Your Link to MSPs From Across the Nation Learning Objectives 1. - - PDF document

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Your Link to MSPs From 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

• f 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 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 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

• rganizations

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 Application becomes 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, 2019 Philadelphia Marriott Downtown Philadelphia, 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 Certification

Online Certification Applications

CPCS Application: www.namss.org/CPCS_Application CPMSM 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
• f 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
• r 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

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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 Twitter

https://twitter.com/NAMSS_News

Join our LinkedIn Group

https://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
• pportunities 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 | info@namss.org 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? This is where I live . . .