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| certified professional medical services management cpmsm: Certified Professional in Medical Services Management National Learning Corporation, 2019 The Certified Professional in Medical Services Management (CPMSM) Passbook(R) prepares you by sharpening the skills and abilities necessary to succeed on your upcoming entrance exam. |
| certified professional medical services management cpmsm: Certified Professional in Medical Services Management (CPMSM) National Learning Corporation, 2019-02 The Certified Professional in Medical Services Management (CPMSM) Passbook(R) prepares you by sharpening the skills and abilities necessary to succeed on your upcoming entrance exam. |
| certified professional medical services management cpmsm: The Medical Staff Services Handbook Cindy Gassiot, Vicki Searcy, Christina Giles, 2011-08-24 Rev. ed. of: The medical staff services handbook / [edited by] Cindy A. Gassiot, Vicki L. Searcy, Christina W. Giles. c2007. |
| certified professional medical services management cpmsm: The Executive Medical Services Professional Donna Goestenkors, Georgia Day, 2020-02-20 Medical Services Professionals (MSPs) hold a unique place in the healthcare industry. Medical Staff leaders, practitioners and providers rely on MSPs to ensure qualitative regulatory compliance, performance improvement, accreditation, credentialing and governance for physicians, practitioners, and other healthcare providers. MSPs ensure the design, implementation, and maintenance of current industry practices to promote quality patient care. Their roles are rapidly changing due to competition, increased government influence, and vast changes in technology that demand for service delivery improvements worldwide. The successful MSP will require a formal professional development plan, comprised of skills and knowledge for both personal and career choices as the industry moves into the future. This book is presented in an easy to read format and contains a series of building blocks, points to navigate career progression logically. Each point highlights solutions for MSPs to test and apply with real-life stories interspersed to illustrate points. This book contains a helpful glossary, sample job descriptions, and terms specific to the MSP. |
| certified professional medical services management cpmsm: Managed Care Credentialing Amy N. Niehaus, 2019 The role of the MSP is expanding to include payer enrollment and delegated credentialing responsibilities for managed care organizations. Traditionally siloed, MSPs are now beginning to take on both responsibilities, which means they must learn the nuances of managed care credentialing as well as the regulatory and accreditation requirements of NCQA, CMS, and URAC. Managed Care Credentialing: Compliance Strategies for Health Plans, CVOs, and Delegated Entities provides the answers to MSPs' inevitable questions as they begin to manage the tasks of payer enrollment and delegated credentialing. Author Amy M. Niehaus guides readers through each payer's requirements, the differences between hospital and managed care credentialing, and how to help their organization establish delegated credentialing agreements and prepare for audits. As new and existing MSP responsibilities begin to collide, this resource also outlines ways MSPs can modify their current processes to reduce duplication of efforts and develop a comprehensive and compliant managed care credentialing program. Whether you are new to managed care credentialing or are taking on delegated credentialing responsibilities, this book will help you: Learn the regulatory and accreditation requirements related to managed care credentialing Streamline the provider enrollment process through delegation Meet your organizational goals of compliance, operational efficiency, cost savings, and practitioner satisfaction Identify the differences between hospital and managed care credentialing |
| certified professional medical services management cpmsm: Medical Credentialing Specialist - The Comprehensive Guide VIRUTI SHIVAN, In the rapidly evolving world of healthcare, the role of a Medical Credentialing Specialist has never been more critical. Medical Credentialing Specialist - The Comprehensive Guide is the quintessential resource for professionals aiming to master the intricate processes of medical credentialing and privileging. This book distills complex regulations and procedures into an accessible format, ensuring readers not only comprehend the foundational principles but also excel in applying them within any healthcare setting. With a focus on practical strategies and real-world scenarios, this guide demystifies the credentialing process, making it an indispensable tool for both novices and seasoned professionals. Understanding the high stakes involved in credentialing for patient safety and organizational integrity, this comprehensive guide emphasizes the importance of accuracy, efficiency, and compliance. It navigates through the myriad of standards and legal requirements with precision, offering up-to-date insights into industry best practices. Note, to respect copyright laws and ensure universal accessibility, this book does not include images or illustrations. Instead, it enriches the reader's understanding through detailed explanations, case studies, and hypothetical scenarios that bring the credentialing world to life. By prioritizing clarity and practicality, this guide stands as an essential read for anyone looking to thrive in the healthcare credentialing field. |
