Medical Staff Credentialing and Peer Review (MSCPR) Practice Group. Strategic Plan FY 2016

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1 Medical Staff Credentialing and Peer Review (MSCPR) Practice Group 1. Current Status of the Practice Group Strategic Plan FY 2016 The MSCPR Practice Group has an engaged and energetic leadership team who has generated strong and innovative education programming for our membership in recent years and has established committees and work groups so as to increase active participation by our members. These efforts also have led to the development of useful and timely articles, analyses and other valuable work product for our members. MSCPR has a narrower focus than some of the other Practice Groups. The positive side of this is that it enables us to drill down deeply into those issues that are of particular interest to our members (such as our strong and diverse content around the new NPDB Guidebook), and also to stay attune to and out front of developing trends (such as our work in ACO Credentialing and PSOs). The negative sides include: (i) a perception that we are too narrow in our focus to attract wide membership; (ii) the danger of isolation and working at cross purposes with other PGs that have a broader focus but also put out content related to MSCPR issues. In addition, we are impacted by a significant evolution in the healthcare environment which is bringing about more fully integrated delivery systems and more universal physician employment. These industry changes have led to an erosion of the central authority and influence of the selfgoverning medical staff and a corresponding decrease in the number of attorneys specializing and self-identifying as medical staff attorneys. In order to stay vital, the MSCPR Practice Group will need to evolve its identity and its focus to encompass credentialing and peer review in a much wider context than the traditional hospital medical staff. The Group also needs to do a better job in communicating to the AHLA members the depth and breadth of the subject areas we cover so as to avoid the narrow perception that the MSCPR title conveys. The Strategic Plan for FY 2016 is designed to move MSCPR Practice Group forward along that path. 2. Mission and Vision The MSPCR Practice Group hereby adopts the following Mission and Vision Statement: The Mission of the MSPCR Practice Group is to be a timely and comprehensive educational resource on the full range of legal issues and emerging industry trends pertaining to health care practitioner credentialing, peer review and medical staff governance, both within and outside the hospital setting. The MSCPR Practice Group sponsors seminar and webinar presentations, articles, e-alerts, twitter, podcasts, and other educational opportunities, covering traditional issues such Medical Staff Bylaws, NPDB reporting, professionalism and peer review; and emerging trends such as the evolving accreditation and regulatory mandates, ACO/CIN credentialing, and Patient Safety Organizations.

2 The Vision of the MSCPR Practice Group is to evolve and expand to meet the widening context within which credentialing and peer review occur to better develop our affiliation relationship with NAMSS, and to be a go-to resource for all types of clinically integrated entities that manage quality and safety of diverse professional providers through the mechanisms of credentialing and peer review. 3. Goals and Measures Short Term Goals (1-2 Years) Measures Projected General: Increase the level of Expand the number of 6/30/17 engagement of our membership in different contributors to contributing to the activities of the MSCRP activities by 20% MSCPR. over two years. General: Have a highly successful LDP Program, and learn from the process for next year. VCs required to interact with LDP participants and to find ways for them to assist the VCs. LDP Participants all contribute to at least one substantive project. General: Consider expanded role and name change for MSCPR & if adopted, implement for next year. General: Improved interactions with other Practice Group Leaders. Research &Website: Improve the design and functionality of the MSCPR Website to make it more attractive and useful to our Achieve positive evaluations from all LDP Participants at the end of the year. Attract a strong set of LDP applicants for the next year, emphasizing diversity in the selection process. Name Change Define & Implement expanded Role/Mission of MSCPR Practice Group with new Name and Mission Statement (see also, Long Term Goals, below) Periodic reports by PC and VCs re: other Practice Group activities and ideas that could further benefit MSCPR. Post New Mission Statement approved as part of the FY 2016 Strategic Plan 6/30/17 Ongoing 11/15/15 2

3 Membership and a magnet for new Post monthly reports 1/15/16 members. Make sure all work product is Ongoing timely posted Evaluate/identify strengths 1/15/16 and weaknesses in current functionality Work with AHLA staff to implement improvements Work with other VCs to 6/30/17 improve and replenish content podcasts, toolkits, tutorials. Membership: Expand and diversify membership base by 10% over 2 years by retaining existing members and attracting new members, particularly in previously unrepresented demographics. Social Media: Increase Twitter followers by 30% over 2 years. Publications: Continue strong output; do a themed MedStaff Issue. Systematic follow up and of data for departing members to inform ongoing PG activities. Conduct Survey to better ascertain composition, needs, preferences of membership, with particular focus on diversity issues. Work with other VCs to implement programmatic recommendations. Advertise directly to MSCPR members upcoming educational and other sponsored events Public twice a year a listing of benefits, resources, etc., offered by MSCPR Continue and increase regular tweets; coordinate with Legal Developments. members to join Twitter page. Implement 10/15/15. Analyze & Report every 6 months. 1/15/16 1/1/16 1/1/16; 3/week by 10/16/15 Create 2 Tweet Chats Generate 1 themed Med Staff News issue. 3

4 Education: Expand our range of Coordination with VCs of Four educational programming (to include other PGs to better integrate Integrated new forms of social media) and our programs and increase programs collaborative efforts with other visibility & brand of by Practice Groups. MSCPR Complete at least one podcast, one tutorial, one brown bag and one roundtable program; and evaluate their merits as compared with more traditional formats. Identify and conduct collaborative program with NAMSS 1 podcast & 1 tutorial by, with evaluation. Strategic Planning and Special Projects: Roll out the new strategic planning process; develop and monitor a Strategic Plan for FY Revitalize and expand the focus of the ACO Credentialing Work Group. Adopt Strategic Plan 11/15/15 Monitor and promote fulfillment of Strategic Plan Secure new leadership for ACO Work Group, and work with them to change the name and expand/revitalize function. Continue to monitor PSO Work Group and Data Bank Work Group. 2/19/16 Ongoing Long Term Goals (3-5 Years) Measures Projected Implement our vision for MSCPR to New Name and Mission 6/30/17 evolve and expand to meet the Statement reflecting this longterm widening context within which goal. credentialing and peer review occur, Each VC develops a 6/30/18 and to become the go-to resource for particular strategy for all types of clinically integrated implementing the entities that manage quality and safety new/expanded mission of diverse professional providers through his/her activities through the mechanisms of (details reflected in credentialing and peer review. subsequent Strategic Plans). Outreach to other PGs and the 6/30/18 membership at large to solicit leaders and volunteers to help implement this new concept 4

5 of the PG, and to collaborate across PG lines where appropriate. 5

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