NEW JERSEY ASSOCIATIONMEDICAL STAFF SERVICES
SPRING CONFERENCE –Thursday, April 19, 2018
To Centralize Credentialing or Not…That is a Healthcare System’s Question
Presented by:Christina W. Giles, CPMSM, MS
President, C. Giles & AssociatesNashua, New Hampshire
Disclaimer
Information as presented and included in handouts is general and not to be considered legal advice
Use of information shared and presented is the responsibility of the participants
Participants / readers should obtain legal advice from attorneys familiar with their organization and state statutes, federal regulations, and other applicable requirements
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Thursday, April 19, 2018
Christina W. Giles, CPMSM, MS
• Principal, C. Giles & Associates, Nashua, NH 603.886.0444
• Over 30 plus years experience• Consulting in Medical Staff Administrative issues:
credentialing, privileging, Bylaws, policies and procedures, accreditation preparation & compliance
[email protected]• Founding Partner, Edge-U-Cate, LLC
www.edge-u-cate.com• Co-Author & Editor: Medical Staff Handbook:
Fundamentals and Beyond• Co-Author: Health Care Credentialing: A Guide to
Practical Innovations• Co-Author & Editor: Overcoming Contemporary
Credentialing Challenges
• Mother of two; Nana of three
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What We Will Discuss…. Identify basic components of a project
management approach; Describe the reasons for considering
centralization of credentialing; Evaluate possible “hindrances” to the
project Articulate prospective educational
sessions to pave the way for asuccessful project
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PROJECT MANAGEMENTProject Management is the application of knowledge, skills, tools and techniques to project activities. Using a project management approach provides:Tangible Value◦ Cost savings; revenue increases◦ Greater market share
Intangible Value◦ Enhanced decision making & communications ◦ Improved work culture & staff retention
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You can please some of the people some of the time…
But you can’t please all of the people all of the time.
FIRST STEPS…….Thursday, April 19, 2018 7
Identify the work andThe stakeholders
Estimate the project
Plan & Manage Tasks & Schedule
SECOND STEPS……Thursday, April 19, 2018 8
Plan & Manage Communications
Calculate & Report Status
Proactively Manage Risk
IMPORTANT CONCERNSTriple Constraint –Time / Scope / Cost
Need to fix two of three to plan a project
Once set, a change in one requires change in another
Quality is a function of the three constraints
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DELIVERABLE….
Deliverable The tangible product,
service or result of project
Defined by requirements and scope – no more/no less
Must be tangible and verifiable
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STAKEHOLDERS
Actively involved in or with influence over project
Anyone whose interest will be impacted – positively
or negatively –by project or it’s deliverables Interests of
stakeholders can conflict
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AGILE METHODOLOGY
Considered more flexible than traditional methodology
Requirements are progressively defined
Less documentation required
Not applicable to all projects
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LEAN/SIX SIGMA
Lean = Relentless pursuit to eliminate process waste
Six Sigma = Methodology & metrics to reduce defects
Applies manufacturing principles to processes
Very popular in Healthcare today
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Anatomy of the Project
SUCCESS
Initiate
Plan
Manage
Close
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What are we doing?
How do we do it?
How are we doing?
How did we do?
What Are We Doing?
Centralizing Credentialing Function
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INITIATEWhy are we doing it?
Administration wants it Perception of duplicity Inconsistency in process amongst health care
system hospitals Perception of difficulty of process Perception it can be done more efficiently and
effectively if centralized Perception that it will be less expensive Confirm sponsor & authorize project
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PLANHow Do We Do It?
Planning is the most important phase –Success or Failure of the project
begins here.Collect Requirements and Define ScopeIdentify and Sequence the Activities Estimate Resources, Duration & Cost Develop Project Plan and Budget Develop Supporting Plans for ManagingScope, Quality, Risk, Communications,
Resources, Procurements
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PLAN How do we do it?
Define deliverables Define Stakeholders Define appropriate personnel to
participate in the project Identify key “champions” Define important data elements Estimate resources, duration & cost Plan & Manage tasks and schedule
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GOAL IS….
INTEGRATION WITH SUPPORT
FROM ALL STAKEHOLDERS
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ManageHow are we doing?
The Manage phase begins when resources join the team and ends when deliverables are done Acquire, train & oversee project teamManage communications Ensure project qualityManage scopeManage risks Resolve legal issues Monitor & communicate project status
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ManageHow are we doing?
Plan and manage communications plan◦ Who do we need to communicate with?◦ What do they need to know & how often?◦ What is the best method of communication?
Proactively manage risk◦ What could go wrong?◦ Who could derail the project?◦ How will we prevent it from happening?◦ What is our “Plan B” if it does happen?
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CloseHow did we do?
Facilitate team transition – hire personnel for centralized function
Update final project plan & budgetHold “Lessons Learned” sessionDocument Lessons Learned
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IT’s ALL ABOUTBALANCE
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Don’t want to be negative – but consider reasons why project may fail
Stay away fromNEGATIVE PEOPLE….
They have a problem for every solution!!
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Reasons Projects Fail
Missing the “Big Cheese”
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Pet ProjectThursday, April 19, 2018 26
Initiated by someone in a senior position
Does not havesufficient link withother administrators nor sufficient business basis
May not be supportedby other groups
Ignoring the Basics
CHANGE is Difficult
Not Changing isFATAL!
Assuming all stakeholders are supportive
Stakeholders arenot sufficientlyinvolved orinformed
Insufficient education and orientation on new process
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Scope Creep
Fuzzy RequirementsAllowing free reign
to stakeholdersForgetting the goal
or main work identified
Lack of criteria (& courage) for “No Go Decision
Continue projectwhen no longerviable or valuable
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SCOPE CREEPThursday, April 19, 2018 29
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REMEMBER……..
“If you aren’t confused, you
don’t know what’s going on!”
Jack WelchPast CEO of G.E.
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WHERE DO WE GO FROM HERE?
If you put everything off till you’re sure of it, you’ll get nothing done. –
Norman Vincent Peale
Time for you to Exercise yourThoughts……
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Central CredentialingService
Agreed upon forms & process
Consistent approach
Well trained personnel & leadership
Quality process =qualitypractitioners
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QUESTIONS
THANK YOU!!!