| certified professional medical services management cpmsm: Credentialing for Managed Care Amy M. Niehaus, 2016-08-17 Credentialing for Managed Care: Compliant Processes for Health Plan and Delegated Entities Amy M. Niehaus, CPMSM, CPCS, MBA New to managed care credentialing? Whether you work for a health plan or a hospital medical staff services department, this how-to guide answers all of your health plan credentialing and enrollment questions. Learn the regulatory and accreditation requirements related to managed care credentialing, including those from CMS, NCQA, and URAC. Author Amy M. Niehaus, CPMSM, CPCS, MBA, provides readers with the guidance to create a comprehensive and compliant credentialing program to support your health plan or to streamline your hospital's provider enrollment process through delegation. MSPs in all healthcare environments can benefit from understanding credentialing in the managed care world to support their organizational goals of compliance, operational efficiency, cost savings, and practitioner satisfaction. This book will help you: - Understand NCQA, URAC, and CMS requirements for health plans - Develop a comprehensive and compliant managed care credentialing program - Establish delegated credentialing agreements - Audit credentials files - Recognize how payer credentialing requirements impact other healthcare organizations - Streamline provider enrollment through delegation - Identify the differences between hospital and managed care credentialing - Evaluate whether a credentials verification organization is right for your organization About the author: Amy M. Niehaus, CPMSM, CPCS, MBA, is a consultant with The Greeley Company, an industry-leading healthcare consulting firm. She has over 25 years' experience in the medical services and credentialing profession. In her current role, she advises clients in the areas of accreditation, regulatory compliance, credentialing, process simplification and redesign, credentialing technology, and credentials verification organizations (CVO) development and delegation. Niehaus has worked in multiple environments throughout her career, including acute care hospitals, CVOs, and managed care organizations (MCO). She has been a member of the National Association Medical Staff Services (NAMSS) since 1991 and achieved her CPMSM certification in 1992 and her CPCS certification in 2002. Niehaus is a NAMSS instructor and previously served as chair of its MCO Task Force, as well as chair and member of the NAMSS Education Committee. She is a former president of the Missouri Association Medical Staff Services and its greater St. Louis area chapter. Niehaus holds a bachelor's degree from the University of Missouri and a master's degree in business administration from Maryville University in St. Louis. Niehaus has developed and presented various programs to local and national audiences on topics such as credentialing and privileging processes; Joint Commission, National Committee for Quality Assurance (NCQA), and URAC accreditation standards; and delegation. |
| certified professional medical services management cpmsm: Credentialing, Privileging, and Medical Staff Governance Sheri Patterson, 2018 |
| certified professional medical services management cpmsm: Slee's Health Care Terms Debora Slee, Vergil Slee, Joachim Schmidt, 2008 This healthcare dictionary contains more than 8,000 nonmedical words, phrases, and acronyms related to the healthcare industry. |
| certified professional medical services management cpmsm: The Handbook of Patient Safety Compliance Fay A. Rozovsky, James R. Woods, Jr., 2016-12-05 Written for virtually every professional and leader in the health care field, as well as students who are preparing for careers in health services delivery, this book presents a framework for developing a patient safety program, shows how best to examine events that do occur, and reveals how to ensure that appropriate corrective and preventative actions are reviewed for effectiveness. The book covers a comprehensive selection of topics including The link between patient safety and legal and regulatory compliance The role of accreditation and standard-setting organizations in patient safety Failure modes and effect analysis Voluntary and regulatory oversight of medical error Evidence-based outcomes and standards of care Creation and preservation of reports, data, and device evidence in medical error situations Claims management when dealing with patient safety events Full disclosure Patient safety in human research Managing confidentiality in the face of litigation Managing patient safety compliance through accountability-based credentialing for health care professionals Planning for the future |
