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Greater Nashua Medical Reserve Corps Nashua NH Division of Public Health

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Title: Greater Nashua Medical Reserve Corps Nashua NH Division of Public Health


1
Greater Nashua Medical Reserve Corps Nashua NH
Division of Public Health
  • This presentation will probably involve audience
    discussion, which will create action items. Use
    PowerPoint to keep track of these action items
    during your presentation
  • In Slide Show, click on the right mouse button
  • Select Meeting Minder
  • Select the Action Items tab
  • Type in action items as they come up
  • Click OK to dismiss this box
  • This will automatically create an Action Item
    slide at the end of your presentation with your
    points entered.
  • Credentialing
  • Dr. Joe Sabato
  • Sabatoj_at_ci.nashua.nh.us

2
New Hampshire
  • No Seat belt law
  • No Helmet law
  • State Liquor stores on our highways and borders
  • No sales tax
  • No Income tax

3
State motto
  • Live Free of Die

4
Credentialing
  • credential noun a document attesting to the
    truth of certain stated facts certificate
  • certification
  • credentials
  • Document
  • Papers
  • written document
  • card
  • Diploma
  • identity card
  • sheepskin

5
  • OK so we are going to credential you to face
    known and unknown threats, at known and unknown
    places and times, with known and unknown skills

6
MRC Credentialing
  • Decide what you are going to want people do
  • Some basics like cpr
  • ?BDLS? ADLSATLS
  • etc

7
  • Credentialing A major headache for every medical
    practice administrator
  • Credentialing and verification a time consuming,
    expensive enterprise especially in volunteer
    organizations

8
Medical Credentialing
  • Minimum of 2-3 hours per credentialing
    application
  • Take 6 months for processing
  • May have as many as 15 applications or more for
    each practitioner

9
Credentialing Why?
  • Liability
  • Safety
  • Skills
  • Experience
  • Identification
  • Security
  • Interests
  • Legitimize enterprise
  • Identify needs
  • Competency
  • Character/ethics
  • Interoperability
  • Standardization
  • more

10
Competency
  • Basing the credential on scientifically and
    legally defensible competencies that are linked
    to job responsibilities.
  • Few health professions that are credentialed
    have data related to credentialings impact on
    practitioner competence, organizations or other
    outcomes
  • American journal of public health management and
    practice Vol 7 iss4 p 38

11
Sure ways to make a physicians day
  • You have just been appointed to the credentials
    committee
  • You are due to meet with the Joint Commission for
    Accreditation of Hospitals(JCAHO)
  • You need to fill out your credentialing
    applications

12
  • The difference between leadership and whining is
    what you do about it

13
Learning From a Failed Grant Application
  • No State Volunteer coordination or oversight for
    disasters
  • No recognition of MRC
  • No interest group connection
  • No mechanism to promote common interests and
    opportunities
  • Confusion of state agencies

14
Lessons learned/actions taken
  • State Citizen Corps Council
  • Recognition by state as a resource
  • Clarified NH state process and linking agencies
  • Identified interest groups
  • Brought them together
  • Identified key issues and opportunities

15
Participants
  • Northern New England MMRS
  • New Hampshire Hospital Association
  • DHHS
  • NH Medical Society
  • NH Office of Emergency Management

16
NH Effort
  • Assumptions
  • Need statewide and ideally regional system
  • Credentialing and identification are closely
    related
  • Leverage resources, partners and interests
  • Credentialing, training, and certification should
    be interoperable and standard

17
Advantages
  • Avoid cost of development and implementation of
    multiple systems
  • Create interoperability
  • Create basic standards
  • Integrate within local, state and regional
    disaster system
  • Create joint opportunities
  • Leverage resources

18
  • There are no secrets to success. It is the result
    of preparation, hard work, and learning from
    failure.
  • Colin Powell

19
Nashua MRC
  • Partner or leverage hospital credentialing
  • Temporary credentialing
  • Paper/electronic database
  • Eventual linkage to MMRS of Northern New England
    Credentialing and ID system

20
JCAHO December 2001
  • Make provisions for quickly evaluating essential
    credentials of any temporary or volunteer
    professional staff

21
Joint Commission
  • March 12 2003 recommendations
  • .fund and facilitate the creation of a
    credentialing database to support a emergency
    volunteer system for health care professionals.

22
Joint Commission of Accreditation of Hospitals
  • Standard EC .2.9.1 effective 1/1/03
  • .the information and skills required to perform
    assigned duties during emergencies
  • Testing includes at least one drill yearly that
    includes an influx of volunteers

23
Lessons
  • Hospitals are expert at credentialing, use that
    expertise
  • If someone offers support to make your life
    easier use it
  • Make it simpler
  • Find partners

24
Progress
  • Seize the moment of excited curiosity on any
    subject to solve your doubts for if you let it
    pass, the desire may never return, and you may
    remain in ignorance. William Wirt (1772 - 1834)

25
ESAR-VHP
  • Emergency System for Advance Registration of
    Volunteer Healthcare Personnel
  • Health Resources and Services Administration
    November 2003

26
ESAR-VHP
  • The use of credentialed health care volunteers in
    an emergency or mass casualty event
  • inability to verify physicians identity or
    basic licensing or credentialing information
  • loss of communications that can provide
    credentialing information

27
ESAR-VHP
  • Limited resources to perform verification of
    education, skills, training, or competencies due
    to an emergency
  • Jurisdiction over licenses resides at the state
    level
  • Various agencies and institutions grant
    certifications resulting in different standards
    and processes for credentialing and assurance of
    licensure

28
ESAR-VHP
  • Need for system that will support effective and
    efficient identification of qualified volunteer
    healthcare personnel
  • There is neither an integrated system that can be
    accessed containing relevant, verified
    information about a practitioners education,
    license and competency nor a widely available
    model template that can be made available to
    states to facilitate this type of integrated
    model.

29
Contact Information
  • Dr. Joe Sabato
  • City of Nashua Division of Public Health and
    Community Services
  • 18 Mulberry Street
  • Nashua NH 03060
  • 603-589-4507
  • Sabatoj_at_ci.nashua.nh.us
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