OnDemand Advanced Credentialing: Achieving Performance Excellence
Duration: 5 hours
Advanced Credentialing: Achieving Performance Excellence
Throughout this two-part interactive course, participants are guided in addressing critical performance implications for credentialing. This applied course offers strategies and lessons learned aimed to help professionals define, plan, and achieve excellence in credentialing. To optimize the learning experience, this course blends open forum discussions, peer-learning, breakout group activities, and lecture with live Q&A.
Course topics are not exclusive to NCQA requirements but are applicable to NCQA requirements for both Health Plan Accreditation (HPA) and Credentialing Accreditation. Participants are expected to have a working knowledge of credentialing.
• All participants of the live session will receive a copy of the recording and presentation. The recording and presentation will also be made available as an “On-Demand” course.
To inquire about group training rates, complete our online form.
• Credentialing Committee Oversight
• Non-Discrimination in Credentialing and Recredentialing
• Practitioner Directories and Member Materials-Ensuring Accuracy
• Ongoing Monitoring
• Delegation Issues
Benefits and Resources
• Presentation Slides
• Recording of Live Session
• Live Q&A
• Scenarios for Applied Learning
• Perspective from Former NCQA Staff
- Clinicians, Directors, Managers, Specialists, and Coordinators
- Consultants, Contractors, Delegates, and Vendors
- Health Plans and Managed Care Organizations
- State Officials
- Professionals in Compliance or Risk Management
- Professionals in Quality Assurance/Improvement or Performance Measurement
• Identify policies and procedures important to the credentialing process.
• Explain the impact policies and procedures have NCQA surveys.
• Define attributes of exemplar criteria for credentialing.
• Evaluate characteristics of a credentialing committee.
• Discuss the NCQA requirements for ongoing monitoring.
Veronica Locke, MHSA
Veronica Locke, MHSA is a process consultant with the Health Care Service Corporation (HCSC) in Dallas, Texas. Prior to joining HCSC, Veronica was a consultant for The Mihalik Group, providing healthcare-related consulting services. Her areas of expertise include quality assessment and improvement; credentialing; delegation; disease management accreditation/certification; population health management; multicultural health care.
Veronica is the former Senior Manager of Accreditation Policy for the National Committee for Quality Assurance. She was actively involved in the development and maintenance of the standards and guidelines of NCQA's Accreditation and Certification programs, specifically Health Plan, Disease Management and Multicultural Health Care Distinction programs. As a member of the Policy team, one of her major responsibilities was to serve as a content champion when providing policy clarifications and trainings internally and externally. She received her Bachelor of Science Degree in Public Health from the University of Maryland, College Park and her Master of Health Systems Administration Degree from Georgetown University in Washington, DC.
This live course grants 4.0 Continuing Education Unit (CEU) points for PCMH Certified Content Experts.
* Please note – You must attend the entire program to be eligible for total number of contact hours.
- 1.00 Participation
- 4.00 PCMH CCE