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AMA Expresses Support for the FSMB Interstate Licensure Compact

Mon, 2014-11-17 08:41
At its 2014 Interim Meeting, the American Medical Association (AMA) expressed support for the FSMB Interstate Licensure Compact. AMA President Elect Steven J. Stack, MD, stated, “At least 10 state medical boards have adopted the compact, which streamlines the licensing process for physicians seeking licenses in multiple states and increases patient access to telemedicine services. We encourage more states to sign on to the compact so that we can ensure standards of care are maintained, whether treatment is provided in-person or via telemedicine.” Read the full press release from the AMA at the link below.

Video From the Federation of State Medical Boards (FSMB)

Mon, 2014-11-17 08:36
The link below will take you to an excellent video from the FSMB regarding their interstate licensure compact.


Mon, 2014-11-03 08:20
In 1992, President George Bush issued a proclamation designating the first week of November as “National Medical Staff Services Awareness Week,” to acknowledge and thank medical services professionals (MSPs) for playing “an important role in our nation’s healthcare system.”

The American Medical Association-Organized Medical Staff Section also recognizes the medical services profession in a resolution that formally acknowledges “the importance and value of medical services professionals to the healthcare organization and its physician members, and recognizes their contribution and dedication in preserving quality patient care.”

When you visit a hospital, you see the doctors, the nurses, and other medical personnel. What you don’t see are the people behind the scenes who make certain the credentials of all practitioners who are caring for you are correct and have been verified.

MSPs are experts in provider credentialing and privileging, medical staff organization, accreditation and regulatory compliance, and provider relations in the diverse healthcare industry. They credential and monitor ongoing competence of the physicians and other practitioners who provide patient care services in hospitals, managed care organizations, and other healthcare settings.

MSPs are a vital part of the community’s healthcare team. They are dedicated to making certain that all patients receive care from practitioners who are properly educated, licensed, and trained in their specialty.

For more information about MSPs and the National Association Medical Staff Services (NAMSS), visit


The National Association Medical Staff Services (NAMSS) is celebrating more than 30 years of enhancing the professional development of and recognition for professionals in the medical staff and credentialing services field. NAMSS’ vision is to advance a healthcare environment that maximizes the patient experience through the delivery of quality services. The NAMSS membership includes medical staff and credentialing services professionals from medical group practices, hospitals, managed care organizations, and CVOs. Additional information is available at

Changes to U.S. Medical Licensing Examination

Wed, 2014-10-29 10:29
The U.S. Medical Licensing Examination is changing for 2014-2016. Click Here to learn more.

Maintenance of Certification for Licensure and Credentialing

Mon, 2014-10-27 07:04
From the American College of Physicians:

"As the national organization for internal medicine specialists and subspecialists, the American College of Physicians (ACP) has a stated mission “to enhance the quality and effectiveness of health care by fostering excellence and professionalism in the practice of medicine.” In supporting this mission, ACP recognizes the importance of certification and the professional responsibility of physicians for maintaining competence and for continuous professional development throughout their career.
Although ACP therefore encourages participation in the American Board of Internal Medicine’s Maintenance of Certification (MOC) program, it also understands the limitations of applying the current MOC process as the sole criterion to identify and recognize competence and quality of care provided by internal medicine specialists and subspecialists in their highly diverse professional roles and activities. As a result, ACP does not support using participation in MOC as an absolute prerequisite for state licensure, hospital credentialing, or insurer credentialing. Instead, decisions about licensure and credentialing should be based on the physician’s performance in his or her practice setting and a broader set of criteria for assessing competence, professionalism, commitment to continuous professional development, and quality of care provided. By understanding that a wide variety of attributes contribute to a physician’s competence and quality of care, ACP stresses that the physician’s demonstrated performance for providing high quality, compassionate care and his or her commitment to continuous professional development should be the primary determinants for licensure and credentialing. Participation in MOC can be one factor providing evidence of quality and commitment to continuous professional development, but it is not the only one."

