Implementation of a provider credentialing/recredentialing process and development of a physician profile in an IPA-model HMO.
The process of credentialing and recredentialing providers in health plans is time-consuming and universally hated by doctors, but it is essential to maintaining the quality of the health care plan. It also can yield information about the quality of service provided in general by the network of physicians, as one IPA-model plan discovered.
Gardner
J M
JM
HealthPlus of Michigan, Flint 48501.
D003406:Credentialing / Q000458:organization & administration*; D005568:Forms and Records Control; D006279:Health Maintenance Organizations / Q000458:organization & administration / Q000592:standards; D007193:Independent Practice Associations / Q000458:organization & administration* / Q000592:standards; D008331:Management Information Systems; D008503:Medical Staff / Q000592:standards* / Q000706:statistics & numerical data; D008824:Michigan; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D016730:Program Development