Digital Circuits: All About Circuits - Engineering Capstone
Delve into the world of digital circuits with this comprehensive guide covering topics such as numeration systems, logic gates, switches, electromechanical relays, Boolean algebra, and more. Explore binary arithmetic, ladder logic, and sequential circuits, gaining insight into principles of digital computing. Packed with valuable information and visual aids, this resource is a must-have for anyone interested in understanding the intricacies of digital circuits.
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To Reappoint or Not To Reappoint or Not Is That the Question? Is That the Question? Erin Mullenbergh Chris Giles
CMS CMS 482.22 (a) (1) The Medical Staff must periodically conduct appraisals of its members The Medical Staff, must at regular intervals appraise the qualifications of all practitioners appointed to the medical staff/granted medical staff privileges. In the absence of a State law that establishes a timeframe for periodic reappraisal, a hospital s medical staff must conduct a periodic appraisal of each practitioner. CMS recommends that an appraisal be conducted at least every 24 months for each practitioner.
CMS CMS Purpose of Appraisal: Determine suitability of continuing, discontinuing, revising or otherwise changing the MS membership/privileges of each individual practitioner Must evaluate qualifications & demonstrated competence: current work practice, special training, quality of specific work, patient outcomes, education, maintenance of CME, adherence to MS Rules, certifications, appropriate licensure and currency of compliance with licensure requirements
NAMSS ROUNDTABLE NAMSS ROUNDTABLE So many challenges of tracking, monitoring and assessing performance within a 2-year cycle Overlapping of continuous monitoring and reappointment cycles results in administrative duplication and overuse of less than adequate resources both from the MSP and practitioner leaders Establishment of uniform standardization within the monitoring process would enhance the process for small & large organizations Possible proposed pilot enabling a set number of facilities to move to a 3-year reappointment cycle
IDEAS IDEAS What are your thoughts on this topic? This Photo by Unknown Author is licensed under CC BY-SA-NC
THE JOINT COMMISSION THE JOINT COMMISSION MS .07.01.01 3. The organized MS uses the criteria in appointing members to the MS and appointment does not exceed a period of two years. MS .08.01.03 Ongoing Professional practice evaluation information is factored into the decision to maintain existing privilege(s), or to revoke an existing privilege prior to or at the time of renewal. It s function is Continuous and not cyclical or every two years.
DNV DNV SR.2 Reappointment to the medical staff: SR.2a Primary source verification of current licensure (AMA Master Profile or Osteopathic Physician Profile Report from American Osteopathic Information Association is acceptable) and any required certifications; SR.2b Federal Narcotics Registration Certificate (DEA) number (if required); SR.2c Review of involvement in any professional liability action; and, SR.2d Review of individual performance data for variation from benchmark. Variation shall go to Peer Review for determination of validity, written explanation of findings and, if appropriate, an action plan to include improvement strategies (See MS.9). SR.2e Receipt of database profiles from NPDB, OIG Medicare/Medicaid Exclusions.
DNV DNV MS 12 SR 2. Appointment or reappointments to the medical staff and the granting, renewal, or revision of clinical privileges shall be made for a period defined by state law or if permitted by state law, not to exceed three years.
DNV DNV MS 9 Performance Data MS 9 Performance Data Performance data will be collected periodically within the reappointment period or as required as a part of the peer review process. This may include comparative and/or national data if available. In order to monitor the clinical performance of the medical staff, the areas required to be measured (as applicable to the practitioner s specialty) may include: SR.1 Blood use SR.2 Prescribing of medications: prescribing patterns, trends, errors and appropriateness of prescribing for Drug Use Evaluations; SR.3 Surgical Case Review: appropriateness and outcomes for selected high-risk procedures as defined by the medical staff; SR.4 Specific department indicators that have been defined by the medical staff; SR.5 Anesthesia/Moderate Sedation Adverse Events; SR.6 Readmissions/unplanned returns to surgery (as defined); SR.7 Appropriateness of care for non-invasive procedures/interventions; SR.8 Utilization data; SR.9 Significant deviations from evidence-based professionally recognized standards of practice; and, SR.10 Timely and legible completion of patients medical records. SR.11 Any variant that should be analyzed for statistical significance.
HFAP HFAP At regular intervals, the MS must appraise the qualifications of all practitioners to determine suitability for continued membership or clinical privileges. MS Bylaws must specify the time frames for periodic appraisal in the absence of state law specifying the frequency of periodic appraisal. HFAP cites the CMS recommendation of every 24 months. OPPE is to be reviewed no less than 3 times during each two year appointment cycle
DOES THE OPPE PROCESS PROVIDE US WHAT WE NEED TO TAKE NECESSARY ACTIONS? HOW CAN WE MAKE THE OPPE PROCESS BETTER? WHAT IF WE THOUGHT OF OTHER OPTIONS?
WHAT NEEDS TO BE CONSIDERED? WHAT NEEDS TO BE CONSIDERED? CAN PRIVILEGES BE OVERSEEN WITHIN THE SAME FRAME AS OPPE? WHAT CHANGES WOULD NEED TO TAKE PLACE? STATE LEGISLATION HHS LEGISLATION ACCREDITATION ORGANIZATIONS MEDICAL STAFF BYLAWS, RULES & REGULATIONS