Patient Safety at the Heart of the Joint Commission's New Hospital Accreditation Chapter

Tue, 2014-10-21 07:57
The Joint Commission announces publication of the new “Patient Safety Systems” chapter in the 2015 Comprehensive Accreditation Manual for Hospitals. The purpose of the chapter is to inform and educate hospital leaders about the importance and structure of an integrated patient-centered system that aims to improve quality of care and patient safety. There are no new requirements in the Patient Safety Systems chapter. Instead, the standards are culled from existing chapters including Leadership, Rights and Responsibilities of the Patient, Performance Improvement, Medication Management and Environment of Care. The standards will continue to be published in their respective chapters as well as in the Patient Safety Systems chapter. During on-site surveys, the standards will be scored in their originating chapter.
To underscore the importance of a patient-centered safety system, The Joint Commission will make this new chapter available online indefinitely for customers and non-customers alike.
“For the first time, The Joint Commission is providing a standards chapter on our website because this information is so important that we want everyone to have access to it. A solid foundation for patient safety is a safety culture. For leaders, our hope is they will study this chapter and use it as a tool to build or improve their safety culture program,” says Ana Pujols McKee, M.D., executive vice president and chief medical officer, The Joint Commission. “Developing a culture of safety starts at the top of the chain of command, and then works its way through the layers of management and employees to build trust which is an essential ingredient for improvement. In order for improvement to take root and spread, leaders need to be engaged and know the current state of the culture in their organization.”
The chapter is oriented to leadership because leader engagement is imperative to the trust-report-improve cycle of establishing a safety culture. The standards are intended to assist leaders in creating a culture of safety that equates to an environment where staff and leaders work together to eliminate complacency, promote collective mindfulness, treat one another with respect and learn from patient safety events.
The chapter has three guiding principles:
  • Aligning existing Joint Commission standards with daily work in order to engage patients and staff throughout the health care system, at all times, on reducing harm.
  • Assisting health care organizations with advancing knowledge, skills and competence of staff and patients by recommending methods that will improve quality and safety processes.
  • Encouraging and recommending proactive methods and models of quality and patient safety that will increase accountability, trust and knowledge while reducing the impact of fear and blame.
The chapter is included only in the hospital accreditation manual; however, other health care settings may benefit from applying the patient safety strategies discussed in the chapter. Read the new chapter
Elizabeth Eaken ZhaniMedia Relations Manager, The Joint Commission

"Medical Training Gets a Second Life"

Wed, 2014-10-15 08:56
A report by Health Leaders Media details how instructors at the University of Michigan School of Nursing are using an online virtual world called Second Life to help students develop communication and leadership skills. Students can log in from anywhere with an internet connection and train in scenarios they may otherwise never see in a traditional training setting. For more information, view the article HERE.

Social Media and Medicine: The New "Instagram for Doctors"

Tue, 2014-10-14 11:06
According to the BBC, a new social media app has been developed which allows doctors to share pictures of their patients for medical and educational purposes. The app, called Figure 1, is already available in North America, Ireland and the United Kingdom and joins services like UpToDate and DynaMed in the emerging market of social media for physicians and healthcare professionals. In the article from the BBC, Dr. Josh Landy, the founder of Figure 1, is quoted as responding to patient privacy concerns by stating, "We do not possess any personal medical data at all... We are not an organization that delivers healthcare." While anyone can download the app, only physicians and other healthcare practitioners whose credentials have been verified can post photos or provide commentary on other posted photos. For a full discussion of this new app, please read the BBC article HERE.

Hospital Leaders Brief Congress on Importance of CME

Fri, 2014-10-10 07:20
From AHA and AAMC:

"At an AHA- and Association of American Medical Colleges-sponsored briefing on Tuesday, October 7, on Capitol Hill, hospital leaders shared with congressional staff the important role that Medicare funding for graduate medical education plays in helping teaching hospitals train the next generation of health care providers. “We need to train a workforce today that will meet the needs of the population of our country,” said Thomas Burke, M.D., executive vice president for the MD Anderson Cancer Network®, which is part of The University of Texas MD Anderson Cancer Center. Burke also is a member of the AHA Board of Trustees. Hospital leaders from the University of Mississippi School of Medicine, Cleveland Clinic and Oregon Health & Science University also described how direct and indirect GME payments are critical to supporting their efforts to provide highly-specialized services to patients in rural and urban communities. For more on GME and teaching hospitals, including why the AHA supports the Resident Physician Shortage Reduction Act of 2013 (S. 577), read today’s AHAStat blog post."

