Proctoring and Focused. Professional Practice Evaluation. Register early HYATT GRAND CHAMPIONS RESORT & SPA PALM SPRINGS, CA

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1 A Greeley Medical Staff institute seminar Proctoring and Focused Professional Practice Evaluation Register early and SAVE $100! November 15, 2008 The ritz-carlton Naples, FL January 17, 2009 HYATT GRAND CHAMPIONS RESORT & SPA PALM SPRINGS, CA

2 FACULTY MARK A. SMITH, MD, MBA, CMSL, is the director of credentialing and privileging services and a senior consultant at The Greeley Company. He brings 25 years of clinical practice and hospital management experience to his work with physicians and hospitals across the United States. His clinical practice as a surgeon and multiple roles in senior hospital administration make him uniquely qualified to help Greeley clients develop solutions to their complex staffing and managerial problems. He has an expertise in peer review, focused professional practice evaluation, and criteria-based privileging. As a board-certified surgeon, he is currently a part-time vascular surgery faculty member at the University of California, Irvine. His previous positions included president, chief of surgery, chair of peer review committee, and medical director of cardiac surgery at Desert Regional Medical Center. Carol S. Cairns, CPMSM, CPCS, is a senior consultant and frequent presenter for The Greeley Company. She also serves as an information resource for HCPro and has participated in the development of the medical staff services profession for more than 35 years. Cairns is the president of PRO-CON, an Illinois consulting firm specializing in credentialing, privileging, medical staff organization operations, and survey preparation. A recognized expert in the field, she is a frequent presenter at healthcare organizations, as well as at state and national seminars. Cairns has been a faculty member with the National Association Medical Staff Services since She has presented at numerous state and national seminars on subjects such as basic and advanced credentialing and privileging, CMS Conditions of Participation, Joint Commission standards and survey preparation, National Committee on Quality Assurance standards, American Osteopathic Association Healthcare Facilities Accreditation Program Standards, AHP credentialing, core privileging, and meeting management and documentation. She has also authored many books published by HCPro on credentialing and core privileging including: Verify and Comply: A Quick Reference Guide to The Joint Commission and NCQA Standards for Credentialing, Core Privileges for Physicians: A Practical Approach to Development and Implementation, Fourth Edition, Core Privileges for AHPs: A Practical Approach to Development and Implementation, and Solving the AHP Conundrum: How to Comply with HR Standards Related to Nonprivileged Practitioners. Send a team of 4 and your 5th colleague is FREE! Your success is our goal, and we ve found that team participation often results in more successful change back at your organization. That s why The Greeley Company encourages team participation in all of our leadership programs, where intensive group work is integral to the seminars. Send a team of four, you receive a FREE registration for a fifth member. Please call customer service at 800/ for discounts on teams of more than five participants.

3 The Joint Commission has raised the bar for evaluating current competency of new physicians on your medical staff. Ask yourself these questions about your medical staff s ability to perform proctoring and focused professional practice evaluation: Do you have an active proctoring program in place today, or has it basically disappeared during the past 10 years? Are you having trouble getting physicians to participate in evaluating new medical staff members? Are you aware of proctoring methods beyond direct observation? Are you using data from your peer review program effectively to monitor new medical staff members? Does your proctoring policy meet the 2008 Joint Commission standards without putting an undue burden on your medical staff and your organization? Ensure physician competency and enhance patient safety. Attend this informative program and learn how to develop an effective Proctoring and Focused Professional Practice Evaluation Program.