| certified professional medical services management cpmsm: Verify and Comply Carol S. Cairns, 2009-11 Verify and Comply: A Quick Reference Guide to Credentialing Standards, Fifth Edition Carol S. Cairns, CPMSM, CPCS The Joint Commission... NCQA... CMS... DNV... HFAP... Searchable and side-by-side! Verify and Comply, Fifth Edition, is the much anticipated next edition of one of HCPro's most popular credentialing resources. Many satisfied customers have used this resource to study for their NAMSS certification exams and to keep up to date with accreditors' credentialing standards. This newly expanded guide addresses Joint Commission, NCQA, and CMS standards in the book, as well as DNV and HFAP on the companion CD-ROM. That means five sets of accreditors' standards are side-by-side and searchable by topic on CD-ROM. Get the resource thousands of MSPs have come to rely on. It will help you: Easily access, navigate, and compare the requirements of all five organizations at a glance Eliminate wasted time searching through multiple resources to find what you need Stop struggling to interpret the standards on your own Understand the differences between the stages of the credentialing process--appointment, reappointment, and ongoing assessment Get answers to your credentialing questions quickly and easily Study for your CPCS and CPMSM certification exams No other resource for credentialing standards offers you this level of expertise and convenience. All five sets of standards side-by-side, organized by topic, on a searchable CD-ROM The Joint Commission NCQA CMS DNV HFAP Three sets of standards in print in the book (The Joint Commission, NCQA, and CMS) Straightforward, complete summaries of standards Expert interpretation of the standards Distinct sections that clarify the differences between each stage of the credentialing process A tips section that allows for further analysis Special notations to readers who are studying for the CPMSM/CPCS exams Who will benefit? Credentialing specialist/analyst Medical staff services coordinator Director of medical staff services Credentialing coordinator Credentialing manager Medical staff professional Survey coordinator Earn continuing education credits! This program has been approved by the National Association Medical Staff Services for up to 3.0 continuing education unit(s). Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. Navigate credentialing standards faster and easier. Order your copy today. |
| certified professional medical services management cpmsm: The Quick-and-Easy Web Site Paula Peters, 2008-05-01 Forget the complicated instructions and baffling techspeak found in other guides, The Quick-and-Easy Web Site gives you straightforward instruction on how to build a Web page that really delivers. It's simple. It's fast. And it's certain to take your small business to the next level. Written for the small-business owner on the go, this book gets your Web site up and running in just one day. It walks you through the five easy steps that will get your company the Internet attention it deserves. Learn how to: Purchase your domain name Write powerful Web content Design your page's layout Find a Web host Publish your site Once your new site goes active, you'll attract new customers in no time. This fast and effective guide puts you and your company where you belong-on the Web! Paula Peters is the owner of Peters Writing Services, Inc., a firm that specializes in writing and designing marketing materials, including Web sites. She has written marketing materials for a variety of Fortune 500 companies across the globe and has published more than 50 articles, essays, and stories. The author of The Ultimate Marketing Toolkit, Peters also has taught thousands of entrepreneurs, leaders, and managers over the past 12 years. |