California Ballot Measure Calls for Drug Testing for Doctors

Mon, 2014-10-06 09:43
A measure which will appear on California's ballot during this November's election - Proposition 46 - would require drug testing for doctors at random or "after a patient suffers an 'adverse event,' which encompasses a long list of complications including developing a more serious ulcer while in the hospital and death from a medication error." If passed, California would become the first state in the nation with such a drug testing policy for physicians. Read more HERE.

UPDATE: 15 States Considering Interstate Medical Licensure Compact

Mon, 2014-09-29 11:44
In response to the finalization of the Federation of State Medical Boards' (FSMB) Interstate Medical Licensure Compact, several states and large healthcare organizations, such as the American Medical Association (AMA), have expressed support and the possibility of endorsement. According to Humayan Chaudhry, DO, president and CEO of the FSMB, “many stakeholders across the spectrum [are] expressing support.” Read herefor a full account of the latest developments.

This post is a follow-up to previous posts on September 9 and August 7 regarding the FSMB's proposed interstate compact. Scroll down to learn more.

Hydrocodone Combo Products Moved from Schedule III to Schedule II: What It Means For You

Mon, 2014-09-29 11:32
Beginning on October 6, 2014, hydrocodone combination products (HCPs) will be moved from Schedule III to Schedule II substances at the recommendation of the Secretary of the Department of Health & Human Services. This change was included in the Federal Register as part of the Drug Enforcement Agency’s recent publication of its final rule on the matter.  Read herefor important need-to-know information on what this change means for family physicians and their patients.

UPDATE: FSMB Compact Proposal Released

Tue, 2014-09-09 08:48
According to an article by, the Federation of State Medical Boards (FSMB) has released its finalized planfor an interstate compact for physician licensure “under which physicians who are licensed in one state can use a streamlined process to be quickly licensed in another.” (Read the full article here)

This post is a follow-up to the August 7, 2014 post regarding FSMB’s initial proposal for this interstate compact. Scroll down to view the original post.

DEA to Increase Hydrocodone Combination Product Oversight

Thu, 2014-08-28 09:02
Yesterday, the Drug Enforcement Administration (DEA) announced that it will enforce stronger regulations for individuals who handle hydrocodone combination products (HCPs).  This rule will shift HCPs from Schedule III to Schedule II of the Controlled Substances Act -- the designation for products that are most subject to abuse and mishandling.  This rule will go into effect 45 days from DEA's official announcement.   

What Could Black Boxes in Operating Rooms Tell Us?

Wed, 2014-08-27 09:01
According to HealthData Management, some hospitals have begun to develop black box mechanisms for their operating rooms (OR) in an effort to reduce preventable errors and increase transparency.  The goal is to use black boxes to record OR procedures to help improve patient safety by identifying errors and facilitating teachable moments for all practitioners.  The black boxes models would record both video and voice, as well as other elements, such as room temperature and noise levels.

Read more about it at HealthData

ABIM Pledges to Examine MOC Requirements

Mon, 2014-08-25 12:31
In response to physicians' collective opposition to revised Maintenance of Certification (MOC) requirements, the American Board of Internal Medicine (ABIM) recently announced that it would lessen the financial and course requirements associated with the MOC process, as well as ensure that MOC requirements are clear and consistent across specialty boards.  ABIM also pledged to work closely with the American Board of Medical Specialties and specialty societies to improve the MOC process for all parties. 

Read more about ABIM's MOC initiative.

TJC Amends Standards in Response to May 2014 CMS Rule

Thu, 2014-08-21 14:39
The Joint Commission (TJC) announced that it has revised its hospital and critical-access hospital standards to align with CMS's May 2014 conditions of participation rule.  According to its website, TJC standards "clarify the requirements of a practitioner not appointed to the medical staff who is ordering outpatient services, governing body consultation with the medical staff, and medical staff structure for multihospital systems."

