6/19/2018. Your Link to MSPs From Across the Nation

Transcription

1 Your Link to MSPs From Across the Nation 1

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. History of NAMSS NAMSS firsts: formed in California in 1971 national conference held in 1977 certification process initiated in 1978 History of NAMSS (cont.) Growth of NAMSS Membership grew from initially under 60 members to over 6,000 members in 2017 Membership demographics have changed from primarily traditional hospital credentialing/privileging members to a strong presence of managed care members. Increasing presence of international members New affiliation with the American Health Care Lawyers Association (AHLA) has also enriched and diversified our membership. 2

3 History of NAMSS (cont.) Partnering with State Leadership Our Industry Journal was renamed Synergy - new facelift in 2016 Ability to be Dual Certified became a reality Education extends to managed care Leadership Council - journey to leadership Leadership Certificate program Fall 2016 History of NAMSS (cont.) NAMSS Increased Technology NAMSS PASS launched in 2013 Synergy and NAMSS Gateway both electronic Website Updated in 2015 Membership/renewal on-line Virtual Conference Mobile App for certification/recertification applications What Does NAMSS Do for MSPs? Serves as the voice of the profession, advocating on behalf of MSPs across the nation Government Relations & Industry Partnerships Provides education in support of professional development Supports state affiliates and associations on the local level Marketing 3

4 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 Objective 3: Establish a recognized career leadership pathway for NAMSS professionals who are assessing the competency of healthcare providers 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. 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 practices 4

5 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 State of the Profession Report NAMSS Volunteer Path Support of Medical Staff Services Credentials Entry Level Intermediate Advanced Joins State/Local Association Establishes formal mentor Advanced support of the Joins NAMSS relationships with novice professional occurs through Becomes a NAMSS MSPs achievement of credentials, Volunteer Supports NAMSS publishing/research, MSS Promotes value of NAMSS advocacy, education and to non member NAMSS services and Attends State/Local leadership. Association Meetings Volunteers to be on State/Local Association Team 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 5

6 NAMSS Volunteer Path (cont.) Publishing and Research Medical Staff Services Advocacy Entry Level Intermediate Advanced 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 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 Published research that advances the profession Author/Editor of healthcare text/resource Leads/coordinates NAMSS advocacy efforts 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 NAMSS Leadership Career Path Element Entry Level Experienced Leadership Experience 0 4 Years 5 14 Years 15 and above Education Associates or Undergraduate Degree Undergraduate Degree Masters or Doctorate Level CPCS and CPMSM and other healthcare Certifications CPCS CPCS and/or CPMSM related certifcations (Quality, Risk Management) NAMSS Leadership Institute Education on Accreditation/Regulations Patient Safety and Quality Risk Management Six Sigma Training/Ongoing Education Medical Services Professional Education Participate in NAMSS Virtual Round Table Budgets Finance Legal Leadership Skills, Knowledge and Responsibilities Credentialing Meeting Preparation Liaison between Administration and Medical Staff Leaders Supervision of Employees Meetings Management Education and Training of Staff Onboarding Process Meets Regulation and Accreditation Standards Quality and Peer Review Leadership Governance and Org Structure Human Resources Finance Collaborate with Legal Counsel Healthcare Technology and Information Management Quality and Performance Improvement Laws and Regulation Professionalism and Ethics Healthcare Industry Team Development Vision Contract Management Business Planning 6

7 NAMSS Leadership Career Path (Continued) Element Entry Level Experienced Leadership Skills, Knowledge and Responsibilities Marketing (Continued) Compliance Recruitment Service Line Development Project Management Shared Services Affiliation Agreement Medical Institutions, Corporate Responsibilities Product Development Culture Change Servant Leadership Professional Contributions Volunteer in Community Volunteer in Local Chapter, State Volunteer in Local Chapter or State Volunteer in Healthcare Related Association and National Association Association Associations and Community Services Medical Staff Services Local Chapter Medical Staff Services Newsletter State or national medical staff Serve on National Healthcare Medical Staff Newsletter services publication or web content Related Interest Groups Editor of Newsletter National Association Medical Staff Peer Review Publications Services Publication and/or other Book Contributor Healthcare Organizations Serve as an Expert Witness Fellow designation in NAMSS Presentations for Professional and/or related professional and/or Healthcare Organizations organizations Ideal Credentialing Standards Hospital Credentialing 1. Proof of Identity 2. Education and Post Graduate Training 3. ECFMG information 4. Military service information 5. Professional licensure held in all states 6. DEA registration and state DPS certification 7. Board certification status 8. Practitioner Affiliation and work history 9. Criminal Background Check 10. Federal and State sanction checks 11. NPDB 12. Health status 13. Professional liability carriers and certificates 14. Peer references Payer 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 Model Credentialing Application becomes Data Dictionary NAMSS was identified as the right organization to lead the project to develop a Model Credentialing Application Diverse Task Force members and input for multiple groups Initial intent and purpose Long-term goal Roundtable stakeholders offered feedback to draft application Stakeholders transitioned from a Credentialing Application to a Data Dictionary concept 7

