/Local Association Joins NAMSS Becomes a NAMSS Volunteer Promotes value of NAMSS to non-member Attends State/Local Association Meetings Volunteers to be on State/Local Association Team Establishes formal mentor relationships with novice MSPs Supports NAMSS Advanced support of the professional occurs through achievement of credentials, publishing/research, MSS advocacy, education and NAMSS services and leadership. Credentials Entry Level Intermediate Advanced Prepares for and achieves CPCS and/or CPMSM Actively promotes NAMSS to other MSPs Contributes potential CPCS/CPMSM exam questions or serves on Task Force regarding credentials Serves on Certification Task Force or Committee

16 NAMSS Volunteer Path (cont.) Entry Level Intermediate Advanced Publishing and Research Contribute to NAMSS E- News Submits articles for State/Local Association Newsletter Assists with management of State/Local Association website Serves on State/Local Association or Communication Team Published in Synergy Published in another Peer reviewed journal Published research that advances the profession Author/Editor of healthcare text/resource Medical Staff Services Advocacy Entry Level Intermediate Advanced Responds to call for input from NAMSS Responds to requests for support for State/Local Association advocacy efforts Leads/coordinates State/Local level advocacy efforts Leads/coordinates NAMSS advocacy efforts

17 NAMSS Volunteer Path (cont.) Education Association Service and Leadership Entry Level Intermediate Advanced Attends NAMSS Annual Conference Attends State/Local educational events Assists with conference planning for State/Local Begins enrolling in NAMSS Leadership Development Presenter at State/Local association conferences Presenter at other national-level conference Serves on NAMSS Conference Committee Continues NAMSS Leadership Development Training Entry Level Intermediate Advanced Services on State/Local Association team Services on NAMSS standing team or task team Services as State/Local association board member Serves as an officer for the State/Local Association Serves as a NAMSS Committee member Presenter for NAMSS educational event Named to NAMSS Speaker Bureau Listed as approved faculty for NAMSS educational programs. Completed NAMSS Leadership Development Training Serves as Chair of NAMSS Committee Serves on NAMSS Board of Directors Services as NAMSS Officer

18 National Association Medical Staff Services Leadership Career Path Element Entry Level Experienced Leadership Experience 0 4Years 5-14 Years 15 and above Education Associates or Undergraduate Degree Undergraduate Degree Masters or Doctorate Level Certifications CPCS CPCS and/or CPMSM CPCS and CPMSM and other healthcare related certifications (Quality, Risk Management, etc.) Training/Ongoing Medical Services Professional NAMSS Leadership Institute Participate in NAMSS Virtual Round Education Education Education on Accreditation/Regulations Table Patient Safety and Quality Risk Management Six Sigma Budgets Finance Legal Leadership Skills, Knowledge and Responsibilities Credentialing Meeting Preparation Liaison between Administration and Medical Staff Leaders Supervision of Employees Governance and Organization Structure Human Resources Meetings Management Finance Education and Training of Staff Collaborate with Legal Counsel Onboarding Process Healthcare Technology and Meets Regulation and Accreditation Standards Quality and Peer Review Leadership Information Management Quality and Performance Improvement Laws and Regulation Professionalism and Ethics Healthcare Industry Team Development Vision Contract Management Business Planning Product Development Culture Change

19 National Association Medical Staff Services Leadership Career Track (cont.) Skills, Knowledge and Responsibilities (Continued) Servant Leadership Volunteer in Community Volunteer in Local Chapter or State Association Professional Contributions Local Chapter Medical Staff Services Newsletter Medical Staff Newsletter Volunteer in Local Chapter, State Association and National Association Medical Staff Services State or national medical staff services publication or web content Editor of Newsletter Peer Review Publications Book Contributor Serve as an Expert Witness Presentations for Professional and/or Healthcare Organizations Marketing Compliance Recruitment Service Line Development Project Management Shared Services Affiliation Agreement Medical Institutions, Corporate Responsibilities Volunteer in Healthcare Related Associations and Community Services Serve on National Healthcare Related Interest Groups National Association Medical Staff Services Publication and/or other Healthcare Organizations Fellow designation in NAMSS and/or related professional organizations

20 Ideal Credentialing Standards Hospital Credentialing 1. Proof of Identity 8. Practitioner 2. Education and Affiliation and Post Graduate work history Training 9. Criminal 3. ECFMG Background information Check 4. Military service 10. Federal and State information sanction checks 5. Professional 11. NPDB licensure held in 12. Health status all states 13. Professional 6. DEA registration and state DPS liability carriers and certificates certification 14. Peer references 7. Board certification status Payor Credentialing 1. Proof of Identity 2. Highest level of training 3. Professional licensure held in all states 4. DEA registration and state DPS certification 5. Affiliation history 6. Work history 7. Federal and State sanction checks 8. Credentialing application 9. Malpractice claims history

