your link to msps from across the nation · 2019. 3. 18. · 3/18/2019 1 your link to msps from...
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Your Link to MSPsFrom Across the Nation
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.
4. Identify volunteer opportunities with NAMSS.
5. Select which volunteer opportunity is best for you.
6. Determine next steps in becoming a volunteer with NAMSS.
Learning Objectives
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History of NAMSS
• NAMSS firsts:
• formed in California in 1971
• national conference held in 1977
• certification process initiated in 1978
Growth of NAMSS
• Membership grew from initially under 60 members to over 6,000 members in 2018
• 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
• State of the Profession Report - 2016
History of NAMSS (cont.)
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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
History of NAMSS (cont.)
• Serves as the voice of the profession, advocating on behalf of MSPs across the nation
• Government Relations & Industry Partnerships
• Provides education in support of professional development
• Supports state affiliates and associations on the local level
• Marketing
What Does NAMSS Do for MSPs?
Objective 1: Ensure that NAMSS professionals are qualified, skilled and
competent in assessing healthcare providers
• Leadership Certificate Program
• Ready to Lead?
Objective 2: Emphasize NAMSS professionals as “the gatekeepers of patient
safety”
• State of the Profession Report
• NAMSS Industry Roundtables
• Ideal Credentialing Standards
• NAMSS PASS
Strategic Objectives (2016 – 2018)
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Objective 3: Establish a recognized career leadership pathway for NAMSS
professionals who are assessing the competency of healthcare providers
• Leadership Pathway
• Volunteer Pathway
• Fellow Designation
• Hall of Fame Award
Strategic Objectives (2016 – 2018)
State of the Profession Report
http://www.namss.org/Report
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
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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
NAMSS Leadership Career PathElement 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 certifcations (Quality, Risk
Management)
Training/Ongoing Education •Medical Services Professional Education
•NAMSS Leadership Institute
•Education on Accreditation/Regulations
•Patient Safety and Quality
•Risk Management
•Six Sigma
•Budgets
•Finance
•Legal
•Leadership
•Participate in NAMSS Virtual Round Table
Skills, Knowledge and Responsibilities•Credentialing
•Meeting Preparation •Liaison between Administration and
Medical Staff Leaders
•Supervision of Employees
•Meetings Management
•Education and Training of Staff
•Onboarding Process
•Meets Regulation and Accreditation
Standards
•Quality and Peer Review
•Leadership
•Governance and Org Structure
•Human Resources
•Finance
•Collaborate with Legal Counsel
•Healthcare Technology and
•Information Management
•Quality and Performance
Improvement
•Laws and Regulation
•Professionalism and Ethics
•Healthcare Industry
•Team Development
•Vision
•Contract Management
•Business Planning
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Element Entry Level Experienced Leadership
Skills, Knowledge and Responsibilities
(Continued)•Marketing
•Compliance
•Recruitment
•Service Line Development
•Project Management
•Shared Services
•Affiliation Agreement – Medical
Institutions, Corporate
Responsibilities
•Product Development
•Culture Change
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
NAMSS Leadership Career Path (Continued)
Ideal Credentialing Standards
Hospital Credentialing
1. 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
Payer Credentialing
1. 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
Model Credentialing Applicationbecomes Data Dictionary• NAMSS was identified as the right organization to lead the
project to develop a Model Credentialing Application
• Diverse Task Force members and input for multiple groups
• Initial intent and purpose
• Long-term goal
• Roundtable stakeholders offered feedback to draft application
• Stakeholders transitioned from a Credentialing Application to a Data Dictionary concept
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NAMSS Annual Roundtable
• Collaboration between NAMSS leaders and industry partners
• 2017 Roundtable topic - Streamlining and simplifying the credentialing process and new technologies
• 2018 Roundtable topic – The future of digital credentialing
• 2019 Roundtable topic – TBD
• NAMSS is working to develop a vision of the future and a pathway for Medical Services Professionals
• Much more to come at the 43rd Educational Conference and Exhibition
October 19-23, 2019Philadelphia Marriott DowntownPhiladelphia, Pennsylvania
Strategic Objectives – 2019 and beyond
FSMB Interstate Medical Licensure Compact(IMLC)
• Mission: To increase access to health care for patients in underserved or rural areas.
• Makes it easier for physicians to obtain licenses to practice in multiple states.
• Strengthens public protections by enhancing the ability of states to share investigative and disciplinary information.
