Principles of Medical Staff Organization and Healthcare Finance
| Study Hours: |
2 Hours a Week |
| Credit Hours: |
45 CEUs |
| Revised: |
9/6/2002 9:49:48 AM |
| Course Leader: |
Kathy Matzka, CMSC, CPCS |
| Phone: |
(618)624-8124 |
| Email: |
matzka@apci.net |
|
Course Description
The course provides an introduction to a broad scope of medical staff services and credentialing topics for self-motivated adults who have a need or desire to know more about medical staff services management. The program is sponsored and administered by the NAMSS Institute, the educational division of the National Association Medical Staff Services.
Constant changes in today's healthcare industry demand that medical staff services and provider credentialing professionals be more knowledgeable and involved in the structure of the Medical Staff Organization and Health Care Finance issues than ever before. While many medical staff services and provider credentialing professionals may not be directly involved in all areas of the organization, they need to have a clear understanding of the many complexities that exist and how each one relates to the medical staff. These components include: Medical Staff Organization structure, the role of the medical staff within this structure, the role of medical staff leadership, the historical background of healthcare finance and the state and federal regulations that affect finance.
Professionals who will benefit from the materials covered in this course include: any medical staff services and credentialing professional working in a hospital or network environment, physician's management organization, or physician's office setting.
Entry-Level Standards To qualify for enrollment, the student must provide proof of high school graduation (i.e., copy of high school transcript or diploma, GED certificate or college transcript or diploma).
Prerequisites: None
Texts and Other Reference Materials
Text: NAMSS Independent Study Course 3
Recommended References: (The following references were used in the development of this course and may be helpful study tools to the student. However, they are not required reading in order to complete the Course.)
1. |
Core Curriculum For Persons Responsible for Medical Management in Professional Staff Services (2000, National Association of Medical Staff Services) |
2. |
Accreditation Manual for Hospitals . Joint Commission on Accreditation of Healthcare Organizations. (2001). Chicago : JCAHO. |
3. |
Handbook of Medical Staff Management . Orsund-Gassiot, C.A. & Lindsey, S. (1990). Gaithersburg , MD : Aspen Publishers, Inc. |
4. |
Handbook of Medical and Professional Staff Management , 2nd ed. C.A. Gassiot and V. L. Searcy, Eds., (Austin, TX: Texas Society for Medical Staff Services, 1998). |
5. |
Hospitals: What They Are and How They Work . Snook, Jr., I.D. (1992). Gaithersburg , MD : Aspen Publishers, Inc |
6, |
The Guide to Governance for Hospital Trustees . Totten, M., Orlikoff, J.E., & Ewell, C. (1990). Chicago : American Hospital Association |
7. |
Delivering Healthcare In America , A Systems Approach , Leiyu Shi & Douglas A. Singh, (1998), Aspen Publishers, Inc |
8. |
Health Care Administration, Principles, Practices, Structure and Delivery , Wolper, Lawrence F. (1995), Aspen Publishers, Inc. |
9. |
Medicare Conditions of Participation – Centers for Medicare and Medicaid Services, US Government Printing Office, Washington DC |
10. |
The Medical Staff and the Modern Hospital . Eisele, C.W., Fifer, W.R., & Wilson , T.C. (1985). Englewood , CO : Estes Park Institute. |
11. |
Medical Staff Bylaws Handbook , Kerneghan, S.G. (1987) Chicago : American Hospital Association |
| 12. |
Principles of Medical Ethics , American Medical Association (2000) |
| 13. |
Confidentiality in the Documentation of Peer Review Activities , Matzka, K., NAMSS Overview (1994 |
| 14. |
The Law of Hospital and Health Care Administration , Southwick, A.F. (1988), Health Administration Press, Ann Arbor , MI |
| 15. |
National Association of Inpatient Physicians web site www.naiponline.org |
| 16. |
JCAHO Clarifies Use of Temporary Privileges – Again , Matzka, K., NAMSS Synergy, May/June 2001 |
| 17. |
Credentialing and Medical Staff Law , Snelson, E., NAMSS Institute, 2000 |
18. |
Principles of Medical Ethics , Adopted by the AMA's House of Delegates June 17, 2001 , Last updated: Aug 08, 2001 . Content provided by: American Medical Association, Ethics Standards Group |
19. |
Fundamental Elements of the Patient-Physician Relationship , Report of the Council on Ethical and Judicial Affairs of the American Medical Association. Originally adopted June 1990. Updated 1994 . |
| 20. |
Pam Pohly Associates, 2707 Woodrow Court, Suite 100 , Hays, KS 67601, www.pohly.com |
21. |
Patient Advocate Foundation, 753 Thimble Shoals Blvd, Suite B, Newport News , VA 23606 , www.patientadvocate.com |
22. |
Health Services in the United States . Wilson , F.A, & Neuhauser, D. (1982). Cambridge , MA : Ballinger Publishing Company |
23. |
Health Services in the United States . Wilson , F.A, & Neuhauser, D. (1982). Cambridge , MA : Ballinger Publishing Company |
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- Chapter Topics
- Lesson 1 Hospital Organizational Structure and Role of Medical Staff in the Hospital Organization
- Lesson 2 Medical Staff Organizational Structure
- Lesson 3 Medical Staff Leaders
- Lesson 4 Health Care Finance, Managed Care, Alternate Delivery Systems, and Complimentary and Alternative Medicine
- Course Objectives
Course 3 is developed to provide an overview of the principles of Medical Staff Organization including the areas where it intersects with the hospital organization, as well as the various roles played by medical staff members and committees in hospital operations.
- Instructional Processes
Students have three months to complete each course offered through the ISP. The entire NAMSS ISP usually takes 15 months to complete. Each course offers 45 hours of NAMSS Continuing Education Units (CEU) at the completion of each course.
- Expectations For Student Performance
Prior to beginning the course, students should familiarize themselves with the course design by reviewing the syllabus, the interactive capabilities such as the discussion board and contact information for the Course Leader and Executive Office. The Course Leader is available to students with questions regarding content and the Executive Office can be contacted with questions/comments about student accounts. Internet Access Students should have access to a computer with internet connection to complete reading material, quizzes and a two hour multiple choice exam. Time Management Students are given three months to complete the course. Students should set interim goals and deadlines to complete the course within the given timeframe. Students unable to complete the course within the given timeframe may request a three month extension for $50.00.
- Evaluation
Quizzes
At the end of each section, there is a quiz to emphasize the learning objectives of that section. Students are encouraged to take the quizzes as many times as needed. The quizzes are marked for completion only and the score is not recorded.
Course Exam
At the end of Course 3 there is a multiple choice exam of 50 questions. The student must earn a passing grade (80% of questions answered correctly), within three attempts. Should a student fail the initial exam, a $50 fee will be assessed for the second attempt. The student will have 30 days to complete the second exam.
The student will be responsible for obtaining a qualified proctor to supervise the examination. The proctor cannot be a current enrollee in the NAMSS ISP, a co-worker in the same department or a relative of the student. An example of an appropriate proctor would be someone from the staff development or staff education department.
Grading Scale: 93-100 A; 87-92 B; 80-86 C; less than 80 is a failing grade.
- Policies
The student should refer to the contract signed at the time of enrollment in the NAMSS ISP for applicable policies.
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