| certified professional medical services management cpmsm: Micro-Financing and the Economic Health of a Nation Bensson V Samuel MD PhD DBA CHCQM, 2021-03-01 A change in finance for low-income people is occurring around the world. The microfinance movement provides services on a wide scale by competing, financially self-sufficient institutions to the economically active poor. Microfinance has been credited for promoting the Millennium Development Goals, poverty reduction, women's empowerment, and many other social benefits. This extensive microfinance survey aims to bridge the gap between academic economists and practitioners in the current microfinance literature. Micro-financing and the Economic Health of a Nation set a precedent for future work in the sector as the premier book to provide a detailed analysis of housing microfinance worldwide. By addressing a number of issues, including lessons from informal markets, savings and insurance, the role of women, the position of subsidies, impact assessment, and management incentives, this book offers an overview of microfinance. This book reviews essential issues for foreign and domestic microfinance organizations that are considering expanding into housing and for providers of traditional housing loans that aim to provide their services to poor clients who lack collateral or regular income, with clear guidance for practitioners and policymakers. Micro-financing and the Economic Health of a Nation can be used by students in economics, public policy, and development studies. This volume offers a reasoned, moderate voice on the virtues and problems of microfinance. |
| certified professional medical services management cpmsm: 2008 Credentials Verification Desk Reference Kathy Matzka, 2008 |
| certified professional medical services management cpmsm: The Credentialing and Privileging Toolbox Merella Schandl, 2017-03-01 MSPs and medical staff leaders do enough vetting for practitioner applications without worrying about tracking down and validating resources that support structurally sound credentialing and privileging processes. Featuring an array of field-sourced, expert-endorsed forms that facilitate regulatory compliance, policy development, and routine credentialing communications, The Credentialing and Privileging Toolbox lightens the administrative load so MSPs and medical staff leaders have more time for duties that foster high-quality care and patient safety. Inspired by our popular OPPE and FPPE toolboxes, The Credentialing and Privileging Toolbox offers a bevy of sample forms, policies, letters, plans, reports, and related resources that healthcare organizations of various scope, size, and service focus are currently using to execute effective practitioner vetting processes. Included tools, which come from in-the-trenches MSPs and medical staff leaders, have been curated and appraised by expert author Merella Schandl. The resulting collection reflects industry best practices, the wide range of modern healthcare entities that credential and privilege practitioners, and the various aspects of a successful vetting approach. Tools are arranged by type and topic for easy navigation. Within each tool, Schandl highlights key components and provides targeted analysis on tailoring the sample to individual facility needs. |
| certified professional medical services management cpmsm: Core Privileges for Physicians Vicki L Searcy, Wendy Crimp, 2008 |
| certified professional medical services management cpmsm: AHP Competencies John Rosing, 2005 |
| certified professional medical services management cpmsm: ALM Experts , 2006 |
| certified professional medical services management cpmsm: Medical Staff Standards Crosswalk Kathy Matzka, 2011-12-08 Medical Staff Standards Crosswalk: A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DNV Standards Kathy Matzka Medical Staff Standards Crosswalk: A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DNV Standards compares medical staff-relevant standards across four accreditation and regulatory bodies: DNV, HFAP, TJC, and CMS. It includes sample tools, forms, and policies to help you meet the goals of the standards no matter which accreditation body you use. This important reference concisely reviews all medical staff relevant standards to answer your medical staff compliance questions quickly and easily. Easily access, navigate, and compare the requirements of the four organizations at a glance The Joint Commission The Centers for Medicare and Medicaid Services Healthcare Facilities Accreditation Program DNV Accreditation Eliminate wasted time searching through multiple resources to find what you need. Take a look at the Table of Contents Chapter 1: Medical Staff Structure, Medical Staff Bylaws, and Medical Staff Involvement in Organizational Leadership Functions and Required Committees Medical Staff Structure and Accountability Medical Staff Leadership Required Committees Medical Staff Bylaws Medical Staff Involvement in Organizational Leadership Functions Chapter 2: Oversight of Patient Care, Treatment, and Services and Performance Improvement Oversight of Practitioners Periodic Appraisal/Focused and Ongoing Professional Practice Evaluation/Peer Review History and Physical Exams Consultation and Coordination of Care Medical Staff Quality Assessment/Performance Improvement Corrective Action, Ethics, and Behavioral Issues Autopsies Contracted Services Including Telemedicine Managing LIP Health