Work History

Question 1

TJC
Work History

Answer 1

There is no specific requirements for verification of work history. The standards require, at the time of appointment to membership and initial granting of privileges, verification of relevant training or experience must be obtained from the primary source/s, whenever feasible.
The hospital requirements are to evaluate voluntary or involuntary termination of medical staff membership and voluntary and involuntary limitation, reduction or loss of clinical privileges

Question 2

NCQA Health Plan with CVO
Work History

Answer 2

NCQA does not require PSV of work history.
- A minimum of five years of relevant work history must be obtained through the practitioner’s application or curriculum vitae.
- Documentation of review of work history can be done through documentation on the application or CV that includes the signature or initials of the staff who reviewed work history and the date of review.
- Gaps exceeding six months must be reviewed and clarified either verbally of in writing.
- Gaps exceeding one year must be clarified in writing. Clarification in the practitioner’s credentialing file, CV or application must include the beginning and ending month and year for each position in the practitioner’s employment experience.
- If a practitioner has had a continuous employment for fiver years or more, then there is not gap and no need to provide the month and year, if the year meets the intent.
Time limit: must be verified within 365 days (MCO)/305 days (CVO) of the credentialing decision.

Question 3

ACHc Acute Care Hospital
Work History

Answer 3

History of medical staff appointments and affiliations where privileges have been granted should be obtained and verified.
Verification should include a confirmation of the applicant’s appointment and privilege history, and any pending investigations of disciplinary actions, voluntary resignations, or relinquishments of membership/clinical privileges/contracts.
Verification of employment history should be obtained for hospital-employed physicians and non-physician practitioners.

Question 4

DNV NIAHO for Hospitals
Work History

Answer 4

MS 6
Not specifically addressed. Medical Staff bylaws describe the qualifications to be met by a candidate in order for the medical staff to recommend that the governing body appoint the candidate.
Qualifications shall include primary source verification of experience.