• IMLCC.org
http://www.namss.org/NEWS
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FSMB Interstate Licensure Compact
• Complete work history
• Gap Analysis
• Good Standing Letters
• Resource for future initiatives
• Disaster response credentialing
• Nearly 500 participating entities
• Over 664,000 affiliations
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NAMSS PASS Fees
NAMSS PASS Fees
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What else could PASS do to advance patient safety and efficient processes?
• International member support
• International influence with IAMRA
• Disaster response credentialing resource
• Affiliation verification from closed facilities
• Access to complete affiliation history, rather than relying on what could be an incomplete application
2019 Dates and Deadlines
Spring Testing Period
Application Deadline Friday, January 11, 2019
Testing Period – Saturday, March 9 through Saturday, March 30, 2019
Summer Testing Period
Application Deadline – Friday, May 3, 2019
Testing Period – Saturday, June 29 through Saturday, July 20, 2019
Fall Testing Period
Application Deadline – Friday, August 30, 2019
Testing Period –Saturday, October 26 through Saturday, November 16, 2019
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
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• Certified Provider Credentialing Specialist (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)
Certification
• Certified Provider Medical Services Manager (CPMSM)
• Currently employed in the medical services profession 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)
Certification
CertificationOnline Certification Applications
CPCS Application: www.namss.org/CPCS_ApplicationCPMSM Application: www.namss.org/CPMSM_Application
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www.namss.org/recertification
Certification
Online Re-Certification Applications
• Created in 2016
• Recognizes career MSPs who have made outstanding contributions to the profession
• Total Fellows as of 2018: 33
Applications will be accepted starting in June 2019
http://www.namss.org/fellows
NAMSS Fellow Designation
• Created in 2016
• Honors MSPs who have demonstrated enthusiasm, passion, dedication and commitment to the profession
• Nominations taken annually every February/March
• A maximum of 3 honorees will be inducted into the Hall of Fame annually
http://www.namss.org/HallofFame
NAMSS Healthcare Hall of Fame
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• Discounted Webinars & Conferences
• Discounted Publications
• Synergy & Gateway
• New in 2019: Free mini webinars
• Mentoring program
Benefits of NAMSS Membership(& Maintaining Membership)
NAMSS members are eligible to apply for the following scholarships and awards:
Charlotte Cochrane Scholarship Award
Financial assistance to an active member to be applied toward an accredited program of study
Aspire Higher Scholarship
NAMSS Scholarship funded by the Greeley Company, honoring Carol Cairns, CPMSM, CPCS
The NAMSS Scholarship Fund and NAMSS Leadership Development
Scholarship
Benefits of NAMSS Membership
Scholarships & Awards
• Created in 2017
• Includes 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, 2019 to January 15, 2020)
NAMSS Leadership Development Scholarship
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• Directory of NAMSS Members
• Member Surveys & Resources
• Access to the Job Board w/Positions Across the US
• Discussion Forums
• Marketing Materials
Benefits of NAMSS Membership
Networking Opportunities
• MSPs must keep up with regulatory compliance, legal liability and lawsuits.
• NAMSS and AHLA Membership Deal
• NAMSS Members can join AHLA at a discounted rate of $110 annually.
www.namss.org/AHLA
NAMSS and AHLA
• Why Volunteer and Become a Leader
• NAMSS Committees
• How to Get Involved
• NAMSS Volunteer & Career Pathways
Volunteering with NAMSS - Agenda
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• Career Advancement
• Leadership Skills Training
• Enhanced Job Skills
• Improved Written and Verbal Communications
• Industry Knowledge
• Growing your network
Benefits of Volunteerism
• 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
NAMSS Governance and Volunteering
• Express desire to serve with a special interest in that particular committee.
• Dual certification (for CCN)• Must be able to carry out the work of the committee and make the
necessary time commitment to be involved. • Desire to advance the mission of NAMSS.• Active (employed) in the medical services profession.• Not currently serving as President or President-Elect of a State
association. • Ability to work well with others.• NAMSS member in good standing.• Ability to attend and actively participate in conference calls.• Adherence to the principles of leadership.
Qualifications for Serving on a NAMSS Committee
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Constructive Relationships
Builds and maintains professional networks (relationships) that are characterized by mutual concern and respect and serve to improve or
promote strategic development.
