Your Link to MSPs From Across the Nation. Learning Objectives. History of NAMSS 2/17/2017

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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

2 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 2

3 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. 3

4 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 4

5 NAMSS Volunteer Path Support of Medical Staff Services Entry Level Intermediate Advanced 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. Credentials Entry Level Intermediate Advanced 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 (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 Medical Staff Services Advocacy Entry Level Intermediate Advanced 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.) Education Association Service and Leadership Entry Level Intermediate Advanced 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 Entry Level Intermediate Advanced 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 Presenter for NAMSS educational event Named to NAMSS Speaker Bureau Listed as approved faculty for NAMSS educational programs. Completed NAMSS Leadership Development Training Serves as Chair of NAMSS Committee Serves on NAMSS Board of Directors Services as NAMSS Officer 5

6 NationalAssociation MedicalStaff ServicesLeadershipCareerPath Element EntryLevel Experienced Leadership Experience 0 4 Years 5-14 Years 15 and above Education Associatesor Undergraduate Degree Undergraduate Degree Mastersor Doctorate Level Certifications CPCS CPCS and/or CPMSM CPCS and CPMSM and other healthcare related certifications (Quality,Risk Management, etc.) Training/Ongoing Medical ServicesProfessional 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 Administrationand Governance and Medical Staff Leaders Organization Structure Supervisionof Employees Human Resources Meetings Management Finance Education and Trainingof Staff Collaborate with Legal Counsel OnboardingProcess Healthcare Technology and Meets Regulation and Information Management Accreditation Standards Quality and Performance Quality and Peer Review Improvement Leadership Laws and Regulation Professionalism and Ethics Healthcare Industry Team Development Vision Contract Management BusinessPlanning Product Development Culture Change NationalAssociation MedicalStaff ServicesLeadershipCareerTrack(cont.) Skills, Knowledgeand Responsibilities (Continued) Servant Leadership Volunteerin Community Volunteerin Local Chapteror State Association ProfessionalContributions Local ChapterMedical Staff Services Newsletter Medical Staff Newsletter Marketing Compliance Recruitment Service Line Development Project Management Shared Services AffiliationAgreement Medical Institutions,Corporate Responsibilities Volunteerin Local Chapter,State Association Volunteerin Healthcare Related and National AssociationMedical Staff Associations and Community Services Services State or national medical staff services Serve on National Healthcare Related publication orweb content Interest Groups Editorof Newsletter National AssociationMedical Staff Peer Review Publications ServicesPublication and/orother Book Contributor Healthcare Organizations Serve as an Expert Witness Fellow designationin NAMSS and/or Presentations forprofessional and/or related professional organizations Healthcare Organizations 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 Payor 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 6

7 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. 7

8 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 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: or 8

9 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 9

10 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 10

11 Certification 2016 Dates and Deadlines Spring Testing Period Application Deadline Friday, January 15, 2016 Testing Period Saturday, March 12 through Saturday, April 2, 2016 Summer Testing Period Application Deadline Friday, April 8, 2016 Testing Period Saturday, June 4 through Sunday, June 26, 2016 Fall Testing Period Application Deadline Friday, August 12, 2016 Testing 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) 11

12 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) Certification NEW! Online Certification Applications CPCS Application: CPMSM Application: Certification NEW! Online Re-Certification Applications 12

13 NAMSS Fellows Program Created in 2016 Recognizes career MSPs who have made outstanding contributions to the profession Inaugural class: 15 MSPs Application Open Spring 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 Benefits of NAMSS Membership (& Maintaining Membership) Discounted Webinars & Conferences Discounted Publications E-Synergy & Gateway Professional Mentoring Program 13

14 Benefits of NAMSS Membership Scholarships & Awards Every year 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 (Applications are due by June 15 th ) 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 15 th 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 14

15 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. 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 15

16 Upcoming NAMSS Conferences 40th Educational Conference & Exhibition Sheraton Boston Hotel September 17 - September 21, 2016 Boston, Massachusetts 41st Educational Conference & Exhibition The Broadmoor October 21 - October 25, 2017 Colorado Springs, Colorado 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 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 16

17 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! Subscribe to the NAMSS Blog! Visit the Blog, directly: Visit the NAMSS website for the digest feed: Follow us on Twitter Join our LinkedIn Group 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! 17

18 Questions? NAMSS Executive Office 2025 M Street, NW Suite 800 Washington, DC (202) info@namss.org 18