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2/17/2017 1 Your Link to MSPs From Across the Nation Learning Objectives 1. Describe the history of NAMSS, strategic initiatives and impact on the industry. 2. Identify elements of the NAMSS Leadership and Volunteer Pathways to better support the profession. 3. Discuss verification benchmarks and grassroots efforts NAMSS is supporting to improve credentialing efficiencies. History of NAMSS NAMSS firsts: formed in California in 1971 national conference held in 1977 certification process initiated in 1978

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Page 1: Your Link to MSPs From Across the Nation Learning Objectivesarkhospitals.org/Education/2017DALSateMeeting.pdf · From Across the Nation Learning Objectives 1. Describe the history

2/17/2017

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Your Link to MSPsFrom Across the Nation

Learning Objectives

1. Describe the history of NAMSS, strategic initiatives and impact on the industry.

2. Identify elements of the NAMSS Leadership and Volunteer Pathways to better support the profession.

3. Discuss verification benchmarks and grassroots efforts NAMSS is supporting to improve credentialing efficiencies.

History of NAMSS

• NAMSS firsts:

• formed in California in 1971

• national conference held in 1977

• certification process initiated in 1978

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History of NAMSS (cont.)

Growth of NAMSS

• Membership grew from initially under 60 members to over 5,700 members in 2016

• Membership demographics have changed from primarily traditional hospital credentialing/privileging members to a strong presence of managed care members.

• Increasing presence of international members

• New affiliation with the American Health Care Lawyers Association (AHLA) has also enriched and diversified our membership.

History of NAMSS (cont.)

• Partnering with State Leadership

• Our Industry Journal was renamed Synergy -new facelift in 2016

• Ability to be Dual Certified – became a reality

• Education extends to managed care

• Leadership Council - journey to leadership

• Leadership Certificate program – Fall 2016

History of NAMSS (cont.)

NAMSS Increased Technology

• NAMSS PASS™ launched in 2013

• Synergy and NAMSS Gateway both electronic

• Website Updated in 2015

• Membership/renewal on-line

• Virtual Conference

• Mobile App for certification/recertification applications

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What Does NAMSS

Do for MSPs?

• Serves as the voice of the profession, advocating on behalf of MSPs across the nation

• Government Relations & Advocacy

• Supports state affiliates and associations on the local level

• Marketing

Strategic Objectives

Objective 1: Ensure that NAMSS professionals are qualified, skilled and competent in assessing healthcare providers

Objective 2: Emphasize NAMSS professionals as “the gatekeepers of patient safety” and the beginning of the revenue cycle

Objective 3: Establish a recognized career leadership pathway for NAMSS professionals who are assessing the competency of healthcare providers

Achieving our Objectives

Ensure that NAMSS professionals are qualified, skilled and competent in assessing healthcare providers

• Develop a new competency model which

includes additional skills and knowledge

areas outside the traditional functions of the

profession.

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Achieving our Objectives

Emphasize NAMSS professionals as “the gatekeepers of patient safety”

• Educate the public and stakeholders on the professions role of assuring that providers are qualified, competent, and professional to ensure patient safety, reduce risks and improve quality outcomes for the patient

• Become the “go-to” organization for the profession

• Actively educate and advocate to implement the Ideal Credentialing Solution (ICS)

• Promote best practice(s)

Achieving our Objectives

Establish a recognized career leadership pathway for NAMSS professionals who are assessing the competency of healthcare providers

• Enhance and support NAMSS professionals with the skills and confidence needed to be leaders in the profession and in their careers as the field changes and develops

• Develop, strengthen and recognize NAMSS leaders

State of the Profession Report

http://www.namss.org/Report

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Entry Level Intermediate Advanced

Support of Medical

Staff Services

Joins State/Local Association

Joins NAMSS

Becomes a NAMSS

Volunteer

Promotes value of NAMSS

to non-member

Attends State/Local

Association Meetings

Volunteers to be on

State/Local Association

Team

Establishes formal mentor

relationships with novice

MSPs

Supports NAMSS

Advanced support of the

professional occurs through

achievement of credentials,

publishing/research, MSS

advocacy, education and

NAMSS services and

leadership.

