Synergy - May/June 2014 - 26

namss pass™ guide

The Importance of NAMSS PASS™:
A Clinician's Perspective
By Todd Epstein, MD

A

s a practicing anesthesiologist, chair
of my hospital's Credentials
Committee, and the physician
performance advisor for Suburban Hospital,
a member of Johns Hopkins Medicine, I have
seen firsthand how NAMSS PASS offers a
significant tool in helping us make the right
decisions in allowing physicians to practice at
our hospital.
There are many ways in which NAMSS PASS
can be utilized. It can be used for Focused
Professional Practice Evaluations (FPPE),
Ongoing Professional Practice Evaluations

(OPPE), and reappointments. How can it
be a tool for all of us? One way is to use
NAMSS PASS as a way to monitor areas in
which a practitioner has current privileges.
If a physician is on a focused review for
questionable performance concerning his
or her clinical privileges, for example, you
could view NAMSS PASS to see where he
or she currently has privileges. We can then
query NAMSS PASS to see if the practitioner
is in "good standing" at other hospitals.
I can point to a recent incident at my
hospital as an example. A few years ago, we

observed that a physician was beginning to
have some patient outcomes that were of
concern in both clinical performance and
personal interactions. As we considered
why the physician might be displaying
these behaviors, we realized that he was
increasingly preoccupied with a professional
organization and had membership or
privileges at a high number of area hospitals.
When we met with the physician to address
these observations, we concluded that he
was just spread too thin due to his high
number of hospital affiliations. He made
the decision to resign his membership and
privileges at a few of these hospitals to focus
on improving performance at the hospitals
that remained. Though we were eventually
able to gather the information we needed
about the physician, NAMSS PASS would
have been a quicker and more efficient way
to obtain this important information.
As NAMSS PASS is fully implemented
with the submission of every hospital's
data, it will be a reliable and quick
resource to gather more information
when there is a questionable OPPE or
reappointment application. It will also
be a valuable resource as we all move to
continuous monitoring.
We have fully implemented NAMSS PASS
at Suburban Hospital and at all the hospitals
within Johns Hopkins Medicine. I hope
you will each join NAMSS PASS as soon
as possible. By working together, we can
all raise the bar for credentialing and
performance, and, more importantly, we are
better positioned to be effective gatekeepers
for patient safety!
Todd Epstein, MD, is the Chair
of the Credentials Committee at
Suburban Hospital in Bethesda,
Md., a member of Johns Hopkins
Medicine.

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SYNERGY MAY/JUNE 2014



Synergy - May/June 2014

Table of Contents for the Digital Edition of Synergy - May/June 2014

Table of Contents
Synergy - May/June 2014 - Intro
Synergy - May/June 2014 - Cover1
Synergy - May/June 2014 - Cover2
Synergy - May/June 2014 - 1
Synergy - May/June 2014 - Table of Contents
Synergy - May/June 2014 - 3
Synergy - May/June 2014 - 4
Synergy - May/June 2014 - 5
Synergy - May/June 2014 - 6
Synergy - May/June 2014 - 7
Synergy - May/June 2014 - 8
Synergy - May/June 2014 - 9
Synergy - May/June 2014 - 10
Synergy - May/June 2014 - 11
Synergy - May/June 2014 - 12
Synergy - May/June 2014 - 13
Synergy - May/June 2014 - 14
Synergy - May/June 2014 - 15
Synergy - May/June 2014 - 16
Synergy - May/June 2014 - 17
Synergy - May/June 2014 - 18
Synergy - May/June 2014 - 19
Synergy - May/June 2014 - 20
Synergy - May/June 2014 - 21
Synergy - May/June 2014 - 22
Synergy - May/June 2014 - 23
Synergy - May/June 2014 - 24
Synergy - May/June 2014 - 25
Synergy - May/June 2014 - 26
Synergy - May/June 2014 - 27
Synergy - May/June 2014 - 28
Synergy - May/June 2014 - 29
Synergy - May/June 2014 - 30
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