Healthcare Safety Toolkit Library

This 2019 Joint Commission resource provides a description of regulatory requirements as related to Medical Staff processes and compliance strategies, discusses new standards impacting the Medical Staff, describes common survey findings and provides a description of a successful OPPE/FPPE program.

Provided below is a downloadable PowerPoint presentation on the responsibilities and related processes of the credentialing committee. This is a useful tool in the orientation and onboarding of new committee members, offering an overview of the expectations placed on the committee with regards to patient safety.

The information within the presentation should be used as a guide and edited as necessary to reflect your facility’s specific process.

This presentation provides information about OPPE/FPPE as it relates to a healthcare organization and the Joint Commission. It will:

• Review how different healthcare organizations manage OPPE/FPPE
• Discuss skills to implement policies, procedures and implementation tools

Healthcare providers and facility administrators can use this sample credentials file chart audit to ensure compliance with hospital standards and policy. The downloadable form provides a comprehensive checklist field including necessary elements of review to ensure credentialing documentation is in place for physicians on staff.

Through thorough assessment using this form, you can determine which physician files at your own facility are out of compliance with proper credentialing procedures, helping to safeguard against accidental oversights and room for liability.

The credentialing process is information-intensive, often requiring a multitude of components for completion. Staying organized and updated on what details you need is important in the successful implementation of the credentialing process.

To stay on target with your assessment process, use our Comprehensive Credentialing Checklist to ensure that all needed information has been verified prior to presenting for next level of approval or review.

While licenses offer a benchmark for the training of an employee, these hardly gauge how competent the physician may be at a particular skill. When onboarding new medical staff members, it’s essential to evaluate their individual competencies and professionalism to ensure it’s streamlined with your facility’s quality of care.

Use the sample Focused Professional Practice Evaluation (FPPE) form provided to quickly assess your new staff members.

Reducing the risk of encountering an active shooter situation is important to any business, especially healthcare. These resources provide tools on how to plan what to do in the event of an active shooter/violent situation.

Acitve shooter events are increasing more and more across the U.S. and the experts have developed tools to help the lay person identify a potential active shooter as a risk reduction strategy.

Healthcare organizations should take the possiblity of an active shooter event occuring in their facility very seriously. These resources provide key tactics on managing violent and disruptive behavior as a risk reduction process.

Active shooter training is vital for all staff in a healthcare organization as they are the eyes and ears of the facility. These resources help ensure staff are trained and prepared to address violent/aggressive behavior/situations.