NAMSS Principles of Leadership
Strategic Thinking
Ability to think strategically, challenge current beliefs/mindsets and bring tough issues to the surface even when doing so is uncomfortable; pushes for
effective plans that are in line with the associations goals and objectives.
NAMSS Principles of Leadership
Passion and Vigor
Serves as an ambassador for the association and demonstrates boundless enthusiasm for NAMSS mission, vision and goals. Is self-aware and able to
successfully balance professional and personal demands.
NAMSS Principles of Leadership
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Integrity
Demonstrates consistent commitment to honesty and truthfulness; holds themselves and others accountable for acting with integrity and does the
right thing even when it may be hard to do.
NAMSS Principles of Leadership
NAMSS Committee Chairs
Gina Mortensen
Membership Committee
Effie Farnsworth
Ethics Committee
Aimee Woolley-Randall
Audit & Finance Committee
Ropizah Ervin
Certification Commission
Alison Webster
Conference Committee
Chris Hinton
Education Committee
Diane Meldi
Leadership Selection
Committee
Current Chair: Aimee Woolley-Randall, BA, CPCS, CPMSM, MHA, FMSP
Responsibilities/Goals:
• Provide review and oversight to the financial reports, investments and records.
• Provide guidance to the preparation of an annual budget.
• Provide guidance to the preparation and review of an audit.
Time Commitment:
• Quarterly, 1 hour phone calls
Audit & Finance Committee
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Current Chair: Ropizah Ervin, CPMSM, CPCS
Responsibilities/Goals:
• Develop and administer valid and reliable certification examinations, through a comprehensive test development process.
• Determine overall eligibility requirements of candidates.
• Develop and maintain the Certification Handbook.
Time Commitment:
• 2-3 face to face meetings annually
• 1 hour conference calls throughout the year, as necessary, to perform its functions
Certification Commission
Current Chair: Alison M Webster, MBA, CPCS, CPMSM, CPHQ
Responsibilities/Goals:
• Determine the educational content of the Annual Conference based upon member/attendee needs and industry technologies and trends.
• Determine theme, content, speakers of the Annual Conference.
Time Commitment:
• 1 annual face to face meeting, usually held in January
• 1 hour conference calls, as necessary
• 10-15 hours monthly with the largest commitment during the first quarter of the calendar year
Conference Committee
Current Chair: Chris Hinton, CPCS, CPMSM
Responsibilities/Goals:
• Determine the educational needs of the membership and identify or develop resources and delivery modalities to address those needs.
• Oversight of: Regional Summit, Live Courses, Pre-Cons, State Hosted Sessions.
Time Commitment:
• Monthly 1 hour conference calls
• 3-4 hours per month (approximate)
Education Committee
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Current Chair: Effie Farnsworth, CPMSM, CPCS
Responsibilities/Goals:
• Evaluate the professional conduct of NAMSS members, applicants, candidates and certificants.
• Serve in an advisory role on the principles of ethics and educate members on the NAMSS Code of Professional Conduct.
Time Commitment:
• Meets at least quarterly, more frequently as needed based on # of complaints received
• 1-2 hours per month (approximate)
Ethics Committee
Current Chair: Gina M. Mortensen, BS, CPMSM, CPCS, RHIT, FMSP
Responsibilities/Goals:
• Review current member benefits and explore new member benefits to ensure that NAMSS members are fully engaged and retaining their membership.
• Identify and prioritize groups to help diversify NAMSS membership.
• Recruit young professionals in the field to become engaged with NAMSS.
Time Commitment:
• Monthly 1 hour conference calls
• 4-5 hours per month
Membership Committee
• Call for Committee Volunteers:
• Opens July 12, 2019
• Closes August 19, 2019
• Submit information through the NAMSS website
• Appointments finalized by end of year for terms beginning January 1, 2020
Call for Volunteers (Committee Positions)
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Current Chair: Diane Meldi, MBA, CPCS, CPMSM
Responsibilities/Goals:
• Update the Nominations of Board Members policy and supporting materials prior to the start of the nominations process.
• Recommend a slate of candidates for Board approval.
• Following approval of the slate; evaluate the nominations process and make recommendations for improvements.
• Review candidates and make recommendation for the NAMSS Healthcare Hall of Fame.
• Review candidates and make recommendation for NAMSS Fellows.
Time Commitment:
• Monthly 1 hour conference calls
• 3-20 hours monthly with the largest commitment during the summer months
Leadership Selection Committee
Responsibilities/Goals:
• Serve as a liaison between the Board of Directors and state associations (4-5) as assigned.