Entry Level Intermediate Advanced

Credentials Prepares for and achieves

CPCS and/or CPMSM

Actively promotes NAMSS

to other MSPs

Contributes potential

CPCS/CPMSM exam

questions or serves on

Task Force regarding

credentials

Serves on Certification Task

Force or Committee

NAMSS Volunteer Path

NAMSS Volunteer Path (cont.) Entry Level Intermediate Advanced

Publishing and

Research

Contribute to NAMSS E-

News

Submits articles for

State/Local Association

Newsletter

Assists with management

of State/Local Association

website

Serves on State/Local

Association or

Communication Team

Published in Synergy

Published in another Peer

reviewed journal

Published research that

advances the profession

Author/Editor of healthcare

text/resource

Entry Level Intermediate Advanced

Medical Staff

Services Advocacy

Responds to call for input

from NAMSS

Responds to requests for

support for State/Local

Association advocacy

efforts

Leads/coordinates

State/Local level advocacy

efforts

Leads/coordinates NAMSS

advocacy efforts

NAMSS Volunteer Path (cont.) Entry Level Intermediate Advanced

Education Attends NAMSS Annual

Conference

Attends State/Local

educational events

Assists with conference

planning for State/Local

Begins enrolling in NAMSS

Leadership Development

Presenter at State/Local

association conferences

Presenter at other

national-level conference

Serves on NAMSS

Conference Committee

Continues NAMSS

Leadership Development

Training

Presenter for NAMSS

educational event

Named to NAMSS Speaker

Bureau

Listed as approved faculty for

“NAMSS educational programs.

Completed NAMSS Leadership

Development Training

Entry Level Intermediate Advanced

Association Service

and Leadership

Services on State/Local

Association team

Services on NAMSS

standing team or task

team

Services as State/Local

association board member

Serves as an officer for the

State/Local Association

Serves as a NAMSS

Committee member

Serves as Chair of NAMSS

Committee

Serves on NAMSS Board of

Directors

Services as NAMSS Officer

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National Association Medical Staff Services Leadership Career Path

Element Entry Level Experienced Leadership

Experience • 0 – 4 Years • 5-14 Years • 15 and above

Education • Associates or Undergraduate Degree • Undergraduate Degree • Masters or Doctorate Level

Certifications • CPCS • CPCS and/or CPMSM • CPCS and CPMSM and other

healthcare related certifications

(Quality, Risk Management, etc.)

Training/Ongoing • Medical Services Professional • NAMSS Leadership Institute • Participate in NAMSS Virtual Round

Education Education • Education on Accreditation/Regulations Table

• Patient Safety and Quality

• Risk Management

• Six Sigma

• Budgets

• Finance

• Legal

• Leadership

Skills, Knowledge

and Responsibilities

• Credentialing

• Meeting Preparation

• Liaison between Administration and

Medical Staff Leaders

• Supervision of Employees

• Governance and

Organization Structure

• Human Resources

• Meetings Management • Finance

• Education and Training of Staff • Collaborate with Legal Counsel

• Onboarding Process • Healthcare Technology and

• Meets Regulation and

Accreditation Standards

Information Management

• Quality and Performance

• Quality and Peer Review

• Leadership

Improvement

• Laws and Regulation

• Professionalism and Ethics

• Healthcare Industry

• Team Development

• Vision

• Contract Management

• Business Planning

• Product Development

• Culture Change

National Association Medical Staff Services Leadership Career Track (cont.)

Skills, Knowledge and

Responsibilities

(Continued)