21 Model Credentialing Application NAMSS identified as the right organization to lead the project Diverse Task Force members and input for multiple groups Initial intent and purpose Long-term goal

22 Third Annual Roundtable May 2016: Model Credentialing Application and other credentialing process reforms Participants from Industry met in Washington, DC Presentation of the Model Credentialing application

23 FSMB Interstate Licensure Compact Grassroots efforts proved impactful NAMSS FSMB Position Statement 12 states have signed on in 2015 In 2016, six new states have introduced legislation to enact the Compact Additional introductions of the model Compact legislation are expected across the nation throughout the year

24 FSMB Interstate Licensure Compact The Compact influences healthcare by: Enhancing patient access along border states and rural areas Improved sharing of complaint and investigative information State Medical and Osteopathic Boards express support Know where your State is with the Compact Information: or

25 Over 560 participating entities and growing weekly Over 362,000 affiliations Visionary Award given to 500 MSPs

26 What else could PASS do to advance patient safety and efficient processes? International member support International influence with IAMRA Disaster response credentialing resource

27 Certification 2016 Dates and Deadlines Spring Testing Period Application Deadline Friday, January 15, 2016 Testing Period Saturday, March 12 through Saturday, April 2, 2016 Summer Testing Period Application Deadline Friday, April 8, 2016 Testing Period Saturday, June 4 through Sunday, June 26, 2016 Fall Testing Period Application Deadline Friday, August 12, 2016 Testing Period Saturday, October 8 through Saturday, October 29, 2016

28 Certification Multiple Choice Exam 3 options Practice Exam Exams are auto scored at the completion of the exam Official results follow within six weeks of the closing of the testing window Certification is for 3 years Recertification required every 3 years

29 Certification CPCS Currently employed in the medical services profession for at least the past 12 months AND three years experience in the medical services profession within the past 5 years 150 Questions, 3 hours Recertification every 3 years 30 CEUs (of which 15 NAMSS approved)

30 Certification CPMSM Current employed in the medical services professional for at least the past 12 months AND five years of experience in the past eight years* 175 Questions, 4 hours Recertification every 3 years 30 CEUs (of which 15 NAMSS approved)

31 Certification NEW! Online Certification Applications CPCS Application: CPMSM Application:

32 Certification NEW! Online Re-Certification Applications

33 Education Benefits of Joining NAMSS or Remaining a Member Networking Marketing Materials Government Relations and Advocacy

34 Benefits of Joining NAMSS or Remaining a Member (cont.) Shared Resources Recognition Industry Information Leadership Opportunities Access NAMSS PASS

35 NAMSS and AHLA MSP s must keep up with regulatory compliance, legal liability and lawsuits. NAMSS and AHLA Membership Deal Discounted dues for members to join each others associations NAMSS Members can join AHLA at a discounted rate of $110 annually.

36 Volunteering with NAMSS Board Nomination/ Application process Committees Audit and Finance Certification Commission Conference Committee Education Committee Ethics Committee Membership Committee Leadership Selection Committee NAMSS Liaisons to the Board of Directors (Bylaws & Industry) Past Presidents NAMSS Resource Registry

37 Leadership Selection Committee Focused on: Training Selecting Future Leaders Approved NAMSS Principles of Leadership Establishing a NAMSS Hall of Fame Overseeing Fellow Designation

38 Upcoming NAMSS Conferences 40th Educational Conference & Exhibition Sheraton Boston Hotel September 17 - September 21, 2016 Boston, Massachusetts 41st Educational Conference & Exhibition The Broadmoor October 21 - October 25, 2017 Colorado Springs, Colorado

39 NAMSS Education Summit New name! No longer Regional Education Summit High quality NAMSS educational workshops: Credentialing Specialist (CPCS) Exam Preparation Workshop Medical Services Management (CPMSM) Certification Preparation Course Credentialing 101 Held annually in early spring

40 NAMSS Leadership Conference NAMSS is proud to host State Association Leaders at the 2017 Leadership Conference Sir Francis Drake San Francisco, California January 19-20, 2017 This event is only open to the President and President-Elect of State Affiliates

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43 NAMSS Will Continue to Serve as the voice of the profession, advocating on behalf of MSPs across the nation Provide educational and professional development opportunities Support state affiliates and associations on the local level Inform and connect the network of medical staff and credentialing services professionals But we will be doing this in ways that create the most value and help members be the most successful

44 Questions? NAMSS Executive Office 2025 M Street, NW Suite 800 Washington, DC (202) info@namss.org