4 Proctoring and Focused Professional Practice Overview Historically, proctoring has been a part of medical culture and medical practices as a method of creating and verifying physician competency. However, as physicians became busier and spend less time in the hospital, its use has diminished during the past few decades. This trend is changing due to 2008 Joint Commission medical staff standards and the need to ensure physician competency through a standardized process called Proctoring and Focused Professional Practice Evaluation. This renewed interest in proctoring is being driven by the increasing need to ensure patient safety as healthcare safety practices are compared to other high-risk industries. Access to, and collection of, physician performance data has been a major focus in the past decade. Medical staffs across the country are implementing processes to collect and analyze data to determine physician competency. This contemporary approach to analyzing physician performance is driving hospitals to find better ways to ensure competency. Proctoring and Focused Professional Practice Evaluation is the first step in the process of appointing and reappointing privileges. This daylong program, taught by physician and credentialing professional experts, will provide the knowledge and tools you need to develop and implement an effective policy and program for Proctoring and Focused Professional Practice Evaluation to ensure determination of physician competency and to enhance patient safety. AGENDA Proctoring and Focused Professional Practice Evaluation (FPPE): Why proctoring? Why now? History Regulatory requirements Industry need Ethical dilemmas The many faces of FPPE Validating the competency of new practitioners Different methods of proctoring: Prospective, concurrent, and retrospective review Getting the most from your proctoring process Creating a FPPE Applying the policy to the new applicant, the new privilege reappointment, and remedial performance Applying the proctoring methods learned to real situations Measuring focused professional practice evaluation How to collect meaningful data How do we apply the data to evaluate physician practice? Linking data from FPPE to ongoing professional practice evaluation The Credentialing Conundrum: Integrating FPPE into the credentialing process Creating criteria for proctoring Creating proctoring plans at a meeting Mock credential committee identifying issues and challenges Determining your organization s readiness to incorporate FPPE Identifying the signs of readiness What to do when the medical staff is not ready Preparing the medical staff for change You CAN get there from here Ten-step process for creating a rational proctoring process Agenda and faculty subject to change.

5 Evaluation Learning Objectives Participants in this seminar will learn how to: Describe the challenges medical staff s are facing in conducting focused professional practice evaluations effectively Identify the different methods of the focused evaluation of an individual physician practice Summarize the importance of creating a focused professional practice evaluation policy Describe the credentialing conundrum and the effect on conducting focused professional practice evaluations Recall the 10-step process for creating a rational proctoring process WHO SHOULD ATTEND Credentials and peer review committee chairs The medical staff office Chief medical officer/ VPMA chairs, department chairs Medical staff officers (MS quality, peer review, credentialing) Medical staff office coordinators/directors Credentialing professionals Quality professionals and support staff Attend more than one program and receive discounted rates. Sign up for 2 programs and save 15%, register for 3 programs and save 20%. Call 800/ for details. 5 ways to register Phone: 800/ Fax: 800/ seminars@greeley.com Online: Mail: Fill out the attached registration form and mail to: the Greeley Company 200 Hoods Lane, P.O. Box 1168 marblehead, MA On-Site education Can t make it to the seminar? The Greeley Company provides on-site educational opportunities. Call customer service at 800/ for more information.

6 Naples LOCATION & ACCOMMODATIONS November 15, 2008 The RITz-Carlton, Naples Beach 280 Vanderbilt Beach Road Naples, FL Reservations: 888/ Hotel Telephone: 239/ Web site: DISCOUNTED ROOM RATE: $249 per night CUTOFF DATE: October 11, 2008 Make your hotel reservation by October 11 and SAVE! For the special discounted room rate, reservations must be made by October 11, Be sure to mention The Greeley Company to receive the special room rate. Rooms are available on a first-come, first-served basis and often sell out before the October 11 cutoff date. Make your hotel reservations immediately to guarantee space and availability. This Paradise Coast resort is one of the most popular beach destinations on the East Coast. Located on three miles of pristine beach, The Ritz-Carlton, Naples is the area s only Mobil Five-Star and AAA Five-Diamond resort. In addition to exquisite guest rooms and suites, the hotel features seven unique restaurants, two heated swimming pools, and The Ritz-Carlton Spa and Fitness Center. The Tiburon Golf Course at The Ritz-Carlton Golf Resort, Naples is located only three miles away. This 36-hole championship course, designed by Greg Norman, is home of the PGA Tour s Merrill Lynch Shootout. Outdoor activities are abundant in Naples spend the day exploring one of the most delicate and complex ecosystems in the country, perfecting your tennis game, playing in the surf, beachcombing, kayaking, nature walking, sunset sailing in the Gulf of Mexico, and more. Palm Springs January 17, 2009 Hyatt Grand Champions Resort & Spa Indian Wells Lane Indian Wells, California Reservations: 800/ Hotel Telephone: 760/ Web site: DISCOUNTED ROOM RATE: $253 per night CUTOFF DATE: December 13, 2008 Make your hotel reservation by December 13 and SAVE! For the special discounted room rate, reservations must be made by December 13, Be sure to mention The Greeley Company to receive the special room rate. Rooms are available on a first-come, first-served basis and often sell out before the December 13 cutoff date. Make your hotel reservations immediately to guarantee availability. At the foothills of the majestic San Jacinto Mountains lies a private desert retreat of exceptional beauty. This secluded, 34-acre California enclave is complemented by a lush landscape of formal gardens and free-form pools. Here, guests are treated to lavish amenities, including two 18-hole championship golf courses, the luxurious Agua Serena Spa, the new Medical and Skin Spa, and impeccable service in the European tradition.

