Physician Credentialing Project
Endorsed by MA-SHARE Advisory Committee - September 29, 2003
Vision
The Physician Credentialing Project will seek to streamline and
coordinate physician credentialing and re-credentialing processes
throughout the state.
Sponsors
Massachusetts Medical Society, Massachusetts Association of Health
Plans, Blue Cross Blue Shield of MA, and Massachusetts Hospital
Association, in collaboration with the MA Board of Registration
in Medicine (BORIM)
Project Description
The goals of the Physician Credentialing Project are to:
- Maintain accurate and timely credentialing information for
hospitals and health plans to ensure patient safety and quality
of care
- Link data sources
- Reduce the administrative and financial impact of redundant
and inefficient business processes
Issues to be tackled include:
- Increased physician education and outreach about existing and
new opportunities for streamlining
- Adoption of uniform application forms
- Improved coordination of the collection, centralization and
access to credentialing data
- Better alignment of state licensing, hospital credentialing
and health plan credentialing requirements
- Reductions in administrative delays
- Implementation and adoption of appropriate support technologies
The Physician Credentialing Project fits with MA-SHARE goals toward
improving patient safety and quality of care, increasing administrative
simplification and reducing costs, expanding the availability of
standardized centralized credentialing information, maintaining
state-wide focus and impact, and employing appropriate standards
for data security.
Activities to date (latest at the top)
- Steering Committee and Operations workgroup continue to work
on longer term solutions - 4/14/04
MA-SHARE Advisory Committee presentation (PDF)
- Legislation reflecting
statement of principles has been filed
- Integrated Massachusetts Applications for initial credentialing and re-credentialing have
been developed and adopted
- Statement of principles adopted by many hospitals and health
plans - Statement
of Principles Tracking Sheet (PDF)
- Comprehensive Statement
of Principles describing short term solutions to simplifying
physician credentialing process developed and endorsed by project
Sponsors - Press
Release (PDF)
- Potential short term and long term solutions have been identified
- An Advisory Committee has been established
- Collaboration with BORIM and the State Information Technology
Office is underway
- An extensive range of interviews and fact-finding has been
completed
- Audrey Shelto has been retained as project manager
This page last updated April 21, 2005
For further information regarding the MA-SHARE initiative and
its projects, please contact Gail Fournier, Partner, CSC Consulting, via
e-mail. We welcome your further questions & look
forward to your participation in our work and our events!
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