A Health System's Journey to Future-proofing Credentialing and Privileging

About the Customer

Sentara Healthcare is a not-for-profit health system operating 300 sites of care, including 12 hospitals, with 3,800 providers. HealthStream's solution enabled Sentara to standardize their processes, taking everything online for a paperless approach. When faced with COVID-19 and pandemic stresses, Sentara was able to deploy global updates to grant privileges and implement disaster privileges.

Overview

For more than 125 years, Sentara has been committed to helping people who want the most dedicated medical professionals helping them through every stage of life. Over the years, they have expanded their offerings and grown as an integrated healthcare system throughout Virginia, North Carolina and beyond. Today, they operate more than 300 sites of care, including 12 hospitals.

Over the past year, Sentara has faced one of its greatest challenges: streamlining processes and reinventing systems in order to deploy caregivers as quickly as possible to where they are most needed. Fortunately, their continual commitment to innovation positioned them to tackle this challenge head on.

Laying the Foundation

In 2011, Sentara determined it was time to upgrade their credentialing and privileging processes. Their operations were being challenged by:

• Paper-based Processes

  Sentara’s previous credentialing and privileging solution stored data effectively, but the credentialing and privileging process was still paper based, and the paper files were stored electronically. There was no ability to report or manipulate those stored documents.

• Delineation of Privileges

  Each individual medical staff felt strong ownership of their process for evaluating and recommending individual providers to provide specific patient care services within their healthcare facility. This created a cumbersome privileging process for providers, chair, and chiefs and the medical staff professionals who supported them.

• Growing Demand for CVO Services

  As individual medical staff offices within the health system experienced turnover, growth, and other significant business challenges, a preference to centralize credentialing and privileging grew.

Paving the way to the Future

Sentara has a long history of focusing on quality and innovation. When the need to upgrade credentialing and privileging processes and grow a true CVO arose, the organization understood evaluating and pursuing new technology would be key to this transformation.

Sentara knew they needed to convert to standardized, paperless processes if their CVO was going to be able to serve multiple hospitals and medical groups, but they determined that bringing all processes online at once wasn’t necessarily the best way to launch. They took a phased approach to conversion and started with the processes that would be easiest to standardize such as initial applications and the reappointment cycle, as these did not require extensive review and approval. From there, they turned their focus on privileging.

Disaster Strikes

On March 11, 2020, COVID-19, was declared a pandemic by the World Health Organization. Two days later, a national emergency was declared in the US. Sentara knew the pandemic would soon strain its resources. The CVO rapidly recommended that the best way for providers to obtain authorization to practice in way that would enable them to meet the demand for increased clinical resources would be the implementation of disaster privileges.

Disaster privileges refer to privileges granted to qualified medical professionals to provide patient care when a major event creates a surge of patients and/or shortage of providers. Disaster privileges are temporary, but they allow privileged providers to care for patients for as long as needed during the course of the event.

Sentara’s CVO worked closely with their board and their medical staff attorney to clarify the specifics of disaster privileging and the operational issues involved. Upon announcing that disaster privileges would be implemented, requests began to pour in. Initially, the CVO received requests via spreadsheets, but that rapidly became too much to manage. Fortunately, Sentara was able to use their HealthStream solution to deploy a global update which granted privileges to any provider who had privileges within the system and allowed them to work outside their specialty as needed. For example, a general surgeon would be allowed to function as a general physician.

Implementing disaster privileges was no easy feat, but Sentara’s medical services professionals didn’t miss a beat, as they transitioned from working onsite to working 100 percent remotely. They had the technology in place to get the job done.

Looking Ahead

Sentara is on a mission to improve health every day. They understand that they can’t get there by remaining static. In order to be sure that they can deliver the right care, by the right caregiver, at the right time, place and cost whether they are in the middle of a disaster or not, they will continue to invest in their credentialing and privileging processes. Next up, they plan to:

• Convert the distribution of initial and reappoint letters to an electronic process
• Make broader use of the Provider Assessment Portal
• Fully standardize privileges by migrating to CredentialStream and taking advantage of a library of continuously updated best-practice, evidence-based, specialty-specific privilege forms

Pro Tips

During her 25+ year tenure, Paige Martin successfully established the organization’s CVO from the ground up. She has great advice for organizations looking to future-proof their privileging.

• Provider data drives the most fundamental processes in the healthcare system. It connects patients with healthcare professionals, assists with licensing providers, and helps secure payment for services. Be sure providers are entered consistently and accurately into your credentialing and privileging solution.
• When you’re moving from a paper-based process, start by moving your application and verification online first. HealthStream's “Verify Now” functionality was real game changer for us. Incremental wins will help you get your medical staff onboard.
• Make sure you have good data sharing capabilities so your organization can get to know providers by reviewing their files and you can complete Electronic Committee Reviews. This helps avoid unnecessary meetings, while keeping everyone comfortable with the process.