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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Credentialing ambulatory physicians based upon core competencies.

John Maese1

  • 1Staten Island University Hospital, NY, USA. jmaese@att.net

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
|September 17, 2009
PubMed
Summary

Healthcare economics are changing physician practice models. This article proposes using Accreditation Council for Graduate Medical Education (ACGME) core competencies to credential and privilege ambulatory physicians, including low-volume hospital admitters, ensuring patient safety and quality care.

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Area of Science:

  • Health Services Research
  • Medical Education
  • Healthcare Management

Background:

  • Economic pressures are transforming healthcare delivery models.
  • Patient care is increasingly divided between hospitalists and ambulatory-based primary care physicians.
  • Credentialing physicians with infrequent hospital admissions presents challenges for departmental chairs.

Purpose of the Study:

  • To propose a method for credentialing and privileging ambulatory physicians or low-volume hospital admitters.
  • To adapt existing competency frameworks for evaluating physicians with limited inpatient exposure.
  • To ensure continued physician competence and patient safety in evolving healthcare settings.

Main Methods:

  • Utilizing the Accreditation Council for Graduate Medical Education (ACGME) core competencies.
  • Applying the ACGME competency framework to assess physicians with minimal hospital patient encounters.
  • Developing a credentialing and privileging process tailored for ambulatory-focused physicians.

Main Results:

  • The ACGME core competencies provide a robust framework for evaluating physician competence.
  • This approach allows for objective assessment of skills relevant to both inpatient and ambulatory care.
  • Credentialing can be effectively managed for physicians with low hospital admission volumes.

Conclusions:

  • The ACGME core competencies offer a viable solution for credentialing and privileging ambulatory physicians.
  • This model supports the safe integration of physicians with varied practice patterns into hospital systems.
  • Adapting competency-based evaluation is crucial for modern healthcare credentialing.