By Lucy Qi
Silversheet Healthcare Blogger
About Silversheet: At Silversheet, we think healthcare should be about patients, not paperwork. Our team is passionate about creating software to streamline the way healthcare facilities and medical professionals connect.
If you are suffering from and doctoring for chronic illness, the qualifications of the centers and its doctors who treat you is likely very important to you. Which credentials matter most to you? Many patients consider a medical degree and active license to be the most important credentials, when in fact, there are dozens of credentials that are verified for each provider before they can begin practicing in a new healthcare organization.
Provider credentialing is the process of reviewing and verification a provider’s history and qualifications before they are granted medical privileges. A properly credentialed medical staff helps the facility stay in compliance with accreditation standards, which are designed to improve patient safety and care.
What are the credentialing requirements?
The credentialing process for new providers varies from state-to-state and facility-to-facility, but is consistently stringent across all healthcare organizations in the country. The screening process is meaningful to patients suffering from chronic diseases, as it ensures that each provider assigned to their care has a demonstrated history of successful management of disease.
There’s a lot more to gaining the privileges to practice than a medical school degree and residency. The providers must meet credentialed requirements such as:
- Medical School & Postgraduate Training
- Board Certifications
- State Medical License
- DEA License
- Life Support Certifications
- Fluoroscopy Certifications
- Malpractice Insurance
- Sanctions Checks
- Granted Privileges
- Peer Reviews & References
- Health Documents
Ongoing tracking and updating of the requirements helps ensure the standard of chronic illness management. The process was once completely paper-dependent, but now tools like Silversheet automate and digitize the workflow, allowing the credential managers to save time while reducing risk of credentialing errors.
Let’s take a look at three important components of a provider’s credentials and how they impact your care.
- Board certifications. Many providers and most specialists are certified by a board, confirming that they have received sufficient current education in their area of expertise and continue to meet stringent requirements for board certification. Those with chronic illnesses should seek care from doctors who are board-certified and are provide proper health coaching to the patient in the management of their chronic conditions.
- Additional certifications. Cardiopulmonary Resuscitation (CPR), Advanced Cardiac Life Support (ACLS), Advance Trauma Life Support (ATLS), and Pediatric Advanced Life Support (PALS) are required by many facilities and need updating every two to four years depending on the certification. These certifications can give patients with chronic illness peace of mind in knowing that their healthcare provider is prepared to respond in an emergency.
- Continuing education. Because there are new discoveries and developments in medicine every day, doctors must receive education in their field on an ongoing basis, which is tracked and verified by the facility that employs them as well as the licensing board for the state. This is especially important for the management of chronic disease as it serves as an additional level of verification that the provider is educated and updated on advancements in health and science.
What does this mean for the patient?
Having a skilled and high-quality medical staff is imperative to all healthcare facilities. Key to maintaining such standards is effective credentialing, which protects patients by reducing the risk of medical error and allows them to trust their doctors.
When you’re managing a chronic illness, your safety and effective treatment by qualified professionals are critical. Their credentials often reflect the quality and level of your chronic illness care including help with navigating the healthcare system, continuity, and emotional support. Healthcare facilities must maintain a qualified and verified medical staff so that your provider can work with you to focus on your health, wellness, and disease management.