Graduate Medical Education Programs Oversight of Emergency Services Oversight of Radiology Services Oversight of Nuclear Medicine Services Oversight of Anesthesia Services Oversight of Respiratory Care Services Chapter 3: Medical Staff Involvement in Patient-Focused Areas and Patient Therapeutic Services Orders for Restraints or Seclusion and Training Medical Staff Oversight of Medical Records Completion Medication Orders Formulary Admitting of Patients Policies for Blood Transfusions and IV Medications Medical Staff Involvement in Infection Control Medical Staff involvement in Dietary Services Operative or other high-risk procedures/the administration of moderate or deep sedation or anesthesia Tissue Earn continuing education credits! This program has been approved by the National Association Medical Staff Services for 5 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. |
| certified professional medical services management cpmsm: The Locum Life: A Physician’s Guide to Locum Tenens Andrew N. Wilner, MD, 2018-12-28 The Locum Life: A PhysicianÕs Guide to Locum Tenens, is an insiderÕs guide to locum tenens, the world of temporary physician positions. In 20 clearly written chapters, the author articulates the nuts and bolts of The Locum Life. Physicians will learn how to find their first locum tenens assignment, run their own business, travel, and achieve the work/life balance of their dreams. |
| certified professional medical services management cpmsm: The Fppe Toolbox Carol S Cairnes, 2008 The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Compliance Carol S. Cairns, CPMSM, CPCS; Sally J. Pelletier, CPMSM, CPCS; Donna K. Goestenkors, CPMSM Not sure how to collect, organize, and present your FPPE data? Just open your toolbox By now you know the importance of focused professional practice evaluation (FPPE). Due to revisions to Joint Commission standards in both 2007 and 2008, hospitals must establish and track practitioner competency using measurable performance data. What is the bottom line for your MSO? The bottom line is, to be compliant with the regulatory changes, your MSO must adopt a standard framework defining the dimensions of privileged practitioners performance, applying The Joint Commission s requirements for competency. In addition, failing to gather and organize FPPE data in a standardized way presents risks including failing to gather sufficient data, redundancy, inconsistency across specialties, and failing to articulate to practitioners their role in FPPE. Do you have the tools for FPPE compliance? The FPPE Toolbox: Field-Tested Documents for Credentialing, Competency, and Complianceprovides exactly that a comprehensive toolbox full of the forms and tools you need to conduct FPPE and OPPE. It offers: Forms Policies Letters Scorecards Reports Save time by tailoring your existing materials to meet the latest requirements In addition to providing new forms and tools you can customize for your facility, this guide also shows you how to repurpose existing materials to achieve compliance. Eliminate the headache of developing an organizational system on your own Use the tools in this book to manage the tremendous amount of quality data you must gather through FPPE. Organizing your FPPE data now means you will save time applying it to credentialing and privileging decisions in the future. Don t reinvent the wheel get the tools you need to get the job done Take advantage of the expert knowledge and practical resources in this toolbox you can put its contents to use immediately at your facility, without wading through lengthy background information. Use sample policies and forms to create a cohesive competency documentation process This book and CD-ROM set includes field-tested FPPE policies from your peers around the country. This toolbox is useful for facilities of all types and sizes, and it includes sample tools you can use right away: Case studies showing how your peers implemented FPPE FPPE policy documents FPPE language excerpted from peers bylaws documents or policies and procedures A practice evaluation form based on the six general competencies Department-specific proctoring forms Inpatient and outpatient proctoring (nonprocedural) forms A proctoring summary report of a provisional staff member Notification to a practitioner successful conclusion of provisional staff status and advancement of staff category A letter to a physician requesting his/her service as proctor A summary report to the board Physician competency data scorecards Guide to drafting a focused professional practice evaluation policy Retrospective, concurrent, and prospective proctoring guidelines Performance feedback process for mid-level practitioners Earn continuing education credits This program has been approved by the National Association Medical Staff Services for 5 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. Who will benefit? Medical staff coordinators/directors Managers of medical staff services Credentialing coordinators/managers Quality managers/directors Chief medical officers VPMAs Medical executive committee members |