• Responsibly review and act upon committee recommendations brought to the Board for action.
Eligibility:
• State Board members must complete their term in their respective state prior to assuming the duties
• Must be an active NAMSS member in good standing for the past five years
• Must hold a current NAMSS certification (either CPMSM or CPCS)
• Must have demonstrated experience on a NAMSS committee or state association board within the past five years
Board of Directors – Director at Large
Responsibilities/Goals:
• Serve as a member of the Executive Committee
• Serve as the Chair of the Audit & Finance Committee
• Automatic succession to President-Elect, President and Immediate Past President
Eligibility:
• State Board members must complete their term in their respective state prior to assuming the duties
• Must be an active NAMSS member in good standing for the past five years
• Dual certified
• Should have previous experience as a NAMSS Committee Chair or Vice Chair or NAMSS Board member.
Board of Directors – Secretary/Treasurer
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• Opens March 1, 2019
• Closes April 30, 2019
• All candidates must self nominate
• Submit information via the NAMSS website
• Reference/candidate interviews with Leadership Selection Committee in June and July
• IMPORTANT: selecting the right references is key!
• Leadership Selection Committee recommends slate of Candidate to NAMSS Board in August
• Ballot opens for membership vote in September
Call for Nominations (Board of Director Positions)
• Chair: Melissa Walters, MHA, CPMSM, CPCS, MSOW-C, FMSP
• Goals:
• Identify future NAMSS leaders
• Build a pipeline/database of potential volunteer leaders
• Mentor potential candidates for Board of Director and Committee roles
Leadership Development Work Group
• Database of “ready” volunteers identified by experience (Government Relations, Regulatory, Telemedicine), special interests, or setting. (Hospital, CVO, MCO)
• Opportunities to serve on ad hoc committees and task forces or participate in surveys and focus groups
• Registry is Open All Year Round to Volunteer
http://www.namss.org/About/ResourceRegistry.aspx
NAMSS Resource Registry
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• Local Chapter Opportunities
• State Association Opportunities
• NAMSS Opportunities
• Resource Registry
• Task Force (Ad Hoc)
• Committees
• Board of Directors
• Officer
Getting Started
• Enter your information into the NAMSS Resource Registry http://www.namss.org/About/ResourceRegistry.aspx
• Consider applying for NAMSS opportunities:
• Call for Committee Volunteers
• Call for Board of Director Nominations
Take Action Today!
• High quality NAMSS educational workshops:
• Credentialing Specialist (CPCS) Exam Preparation Workshop
• Medical Services Management (CPMSM) Certification Preparation Course
• Credentialing 101
• Leadership Certificate Program Workshop
• *Workshop attendance requires completion of online modules
March 7 – 9, 2019, Orlando, FL
NAMSS Education Summit
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Upcoming NAMSS Conferences
www.namss.org/conference
2019 NAMSS CVO Excellence Symposium
http://www.namss.org/CVOSymposium
• 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
• *Online modules must be completed prior to live workshop participation
http://www.namss.org/LCP
Leadership Certificate Program
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• NAMSS offers the opportunity for state and local organizations to host NAMSS courses locally.
• Courses offered:
• CPCS and CPMSM Preparation
• Credentialing 101
• Leadership Certificate Program In-Person Course
• Ready to Lead? (formerly Becoming Your Own Advocate)
• Submit request 3 months prior to desired date
http://www.namss.org/Education/HostingLiveCourses.aspx
Hosting NAMSS Education Locally
2020 State Leadership Conference
Hotel Monteleone
New Orleans, LA
January 30-31, 2020
This event is only open to the President and President-Elect of State
Affiliates
NAMSS Leadership Conference
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/NAMSSIndustryUpdateBlogs.aspx
Follow us on Twitterhttps://twitter.com/NAMSS_News
Join our LinkedIn Grouphttps://www.linkedin.com/company/namss---national-association-medical-staff-services
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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 navigate 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!
NAMSS Executive Office
2025 M Street, NW, Suite 800
Washington, DC 20036
(202) 367-1196 | [email protected]
Director at Large:
Steven Canale, CPCS, CPMSM
Director, Medical Staff Services
Adventist Health St. Helena | 10 Woodland Rd | St. Helena, CA 94574
P 707-963-6533 | F 707-967-5622 | C 818-205-4309
Questions?
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