• Marketing

• Compliance

• Recruitment

• Service Line Development

• Project Management

• Shared Services

• Affiliation Agreement – Medical

Institutions, Corporate Responsibilities

Servant Leadership • Volunteer in Community

• Volunteer in Local Chapter or State

Association

• Volunteer in Local Chapter, State Association

and National Association Medical Staff

Services

• Volunteer in Healthcare Related

Associations and Community Services

Professional Contributions • Local Chapter Medical Staff Services

Newsletter

• Medical Staff Newsletter

• State or national medical staff services

publication or web content

• Editor of Newsletter

• Peer Review Publications

• Book Contributor

• Serve as an Expert Witness

• Presentations for Professional and/or

Healthcare Organizations

• Serve on National Healthcare Related

Interest Groups

• National Association Medical Staff

Services Publication and/or other

Healthcare Organizations

• Fellow designation in NAMSS and/or

related professional organizations

Ideal Credentialing Standards

Hospital Credentialing1. Proof of Identity

2. Education and Post Graduate Training

3. ECFMG information

4. Military service information

5. Professional licensure held in all states

6. DEA registration and state DPS certification

7. Board certification status

8. Practitioner Affiliation and work history

9. Criminal Background Check

10. Federal and State sanction checks

11. NPDB

12. Health status

13. Professional liability carriers and certificates

14. Peer references

Payor Credentialing1. Proof of Identity

2. Highest level of training

3. Professional licensure held in all states

4. DEA registration and state DPS certification

5. Affiliation history

6. Work history

7. Federal and State sanction checks

8. Credentialing application

9. Malpractice claims history

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Model Credentialing Application

• NAMSS identified as the right organization to lead the project

• Diverse Task Force members and input for multiple groups

• Initial intent and purpose

• Long-term goal

Model Credentialing Application

Intended to eliminate duplication and redundancy in the credentialing and licensure processes.

• Roundtable stakeholders offered feedback to draft application

• Stakeholders finalizing data dictionary and working toward implementation in 2017

Fourth Annual Roundtable

• May 18, 2017

• Alexandria (Virginia) Westin Hotel

• Collaboration between thought leaders and stakeholders on streamlining and simplifying the credentialing process.

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FSMB Interstate Licensure Compact

• Grassroots efforts proved impactful– NAMSS FSMB Position Statement

• 18 states have signed enacted the compact

• A of 2017, five states have introduced legislation to enact the Compact

• Additional introductions of the model Compact legislation are expected across the nation throughout the year

http://www.namss.org/NEWS

FSMB Interstate Licensure Compact

FSMB Interstate Licensure Compact

• The Compact influences healthcare by:

�Enhancing patient access along border states and rural areas

� Improved sharing of complaint and investigative information

• State Medical and Osteopathic Boards express support

• Know where your State is with the Compact

• Information: www.licenseportability.org or www.namss.org/FSMB

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• Complete work history

• Gap Analysis

• Good Standing Letters

• Resource for future initiatives

• Disaster response credentialing

• Over 560 participating entities and growing weekly

• Over 362,000 affiliations

• Visionary Award given to 500 MSPs

NAMSS PASS Fees

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NAMSS PASS Fees

What else could PASS do to advance

patient safety and efficient processes?

• International member support

• International influence with IAMRA

• Disaster response credentialing resource

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Certification

2016 Dates and Deadlines

Spring Testing Period Application Deadline Friday, January 15, 2016Testing Period – Saturday, March 12 through Saturday, April 2, 2016

Summer Testing PeriodApplication Deadline – Friday, April 8, 2016Testing Period – Saturday, June 4 through Sunday, June 26, 2016

Fall Testing PeriodApplication Deadline – Friday, August 12, 2016Testing Period –Saturday, October 8 through Saturday, October 29, 2016

Certification

• Multiple Choice Exam – 3 options

• Practice Exam

• Official results follow within six weeks of the closing of the testing window

• Certification is for 3 years

• Recertification required every 3 years

Certification

• CPCS

– Currently employed in the medical services profession for at least the past 12 months AND three years experience in the medical services profession within the past 5 years

– 150 Questions, 3 hours

– Recertification every 3 years

– 30 CEUs (of which 15 NAMSS approved)

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Certification

• CPMSM

– Current employed in the medical services professional for at least the past 12 months AND five years of experience in the past eight years*

– 175 Questions, 4 hours

– Recertification every 3 years

– 30 CEUs (of which 15 NAMSS approved)

CertificationNEW! Online Certification Applications

CPCS Application: www.namss.org/CPCS_Application

CPMSM Application: www.namss.org/CPMSM_Application

CertificationNEW! Online Re-Certification Applications

www.namss.org/recertification

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NAMSS Fellows Program

• Created in 2016

• Recognizes career MSPs who have made outstanding contributions to the profession

• Inaugural class: 15 MSPs

Application Open Spring 2017

http://www.namss.org/fellows

NAMSS Healthcare Hall of Fame

• Created in 2016

• Honors MSPs who have demonstrated enthusiasm, passion, dedication and commitment to the profession

• Nominations taken annually every February/March

• 2017 Deadline for Nominations: March 10

http://www.namss.org/HallofFame

Benefits of NAMSS Membership(& Maintaining Membership)