| certified professional medical services management cpmsm: Mindful Healthcare Scott Kashman, Joan Odorizzi, 2017-10-18 A healthcare organization needs to be more than capable nurses and doctors, sterile operating theaters, a business office, and an emergency room. Every successful medical organization should be an optimal healing environment. This holistic, person-centered approach to the business of medicine focuses on empowering the hospital and health system's working community. It reduces stress, eliminates burnout, and increases staff resiliency, helping your team to remember why they chose to pursue a career in healthcare. When your healers thrive, your hospital will flourish. It begins with three guiding practices: 1) Patient and family-centered care 2) Financial sustainability 3) Staff health and well-being Combining these guiding practices with six practical applications, the management team and staff of Florida-based Lee Health's Cape Coral Hospital transformed a medical center into an award-winning model of healthcare and business excellence. In this book, you'll learn about Cape Coral's remarkable success story and how it can serve as a blueprint for health-service managers. Mindful Healthcare is your essential guide to organizational wellness and better business outcomes, offering a bold new paradigm for medical care. |
| certified professional medical services management cpmsm: Introduction to Medical-Surgical Nursing Adrianne Dill Linton, Nancy K. Maebius, 2008-06 Study Guide based on the textbook chapter objectives is designed to assist students in mastering the content presented in the text and includes learning activities, multiple choice questions, and page references for each question. . Includes listing, matching, labeling, completion, and multiple-choice exercises . Text page references accompany each question |
| certified professional medical services management cpmsm: Health & Social Care Beryl Stretch, 2007 This must-have textbook provides wider reading and broad, underpinning knowledge for Level 3 students on a range of courses. |
| certified professional medical services management cpmsm: Medical Billing Horror Stories Sharon Hollander, 2013-05-30 Anecdotes and real case studies ripped from the headlines about what doctors did which got them into trouble either with Medicare, HIPAA, The Office of Inspector General (OIG) or worse the FBI. The case studies are true stories of medical professionals: Some are about providers just like you trying to navigate the complex maze of the medical billing process. This guide will help you recognize the red flags and triggers so you can avoid a Medicare Audit. Learn about common problems that plague medical practices. Discover what your peers have done right and what they have done wrong. Avoid the costly billing mistakes and practice mismanagement showcased in Medical Billing Horror Stories. With the changes, challenges and uncertainties facing the Healthcare industry you cant afford to miss this information. If you submit even one claim for reimbursement this is a must read! |
| certified professional medical services management cpmsm: AHIP Coverage , 2004 |
| certified professional medical services management cpmsm: NICHE Terry T. Fulmer, PhD, RN, FAAN, Kimberly S. S. Glassman, PhD, RN, NEA-BC, FAAN, Sherry A. Greenberg, PhD, RN, GNP-BC, FGSA, Peri Rosenfeld, PhD, Mattia J. Gilmartin, PhD, RN, FAAN, Mathy D. Mezey, RN, EdD, FAAN, 2019-05-11 The NICHE model demonstrates improved clinical outcomes, positive fiscal results, enhanced nursing competencies, community recognition, and greater patient, family, and staff satisfaction. This official guidebook to the NICHE model of care provides nurses with the knowledge and skills for delivering best practice in the care of older adults. Primarily hospital-based, NICHE currently has a network of over 600 national and international healthcare organizations. The NICHE model ensures that every adult age 65 and over receives care that promotes dignity, autonomy and function. Written by world-leading experts in gerontological nursing, this distinguished publication serves as the gold standard manual for nurses and all clinical care providers looking to provide optimal, evidence-based care to their older patients. As the leading nurse-driven program designed to address the complex needs of older adults, the NICHE model emphasizes the role of the nurse as a change agent and leader for effective program development, implementation of best practices, and formulation of healthcare policy. This model engages frontline practicing nurses and staff, providing the requisite knowledge and skills to work autonomously with full responsibility and authority in complex healthcare systems. Key Features Reflects the best practices of the over 600 NICHE hospitals Features multiple case studies and exemplars Uses an interprofessional approach to care Draws on leading gerontological nursing experts nationally and internationally Highly relevant to a global audience This publication also serves as the policy, planning and implementation companion to Evidence-Based Geriatric Nursing Protocols for Best Practice, edited by Marie Boltz, PhD, RN, GNP-BC, FGSA, FFAN et al |
