Your Link to MSPs From Across the Nation Learning Objectives 1. - PDF document

3/18/2019 Your Link to MSPs From Across the Nation 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. 4. Identify volunteer opportunities with NAMSS. 5. Select which volunteer opportunity is best for you. 6. Determine next steps in becoming a volunteer with NAMSS. 1

3/18/2019 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 2018 • 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. 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 • State of the Profession Report - 2016 2

3/18/2019 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 Strategic Objectives (2016 – 2018) Objective 1: Ensure that NAMSS professionals are qualified, skilled and competent in assessing healthcare providers • Leadership Certificate Program • Ready to Lead? Objective 2: Emphasize NAMSS professionals as “the gatekeepers of patient safety” • State of the Profession Report • NAMSS Industry Roundtables • Ideal Credentialing Standards • NAMSS PASS 3

3/18/2019 Strategic Objectives (2016 – 2018) Objective 3: Establish a recognized career leadership pathway for NAMSS professionals who are assessing the competency of healthcare providers • Leadership Pathway • Volunteer Pathway • Fellow Designation • Hall of Fame Award State of the Profession Report http://www.namss.org/Report NAMSS Volunteer Path Entry Level Intermediate Advanced Support of Medical Joins State/Local Association Establishes formal mentor Advanced support of the Staff Services 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 Credentials Prepares for and achieves Contributes potential Serves on Certification Task CPCS and/or CPMSM CPCS/CPMSM exam Force or Committee Actively promotes NAMSS questions or serves on to other MSPs Task Force regarding credentials 4

3/18/2019 NAMSS Volunteer Path (cont.) Entry Level Intermediate Advanced Publishing and Contribute to NAMSS E- Published in Synergy Published research that Research News Published in another Peer advances the profession Submits articles for reviewed journal Author/Editor of healthcare State/Local Association text/resource Newsletter Assists with management of State/Local Association website Serves on State/Local Association or Communication Team Entry Level Intermediate Advanced Medical Staff Responds to call for input Leads/coordinates Leads/coordinates NAMSS Services Advocacy from NAMSS State/Local level advocacy advocacy efforts Responds to requests for efforts support for State/Local Association advocacy efforts NAMSS Volunteer Path (cont.) Entry Level Intermediate Advanced Education Attends NAMSS Annual Presenter at State/Local Presenter for NAMSS Conference association conferences educational event Attends State/Local Presenter at other Named to NAMSS Speaker educational events national-level conference Bureau Assists with conference Serves on NAMSS Listed as approved faculty for planning for State/Local Conference Committee “NAMSS educational programs. Begins enrolling in NAMSS Continues NAMSS Completed NAMSS Leadership Leadership Development Leadership Development Development Training Training Entry Level Intermediate Advanced Association Service Services on State/Local Serves as an officer for the Serves as Chair of NAMSS and Leadership Association team State/Local Association Committee Services on NAMSS Serves as a NAMSS Serves on NAMSS Board of standing team or task Committee member Directors team Services as NAMSS Officer Services as State/Local association board member 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 •Credentialing •Governance and Org Structure Skills, Knowledge and Responsibilities •Meeting Preparation •Liaison between Administration and •Human Resources Medical Staff Leaders •Finance •Supervision of Employees •Collaborate with Legal Counsel •Meetings Management •Healthcare Technology and •Education and Training of Staff •Information Management •Onboarding Process •Quality and Performance •Meets Regulation and Accreditation Improvement Standards •Laws and Regulation •Quality and Peer Review •Professionalism and Ethics •Leadership •Healthcare Industry •Team Development •Vision •Contract Management •Business Planning 5

3/18/2019 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 •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 Professional Contributions •Local Chapter Medical Staff Services •State or national medical staff •Serve on National Healthcare Newsletter services publication or web content Related Interest Groups •Medical Staff Newsletter •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 Payer Credentialing 1. Proof of Identity 8. Practitioner 1. Proof of Identity Affiliation and work 2. Education and Post 2. Highest level of training history Graduate Training 3. Professional licensure held in all states 9. Criminal 3. ECFMG 4. DEA registration and state DPS certification Background Check information 5. Affiliation history 10. Federal and State 4. Military service 6. Work history sanction checks information 7. Federal and State sanction checks 11. NPDB 5. Professional 8. Credentialing application licensure held in all 12. Health status 9. Malpractice claims history states 13. Professional liability 6. DEA registration carriers and and state DPS certificates certification 14. Peer references 7. Board certification status 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 6