VA Health Care: Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes

VA Health Care: Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes PDF Author:
Publisher: DIANE Publishing
ISBN: 143792705X
Category :
Languages : en
Pages : 55

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VA Health Care: Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes

VA Health Care: Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes PDF Author:
Publisher: DIANE Publishing
ISBN: 143792705X
Category :
Languages : en
Pages : 55

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Book Description


Va Health Care

Va Health Care PDF Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781983619748
Category :
Languages : en
Pages : 56

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Book Description
VA Health Care: Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes

Va Health Care

Va Health Care PDF Author: U.s. Government Accountability Office
Publisher:
ISBN: 9781974592050
Category :
Languages : en
Pages : 56

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Book Description
"VA has policies to ensure that physicians have appropriate qualifications and clinical abilities through the processes of credentialing, privileging, and continuous monitoring of performance. Results of a VA investigatory report in 2008 cited deficiencies in the Marion, Illinois, VA medical center's (VAMC) credentialing and privileging processes and oversight of its surgical program. This report examines VA's policies and guidance to help ensure that information about physician qualifications and performance is accurate and complete, VAMCs' compliance with selected VA credentialing and privileging policies, and their implementation of VA policies to continuously monitor performance. GAO reviewed VA's policies, interviewed VA officials, and reviewed a judgmental sample of 30 credentialing and privileging files at each of six VAMCs that GAO visited. GAO selected the files to ensure inclusion of highly paid specialties, newly hired physicians, and other physician characteristics. GAO selected the judgmental sample of six VAMCs based on geographic balance and other factors."

VA Health Care

VA Health Care PDF Author: United States. Government Accountability Office
Publisher:
ISBN:
Category : Government physicians
Languages : en
Pages : 50

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Book Description
VA has policies to ensure that physicians have appropriate qualifications and clinical abilities through the processes of credentialing, privileging, and continuous monitoring of performance. Results of a VA investigatory report in 2008 cited deficiencies in the Marion, Illinois, VA medical center's (VAMC) credentialing and privileging processes and oversight of its surgical program. This report examines VA's policies and guidance to help ensure that information about physician qualifications and performance is accurate and complete, VAMCs' compliance with selected VA credentialing and privileging policies, and their implementation of VA policies to continuously monitor performance. GAO reviewed VA's policies, interviewed VA officials, and reviewed a judgmental sample of 30 credentialing and privileging files at each of six VAMCs that GAO visited. GAO selected the files to ensure inclusion of highly paid specialties, newly hired physicians, and other physician characteristics. GAO selected the judgmental sample of six VAMCs based on geographic balance and other factors. GAO recommends that VA develop a formal mechanism to systematically review VAMC credentialing and privileging files and performance monitoring for compliance with VA policies.

VA Health Care

VA Health Care PDF Author: United States. General Accounting Office
Publisher:
ISBN:
Category : Medical care
Languages : en
Pages : 64

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VA Health Care: Improvements Made in Physician Privileging Policies, but medical Facility Compliance has Not been Assessed

VA Health Care: Improvements Made in Physician Privileging Policies, but medical Facility Compliance has Not been Assessed PDF Author:
Publisher: DIANE Publishing
ISBN: 9781422398722
Category :
Languages : en
Pages : 16

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Book Description


U.S. Department of Veterans Affairs Credentialing and Privileging

U.S. Department of Veterans Affairs Credentialing and Privileging PDF Author: United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Oversight and Investigations
Publisher:
ISBN:
Category : Government publications
Languages : en
Pages : 72

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Book Description


Va Health Care

Va Health Care PDF Author: U S Government Accountability Office (G
Publisher: BiblioGov
ISBN: 9781289042097
Category :
Languages : en
Pages : 66

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Book Description
Pursuant to a congressional request, GAO examined the Department of Veterans Affairs' (VA) physician credentialing and privileging processes, focusing on: (1) policies, procedures, and implementation of the credentialing program required by law; and (2) VA policies and procedures on granting or rescinding physician privileges. GAO found that: (1) although VA was required to obtain physician licensing information from state boards, it had only verified and properly documented 102 of 207 physicians it hired between 1986 and 1988; (2) in 34 of the 105 undocumented cases, medical center officials had contacted a cognizant state board, but failed to document the contact; (3) VA planned to require VA-affiliated medical schools to conduct background investigations on the residents they sent to VA; (4) VA took few actions to correct identified problems with its privileging processes; (5) VA had no documentation to show whether it considered current competence, treatment results, or conclusions in its privileging decisions; (6) VA provided only minimal guidance to its medical centers on privileges and no guidance on the documentation required to support privileging decisions; (7) medical centers were reluctant to reduce or revoke physicians' privileges for fear of litigation; (8) although VA was required to notify state licensing boards of physicians who had their privileges formally revoked, the law limited VA to reporting physicians for clinical incompetence; and (9) VA was also reluctant to report physicians who retired or resigned before receiving a hearing because of its concern over their due process rights.

Veterans' Health Care

Veterans' Health Care PDF Author: United States. Government Accountability Office
Publisher:
ISBN:
Category : Professional employees
Languages : en
Pages : 29

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Book Description
To help ensure that veterans are provided timely and accessible health care, VHA purchases care from community physicians. Two community care programs, PC3 and Choice, require physicians to hold certain credentials reflecting their qualifications. Congress included a provision in law for GAO to review VHA’s processes for, and oversight of, credentials verification for PC3 and Choice physicians. This report examines (1) whether VA contractors comply with contractual requirements for verifying PC3 and Choice physicians’ credentials; (2) the extent to which VHA oversees the contractors responsible for verifying the credentials of PC3 and Choice physicians; and (3) VHA’s own processes for, and oversight of, verifying Choice physicians’ credentials under recently implemented VHA Choice provider agreements. GAO reviewed PC3 and Choice contracts, VHA and contractor policies, and federal internal control standards. GAO reviewed a nongeneralizable sample of 50 PC3 and 50 Choice physician credentials files, selected among five types of care across the nation. GAO also interviewed VHA officials and contractor representatives. VHA should develop a comprehensive oversight strategy that includes monitoring and evaluations of the contractors’ verification of PC3 and Choice physicians’ credentials, as well as VHA staff’s review of Choice physicians; and assess the risk of not verifying Choice physicians’ licenses under VHA Choice provider agreements.

Veterans' Health Care

Veterans' Health Care PDF Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781977535153
Category :
Languages : en
Pages : 34

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Book Description
To help ensure that veterans are provided timely and accessible health care, VHA purchases care from community physicians. Two community care programs, PC3 and Choice, require physicians to hold certain credentials reflecting their qualifications. Congress included a provision in law for GAO to review VHA's processes for, and oversight of, credentials verification for PC3 and Choice physicians. This report examines (1) whether VA contractors comply with contractual requirements for verifying PC3 and Choice physicians' credentials; (2) the extent to which VHA oversees the contractors responsible for verifying the credentials of PC3 and Choice physicians; and (3) VHA's own processes for, and oversight of, verifying Choice physicians' credentials under recently implemented VHA Choice provider agreements. GAO reviewed PC3 and Choice contracts, VHA and contractor policies, and federal internal control standards. GAO reviewed a nongeneralizable sample of 50 PC3 and 50 Choice physician credentials files, selected among five types of care across the nation. GAO also interviewed VHA officials and contractor representatives.