| certified professional medical services management cpmsm: Leveraging Lean in Healthcare Charles Protzman, George Mayzell, Joyce Kerpchar, 2018-06-28 Winner of a 2013 Shingo Research and Professional Publication AwardThis practical guide for healthcare executives, managers, and frontline workers, provides the means to transform your enterprise into a High-Quality Patient Care Business Delivery System. Designed for continuous reference, its self-contained chapters are divided into three primary s |
| certified professional medical services management cpmsm: The Credentialing Coordinator's Handbook Anne Roberts, 2007 |
| certified professional medical services management cpmsm: Textbook of Patient Safety and Clinical Risk Management Liam Donaldson, Walter Ricciardi, Susan Sheridan, Riccardo Tartaglia, 2020-12-14 Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties. |
| certified professional medical services management cpmsm: Nationwide Rivers Inventory United States. Heritage Conservation and Recreation Service. Pacific Southwest Regional Office, 1980 |
| certified professional medical services management cpmsm: Btec National Business Catherine Richards, David Dooley, Rob Dransfield, John Bevan, John Goymer, 2010-05-01 This student book includes all four mandatory units plus eight popular optional units providing complete coverage for the BTEC Level 3 National Supplementary Award. Assignment activities give practice for all grading criteria for the units covered, with Edexcel's own assessment tips written by BTEC Level 3 National experts. |
| certified professional medical services management cpmsm: Perioperative Blood Management Jonathan H. Waters, 2006-01-01 |
| certified professional medical services management cpmsm: Waking Up Blind Thomas Harbin, 2009 Includes bibliographical references (p. 228-230). |
| certified professional medical services management cpmsm: Establishing a Research-Friendly Environment Dorothy Y. Brockopp, Karen S. Hill, Andrew A. Bugajski, Alexander J. Lengerich, 2018-09-20 As the Magnet Recognition Program® continues to influence hospital-based nursing, the need to educate clinical nurses on how to conduct research is more important than ever. Establishing a Research-Friendly Environment: A Hospital-Based Approach is a unique text that helps clinical nurses conduct or participate in research that leads to better health care in hospitals. Each chapter includes an introduction, working definitions of key concepts, and resources required for success. The text also features numerous case examples that serve to highlight research done by nurses and health professionals in the field. |
| certified professional medical services management cpmsm: Healthcare of the Future T. Bürkle, M. Lehmann, K. Denecke, 2019-04-05 Imagining the healthcare of the future is an interesting exercise, and although nobody can predict precisely what systems might operate in ten year’s time, the possibilities which already exist can give us a clue as to how healthcare may be managed by 2030. This book presents papers from the conference Healthcare of the Future, held in Biel/Bienne, Switzerland, on 5 April 2019. The conference reflects some of the results of a two year multi-stakeholder Swiss research program in medical informatics. The research program, which began in 2016, saw 25 stakeholders cooperating for an integrated cross-sectoral treatment pathway with the goal of avoiding communication gaps and information loss among the different participants within the treatment process. The principal goals were to improve and accelerate healthcare processes and empower the patient to play an active and decisive role within their own care process. The project highlighted interaction between caregivers, patients and healthcare institutions based on modern information technology. Topics covered are divided into 4 sections: workflows in healthcare; how does eHealth change the care process; knowledge based IT support; and eHealth and the informed patient, and the book also includes the keynote conference speech on improving the hospital-patient relationship with digital communication. The book will be of interest to all those involved in healthcare whose aim is to improve and accelerate healthcare processes and empower patients to play a more active and decisive role in their own care. |