Learn more about CMS's final rule and TJC's revised standards for hospitals and critical-access hospitals

Fast Track For Primary Care Docs At One Calif. University

Fri, 2014-08-08 14:22
From Kaiser Health News:

Some doctors in the state of California will soon be able to practice after three years of medical school instead of the traditional four. The American Medical Association is providing seed money for the effort in the form of a $1 million, five-year grant to the University of California at Davis.

Read more online:

FSMB Compact Could Ease Multistate Licensing

Thu, 2014-08-07 10:25

FSMB Compact Could Ease Multistate Licensing Ken Terry
August 05, 2014 The Federation of State Medical Boards (FSMB) has unveiled a draft interstate compact for physician licensure that, it said, should make it easier to practice telemedicine across the country. The compact, which the FSMB expects to finalize in the next month or two, offers a "streamlined alternative pathway" for physicians who want to practice in multiple states, according to a federation news release.Under current state medical board policies, physicians must be licensed in the state where a patient is located to diagnose or treat that patient, a stance that the FSMB recently reaffirmed in its model policy for telemedicine. As a result, physicians who consult remotely with patients in other states must be licensed in those states. That can create barriers to telehealth consultations, especially for on-call physicians who are not licensed in every state where patients may contact them online.The FSMB's interstate compact would allow physicians to apply once and receive licensure in all states that are party to the compact.Once the compact is finalized, individual medical boards can decide whether to endorse it and submit it to their state legislatures for approval. Three state boards, including the Texas and Oklahoma medical boards and the Washington State osteopathic medical board, have already approved the compact in principle, said Humayan J. Chaudhry, DO, president and chief executive officer of the FSMB."Many other boards have it on their agenda and are waiting for the final language before they can present it to their legislatures," he told Medscape Medical News, adding that 15 states are expected to approve the compact in the near term.According to Chaudhry, a house of delegates representing the FSMB's 70 member boards asked the federation to study the concept of an interstate compact. What motivated the boards, he said, was the need to address the nation's growing physician shortage, to ease patient access issues related to the Affordable Care Act, and to facilitate telemedicine in both rural and more populated areas.In addition, he said, the interstate compact could help physicians get licenses in metropolitan regions that cross state boundaries. He cited the situation of Washington, DC, physicians, many of whom have had to obtain separate licenses in Maryland and Virginia to treat their patients.The draft interstate compact specifies that, to be eligible for multistate licensure, physicians must have passed the US Medical Licensing Examination or the Comprehensive Osteopathic Medical Licensing Examination, must be board-certified, must have clean records, and must have been in practice for at least 3 years. Because they must also complete a residency program, the latter requirement might be dropped in the final version, Chaudhry said.A "Baby Step"Jonathan Linkous, president and chief executive officer of the American Telemedicine Association (ATA), told Medscape Medical News that the draft interstate compact falls far short of what is needed to promote telemedicine. "The federation is taking a step. But it's a baby step, and what we need is a giant leap."The key area where the interstate compact falls short, he said, is that it would create a "clearinghouse," rather than reciprocity among states. Physicians would be able to apply for licensure to multiple states through a single entity but would still have to pay license fees to each state and would have to "follow every state's unique and peculiar rules regarding how you practice medicine."There are some large differences in those rules, he noted. For example, 24 states allow physicians to prescribe medications in telehealth encounters with patients. The rest require prior patient visits, a presenter in the same room as the patient, or a live follow-up visit.State license fees are also substantial, Linkous pointed out. The ATA performed an analysis in 26 states and found that for the fifth of physicians who had licenses in multiple states, license-related fees cost them about $300 million a year. He granted, however, that those costs might be reduced if physicians filled out a single application and did not have to provide original documents to each medical board.The ATA does not favor national licensure of physicians. What it wants is reciprocity among all states, similar to the way they treat driver's licenses today. If a physician is licensed in one state, he or she should be able to practice in any state, Linkous said.
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