7 A service of The Greeley Medical Staff Institute PROGRAM information To register, call The Greeley Company at 800/ , fax the attached registration form to 800/ , or sign up online at Schedule 7:00 am 8:00 am Registration & continental breakfast 8:00 am 12:00 pm Session 12:00 pm 1:30 pm Lunch (on your own) 1:30 pm 4:00 pm Session 4:00 pm Adjourn Morning and afternoon breaks announced by your faculty. Registration Fees Proctoring and Focused Professional Practice Evaluation Early-bird rate deadlines: Naples by September 12, Palm Springs by November 13 $795 Individual attendee $3,180 Team of five Standard rate $895 Individual attendee $3,580 Team of five Attend more than one program and save. Call 800/ Register early and SAVE $100! Additional Programs being held in NAPLES AND PALM SPRINGS Naples, FL Nov. 12 Today s New Medical Staff Nov Medical Executive Committee Institute Nov Contemporary Peer Review Nov. 15 Proctoring and Focused Professional Practice Evaluation Nov Leading Physicians Through Change Nov. 16 Building Your Culture of Safety Nov. 16 Criteria-Based Core Privileges Nov Advanced Credentialing & Privileging Retreat Nov Quality, Cost and Accountability Palm Springs, CA Jan Jan. 16 Jan. 17 Jan Jan Jan Medical Executive Committee Institute Physician Competency Data Proctoring and Focused Professional Practice Evaluation Leading Physicians Through Change Contemporary Peer Review Advanced Credentialing & Privileging Retreat Attend more than one program and receive discounted rates. Register for 2 programs and save 15%, 3 programs save 20%. Call 800/ for details. Faculty Disclosure of Vested Interest The Greeley Company has a conflict-of-interest policy that requires course faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentation materials. It is not assumed that these financial interests or affiliations will have an adverse effect on faculty presentations; they are simply noted here to fully inform the participants. Americans with Disabilities Act If you require special accommodations in order to participate in this educational activity, please contact us at 800/ Cancellation policy Visit or call 800/ for details. About The Greeley Medical Staff Institute This unique, physician-led, membership organization is dedicated to the needs of hospital and medical staff leaders who recognize the value of strong physician-hospital relationships and an effective medical staff. Through membership, seminars, and medical staff leadership certification, the Institute provides customized solutions to motivate and lead your medical staff to excellence. For more information about becoming a member, visit The Greeley Company, a division of HCPro. The Greeley Company is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks.

8 Proctoring and Focused Professional Practice Evaluation NOVEMBER 15, 2008 The Ritz-carlton Naples, FL January 17, 2009 HYATT GRAND CHAMPIONS RESORT & SPA PALM SPRINGS, CA Call for special offers for teams with more than five participants. Registration Form Fax to 800/ , call 800/ , or visit SEMINAR LOCATIONS (Please choose one) November 15, 2008 Naples, FL Registration fees Early-bird rate deadlines: Naples by Sept. 12, Palm Springs by Nov. 13 Send a team of 4 and your $795 Individual 5th member attendee is FREE! $3,180 Team of five January 17, 2009 Palm Springs, CA Standard rate $895 Individual attendee $3,580 Team of five SPECIAL PRICING FOR ATTENDING MORE THAN ONE PROGRAM Attend more than one program and receive discounted rates. Register for 2 programs and save 15%, 3 programs save 20%. Call 800/ for details. Contact Person Name: Attending the seminar: Yes No Title: Dept: Organization: Street Address: City: State: ZIP: Tel: Fax: Greeley Medical Staff Institute, a division of HCPro, Inc. 200 Hoods Lane Marblehead, MA Register early and SAVE $100! Call 800/ for details. Name of registrants: (Seminar confirmation will be sent via .) 1st Name: Title: 2nd Name: Title: 3rd Name: Title: 4th Name: Title: Fifth Member Is FREE! Name: Select your method of payment: (Payment is due two weeks prior to the seminar.) Check enclosed (payable to The Greeley Company) Please bill my organization with PO # Bill my credit card (check one): VISA MASTERCARD AMEX Discover Signature Account # Exp. Date Required for authorization Your credit card bill will reflect a charge from The Greeley Company. MT66136