| certified professional medical services management cpmsm: SBAR Basics Susan W. Hendrickson, 2008 SBAR Basics: A Resource Guide for Healthcare Managers is the perfect resource to help you meet The Joint Commission's standards and create a culture of safety. Communicate critical information and save patient lives. |
| certified professional medical services management cpmsm: The Compliance Guide to the JCAHO Medical Staff Standards Kathy Matzka, 2006 Now in its fifth edition, this book features completely updated information, tools, and insights that will help in understanding and preparing medical staff for survey under the new 2007 standards. with the Compliance Guide to the JCAHO Medical Staff Standards, Fifth Edition in your library, you'll save hours rifling through hundreds of pages of documents, trying to decipher ways to comply. All the standards that relate to you and all the procedures you need to implement are consolidated into this one convenient, easy-to-understand resource. |
| certified professional medical services management cpmsm: Hospital Billing from A to Z Charlotte L. Kohler, 2014-08-21 Hospital Billing from A to Z Charlotte L. Kohler, RN, CPA, CVA, CRCE-I, CPC, ACS, CHBC With Kohler HealthCare Consulting, Inc., associates Catherine Clark, CPC, CRCE-I Darrin Cornwell, CRCS-I Janet Ellis, RN, BSN, MS Dawn Doll Homer, CPC, CRCS-I, CDC Daria Malan, RN, LNHA, MBA, RAC-CT(R) John Ninos, MS, MT(ASCP), CCS Robin Stover, RN, BSBA, CPC, CPC-H, CMAS Deanna Turner, MBA, CPOC, CPC, CPC-I, CSSGB Susan Walberg, JD, MPA, CHC Hospital billing departments are known by various names, but their staff all experience the same problems understanding and complying with Medicare's many billing requirements. Hospital Billing From A to Z is a comprehensive, user-friendly guide to hospital billing requirements, with particular emphasis on Medicare. This valuable resource will help hospital billers understand how compliance, external audits, and cost-cutting initiatives affect the billing process. Beginning with Advance Beneficiary Notice and ending with Zone Program Integrity Contractors, this book addresses 88 topics in alphabetical order, including the following: 2-Midnight Rule and Inpatient Admission Criteria Correct Coding Initiative CPT(R), HCPCS, Condition Codes, Occurrence Codes, Occurrence Span Codes, Revenue Codes, and Value Codes Critical Access Hospitals Deductibles, Copayments, and Coinsurance Denials, Appeals, and Reconsideration Requirements Dialysis and DME Billing in Hospitals Hospital-Issued Notice of Noncoverage Laboratory Billing and Fee Schedule Local and National Coverage Determinations Medically Unlikely Edits and Outpatient Code Editor Medicare Advantage Plans Medicare Beneficiary Numbers and National Provider Identifier Medicare Part A and Part B No-Pay Claims Observation Services Outlier Payments Present on Admission Rejected and Returned Claims UB-04 Form Definitions Who should read this book? Finance and reimbursement staff Chargemaster staff Billers and coders HIM staff Clinical department staff Revenue managers Compliance officers and auditors Registration staff Fiscal intermediary staff Healthcare attorneys, consultants, and CPAs Legal department staff |
| certified professional medical services management cpmsm: Unknown Valor Martha MacCallum, Ronald J. Drez, 2020-02-25 NEW YORK TIMES BESTSELLER. In honor of the 75th Anniversary of one of the most critical battles of World War II, the popular primetime Fox News anchor of The Story with Martha MacCallum pays tribute to the heroic men who sacrificed everything at Iwo Jima to defeat the Armed Forces of Emperor Hirohito—among them, a member of her own family, Harry Gray. Admiral Chester Nimitz spoke of the “uncommon valor” of the men who fought on Iwo Jima, one of the bloodiest and most brutal battles of World War II. In thirty-six grueling days, nearly 7,000 Marines were killed and 22,000 were wounded. Martha MacCallum takes us from Pearl Harbor to Iwo Jima through the lives of these men of valor, among them Harry Gray, a member of her own family. In Unknown Valor, she weaves their stories—from Boston, Massachusetts, to Gulfport, Mississippi, as told through letters and recollections—into the larger history of what American military leaders rightly saw as an eventual showdown in the Pacific with Japan. In a relentless push through the jungles of Guadalcanal, over the coral reefs of Tarawa, past the bloody ridge of Peleliu, against the banzai charges of Guam, and to the cliffs of Saipan, these men were on a path that ultimately led to the black sands of Iwo Jima, the doorstep of the Japanese Empire. Meticulously researched, heart-wrenching, and illuminating, Unknown Valor reveals the sacrifices of ordinary Marines who saved the world from tyranny and left indelible marks on those back home who loved them. |
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