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Employment in Health Care

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I need to provide a report and make recommendations to a physician's group that has plans to establish a multistate specialty medical clinic and have never managed or staffed a medical practice on how to approach staffing for the practice to ensure compliance with relevant regulations and laws and that also details the following information:

•What do they need to know about credentialing for physicians and nurses and other non-physician providers?
•What are the qualifications for each type of position? ◦What is the impact of qualifications on organizational marketing and on quality of health care service delivery?

•Are the licensure requirements different from state to state?
•Compare and contrast the licensure laws for health care professionals in your state and at least 2 adjacent states.
•What are the requirements for at least 3 provider types? Examples of provider types include the following:
◦Medical Doctor/Doctor of Osteopathy (MD/DO)
◦Advanced Registered Nurse Practitioner (ARNP)
◦Physical Therapy (PT)
◦Occupational Therapy (OT)

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Solution Summary

The expert examines employment in healthcare. The credentialing for physicians and nurses and other non-physical providers.

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•What do they need to know about credentialing for physicians and nurses and other non-physician providers?

Any new healthcare organization must be cognizant of the valid and current licensure Clinical privileges needed to obtain a Drug Enforcement Agency (DEA) or Controlled Dangerous Substance (CDS) certificate. In addition, the organization must ensure that any physician, nurses, and other non-physician providers possess the appropriate education & training such as degrees from certified medical schools, successful completion of appropriate residency or specialty programs and if required, whether or not the healthcare provider is board certified. In addition, the work history of healthcare providers, whether or not they possess malpractice insurance for physicians, and if they have a history of liability claims should also be determined. Non-physician practitioners undergo a credentialing process much like that of physicians. In reference to differences regarding requirements for non-physician practitioners, specific differences for different professional groups and the requirements of each, can be found in the NCQA Surveyor Guidelines. NCQA Surveyor Guidelines outline ...

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