• Discounted Webinars & Conferences

• Discounted Publications

• E-Synergy & Gateway

• Professional Mentoring Program

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Benefits of NAMSS Membership

Scholarships & AwardsEvery year NAMSS members are eligible to apply for the following scholarships and awards :

Charlotte Cochrane Scholarship AwardFinancial assistance to an active member to be applied

toward an accredited program of study

Aspire Higher ScholarshipNAMSS Scholarship funded by the Greeley Company,

honoring Carol Cairns, CPMSM, CPCS

The NAMSS Scholarship Fund and NAMSS Leadership Development Scholarship

(Applications are due by June 15th)

NEW! NAMSS Leadership Development Scholarship

• Created in 2017

• Include scholarship opportunities for MSPs to participate in NAMSS’ leadership development programs

– Leadership Certificate Program

– Virtual Executive Roundtable

(Applications are due by June 15th for courses happening July 15, 2017 to January 15, 2018)

Benefits of NAMSS Membership

Networking Opportunities

• Membership Directory of NAMSS Members

• Member Surveys & Resources

• Access to the Job Board w/Positions Across the US

• Discussion Forums

• Marketing Materials

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NAMSS and AHLA• MSP’s must keep up with regulatory compliance,

legal liability and lawsuits.

• NAMSS and AHLA Membership Deal– Discounted dues for members to join each others’

associations

• NAMSS Members can join AHLA at a discounted rate of $110 annually.

www.namss.org/AHLA

Volunteering with NAMSS

• Board Nomination/ Application process

• Committees– Audit and Finance

– Certification Commission

– Conference Committee

– Education Committee

– Ethics Committee

– Membership Committee

– Leadership Selection Committee

– NAMSS Liaisons to the Board of Directors (Bylaws & Industry)

– Past Presidents

• NAMSS Resource Registry

Leadership Selection Committee

Focused on:

• Training

• Selecting Future Leaders

• Approved NAMSS Principles of Leadership

• Establishing a NAMSS Hall of Fame

• Overseeing Fellow Designation

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Upcoming NAMSS Conferences

41st Educational Conference & ExhibitionThe Broadmoor

October 21 - October 25, 2017Colorado Springs, Colorado

40th Educational Conference & ExhibitionSheraton Boston Hotel

September 17 - September 21, 2016Boston, Massachusetts

www.namss.org/conference

Leadership Certificate Program

• Launched in 2016

• Combination of online modules and live workshop

• Ideal Participants:– CPCS and/or CPMSM certification

– Minimum five years of experience in the industry

– Title of “Manager” or above

• FREE Introduction course – 1.0 CE

• *Two of the online modules must be completed prior to live workshop participation

http://www.namss.org/LCP

NAMSS Education Summit

• New name! No longer “Regional” Education Summit

• High quality NAMSS educational workshops:

– Credentialing Specialist (CPCS) Exam Preparation Workshop

– Medical Services Management (CPMSM) Certification Preparation Course

– Credentialing 101

– NEW! Leadership Certificate Program Workshop

• *Workshop attendance requires completion of two online module courses

• Held annually in early spring

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NAMSS Leadership Conference

NAMSS is proud to host

State Association Leaders at the 2018 Leadership Conference

Intercontinental at Doral Miami

Miami, Florida

January 26-27, 2018

This event is only open to the President and President-Elect of State Affiliates

More Networking Opportunities

Like Us on Facebook!www.facebook.com/namssnational

Subscribe to the NAMSS Blog!Visit the Blog, directly: http://namss.blogspot.com/

Visit the NAMSS website for the digest feed:

http://www.namss.org/NEWS/NAMSSBlog.aspx

Follow us on Twitterhttps://twitter.com/NAMSS_News

Join our LinkedIn Grouphttps://www.linkedin.com/company/namss---national-association-medical-staff-services

NAMSS Will Continue to…

• Serve as the voice of the profession, advocating on behalf of MSPs across the nation

• Provide educational and professional development opportunities that meet the ever changing health care environment we navigating through today

• Support state affiliates and associations on the local level

• Inform and connect the network of medical services professionals and credentialing services professionals

But we will be doing this in ways that create the most value and help members be the most successful in their ever

changing and challenging health care roles!

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Questions?

NAMSS Executive Office

2025 M Street, NW

Suite 800

Washington, DC 20036

(202) 367-1196

[email protected]