8 Data Dictionary Roundtable stakeholders offered feedback to draft application Stakeholders finalizing data dictionary and working towards implementation NAMSS Annual Roundtable Collaboration between NAMSS thought leaders and industry partners 2017 Roundtable topic - Streamlining and simplifying the credentialing process and new technologies 2018 Roundtable topic New technologies in credentialing FSMB Interstate Medical Licensure Compact (IMLCC) Grassroots efforts proved impactful NAMSS FSMB Position Statement 18 states have signed enacted the compact As of 2017, five states have introduced legislation to enact the Compact Additional introductions of the model Compact legislation have continued throughout the year 8

9 Facts about the FSMB IMLCC Sole purpose of the Compact is to provide an additional, expedited, pathway to licensure for physicians with exemplary practice histories. Participation in the Compact for medical licensure is voluntary for both physicians and state boards of medicine licensure. Any physician from a Compact state who meets the qualifications of the Compact will be eligible for licensure in any other Compact state Transparency is key for the Commission FSMB Interstate Licensure Compact 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 9

10 Complete work history Gap Analysis Good Standing Letters Resource for future initiatives Disaster response credentialing Over 448 participating entities and growing weekly Over 583,000 affiliations NAMSS PASS Fees 10

11 NAMSS PASS Fees What else could PASS do to advance patient safety and efficient processes? International member support International influence with IAMRA Disaster response credentialing resource 11

12 Certification 2018 Dates and Deadlines Spring Testing Period Application Deadline Friday, January 26, 2018 Testing Period Saturday, March 24 through Saturday, April 14, 2018 Summer Testing Period Application Deadline Friday, April 27, 2018 Testing Period Saturday, June 23 through Saturday, July 14, 2018 Fall Testing Period Application Deadline Friday, August 10, 2018 Testing Period Saturday, October 6 through Saturday, October 27, 2018 Certification Multiple Choice Exam 3 options Practice Exam Official results follow within six weeks of the closing of the testing window Certification is for 3 years Recertification required every 3 years Certification Certified Provider Credentialing Specialist (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) 12

13 Certification Certified Provider Medical Services Manager (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) Certification Online Certification Applications CPCS Application: CPMSM Application: Certification Online Re-Certification Applications 13

14 NAMSS Fellows Program Created in 2016 Recognizes career MSPs who have made outstanding contributions to the profession Total Fellows as of 2017: 21 Application Open Summer NAMSS Healthcare Hall of Fame Created in 2016 Honors MSPs who have demonstrated enthusiasm, passion, dedication and commitment to the profession Nominations taken annually every February/March 2018 Deadline for Nominations has passed Benefits of NAMSS Membership (& Maintaining Membership) Discounted Webinars & Conferences Discounted Publications Synergy & Gateway 14

15 Benefits of NAMSS Membership Scholarships & Awards NAMSS members are eligible to apply for the following scholarships and awards: Charlotte Cochrane Scholarship Award Financial assistance to an active member to be toward an accredited program of study applied Aspire Higher Scholarship NAMSS Scholarship funded by the Greeley Company, honoring Carol Cairns, CPMSM, CPCS The NAMSS Scholarship Fund and NAMSS Leadership Development Scholarship NAMSS Leadership Development Scholarship Created in 2017 Include scholarship opportunities for MSPs to participate in NAMSS leadership development programs Leadership Certificate Program Virtual Executive Roundtable (Applications are due by June 15 th for courses happening July 15, 2018 to January 15, 2019) Benefits of NAMSS Membership Networking Opportunities Membership Directory of NAMSS Members Member Surveys & Resources Access to the Job Board w/positions Across the US Discussion Forums Marketing Materials 15

16 NAMSS and AHLA MSPs must keep up with regulatory compliance, legal liability and lawsuits. NAMSS and AHLA Membership Deal NAMSS Members can join AHLA at a discounted rate of $110 annually. 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 Leadership Selection Committee Focused on: Training Vetting Future Leaders Approved NAMSS Principles of Leadership Overseeing NAMSS Hall of Fame program Overseeing Fellow Designation 16

17 Upcoming NAMSS Conferences 42nd Educational Conference & Exhibition Long Beach Convention Center September 29 - October 3, 2018 Long Beach, California NAMSS Education Summit High quality NAMSS educational workshops: Credentialing Specialist (CPCS) Exam Preparation Workshop Medical Services Management (CPMSM) Certification Preparation Course Credentialing 101 Leadership Certificate Program Workshop *Workshop attendance requires completion of two online module courses March 23 24, 2018, Orlando, FL Leadership Certificate Program Launched in 2016 Combination of online modules and live workshop Ideal Participants: CPCS and/or CPMSM certification Minimum five years of experience in the industry Title of Manager or above FREE Introduction course 1.0 CE *Two of the online modules must be completed prior to live workshop participation 17

18 NAMSS Leadership Conference 2019 State Leadership Conference Phoenix, Arizona January 24-25, 2019 This event is only open to the President and President-Elect of State Affiliates More Networking Opportunities Like Us on Facebook! Subscribe to the NAMSS Blog! Visit the Blog, directly: Visit the NAMSS website for the digest feed: Follow us on Twitter Join our LinkedIn Group 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 that meet the ever changing health care environment we navigating through today Support state affiliates and associations on the local level Inform and connect the network of medical services professionals and credentialing services professionals But we will be doing this in ways that create the most value and help members be the most successful in their ever changing and challenging health care roles! 18

19 NAMSS 2017 Year in Review Come visit me! Mendenhall Glacier Juneau, AK Questions? NAMSS Executive Office 2025 M Street, NW, Suite 800 Washington, DC (202) info@namss.org Regional Delegate: 19