Tomorrow's MSP®

Core Functional Areas and Skillsets

The Tomorrow’s MSP® core functional areas and skillsets outline the responsibilities necessary for MSPs to perform their jobs, provide context for career advancement in the profession, and set a clear direction for the future of the medical services profession. 

Core Functional Areas

Manages Provider Enrollment Process

Example: Maintains provider enrollment information within the credentialing database and pulls reports for hospital administration, marketing, professional billing staff, and clinic directors/managers as needed.

Analyzes and Manages Data Verification

Example: Identifies associations between seemingly independent problems or events to recognize trends, problems, and possible cause-effect relationships.

Manages the Credentialing or Privileging Process

Example: Evaluates credentialing/privileging requests and evidence of education, training, and experience to determine eligibility for requested privileges, membership, and/or plan participation.

Conducts, Participates In, and Maintains Credentialing and Privileging

Example: Compiles, evaluates, and presents the practitioner-specific data collected for review by one or more.

Conducts, Participates In, and Maintains Current Clinical Competency Evaluations and Peer Reviews

Example: Recognizes, investigates, and validates discrepancies and adverse information obtained.

Complies with Accreditation Standards and Regulatory Standards

Examples: 1). Participates in surveys and audits of regulatory and accreditation agencies or organizations. 2). Obtains and evaluates practitioner sanctions, complaints, and adverse data to ensure compliance.

Manages Compliance with State and Federal Accreditation Standards and Regulatory Requirements

Example: Develops and/or updates applicable governing documents (bylaws, rules and regulations/policies and procedures) that support and direct organizational practices and ensure compliance.

Conducts, Participates In, and Maintains Primary Source Verification

Example: Verifies and documents expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards.

Manages Departmental Operations

Example: Verifies and documents expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards.

Facilitates Medical Staff Functions

Example: Collaborates with executive teams to integrate operational needs into strategic planning processes and promotes practitioner advocacy, departmental effectiveness, and regulatory readiness.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Skillsets

Analytical Thinking

Information Technology

Relationship Building

Budget/Finance

Legal

Risk Management

Change Management

Managed Care

Team Building

Clinical Competence

Performance Improvement

Database Management

Communication

Political Savvy

Medical Staff Professionalism

Confidentiality

Presentation Skills

Medical Staff Wellness

Contracting

Professional Ethics

Continuing Medical Education

Evaluation

Professional Presence

Medical Staff Bylaws & Policies/Procedures

Flexibility/Adaptability

Project Management

Remote People Management

Human Resources

Quality Review/Quality

 


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