HealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
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View All ProductsAs a premier provider of healthcare education, we are committed to promoting safer, more successful surgical and sedation outcomes for each and every patient.
View All ProductsOur solutions are designed to cater to the needs of patients, healthcare professionals, and organizations dealing with illnesses or chronic conditions.
View All ProductsHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
View All ProductsTackle all the challenges of provider directory management within a health plan with a single solution tailored to your specific needs.
View All ProductsOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsFinally, a comprehensive resource to support collecting, storing, and sharing credentialing data with ease.
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View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreHealthStream regularly publishes guest blog posts like the one below from VerityStream.
This blog post is based off of a Thrive18 presentation by Vicki Searcy, Vice President, Client Success Services and Consulting at VerityStream.
At VerityStream, we are committed to making sure our clients get the most out of their CVO. What’s currently an effective CVO must change as the nature of the services it provides is transformed by the needs of the healthcare industry. Nothing demonstrates this need for flexibility more than how CVOs have changed from their inception.
The earliest CVOs were started in the 1980s, primarily by professional organizations, hospital associations, and medical societies to manage information about individual members’ professional credentials. However, many organizations were reluctant to use a CVO until the late 1980s when the Joint Commission established the conditions under which a CVO could be used by hospitals, circumstances similar to what is published in the current accreditation manual glossary for hospitals.
The early 1990s saw a big increase in the use of CVOs with the introduction of National Committee for Quality Assurance (NCQA) standards for managed care organizations, which required physicians who participated in managed care to have a hospital affiliation. Though this requirement was eliminated a few years later, it resulted in large numbers of applicants for hospital membership/privileges. Through the middle of the decade, after the NCQA introduced a certification program for Credentials Verification Organizations, the industry experienced a proliferation of medical society-based, hospital association-based, health plan-based, and commercial CVOs.
By the early 2000s, health systems were creating their own internal CVOs, and the Council for Affordable Quality Healthcare (CAQH) was formed as non-profit alliance of health plans and associations collaborating to streamline the business of healthcare. The passage and implementation of the Affordable Care Act (ACA) by 2010 had a significant additional impact on credentialing. The growing numbers of Accountable Care Organizations (ACOs) and the trend of more employed providers meant that the timing and efficiency of credentialing was more important than ever.
CVOs now have reached a state of maturity, and there are few remaining medical society- or hospital association-based CVOs. Many are commercial and Health Plan-based, and most health systems have established a CVO or are in the process of doing so. Certification of CVOs is further evidence of systematization. Fully 189 CVOs have some form of NCQA certification, and 3 are certified by URAC, an independent, third party healthcare quality validator. The typical CVO does both hospital and managed care credentialing and is in the process of moving to electronic processes from paper-based systems. A characteristic group of services provided by many CVOs includes application management, verification, and expirables management.
CVOs face significant issues as healthcare organizations experience growing resource strains, such as:
As credentials verification matures, this function will undoubtedly change. Here are some of the questions every CVO will need to answer:
Electronic processing will accelerate, by necessity. What does that mean for changing how we do things?
Learn more about VerityStream’s NCQA-certified CVO.
HealthStream’s learning management system and healthcare training solutions support medical training initiatives and allow for the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsUtilize patient access solutions and advanced reimbursement solutions to manage clinical denials and improve your organization’s reimbursement strategy.
View All ReimbursementExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsOur competency development solutions personalize learning for clinicians to bridge the gap between theory and practice for your nurse residents.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing orientation challenges to easily achieve and maintain certification with our emergency and acute care training solutions.
View All ProductsAs a premier provider of healthcare education, we are committed to promoting safer, more successful surgical and sedation outcomes for each and every patient.
View All ProductsOur solutions are designed to cater to the needs of patients, healthcare professionals, and organizations dealing with illnesses or chronic conditions.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
View All ProductsComprehensive, industry-leading provider onboarding and credentialing software that validate health outcomes and support provider assessment.
View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
View All Products