The New Standards

March 18, 2009 at 3:55 pm Leave a comment

In a step to rationalize healthcare representative credential requirements, a joint best practices team across Advamed, AACN, AHRMM, AORN, HIRA, HMMC, IMDA, IPPS, IHAC and MDMA have released their recommendations on appropriate credentials for Health Care Industry Representatives in Clinical Areas.

The document reflects what Vendormate health care clients typically require for reps in patient care or clinical areas:

1.   Immunization Records — the commonly requested MMR, HepB, and TB test

2.   Training — product competency, HIPAA policies, Code of conduct/ethics, OSHA/Bloodborne pathogens

3.  Hospital/Department Orientation 

4.  Background verification — drug screen (as applicable), criminal background check, sexual offender registry, and sanction screens 

5.  Statement of Insurance Liability letter

The standards emphasize the importance of the representative’s privacy and generally state that the healthcare system should accept attestations of the representative’s employer that these standards have been met.   

Combining privacy with relevancy, the standards also counsel against collecting SSNs, drivers license information, personal credit checks, and resumes.  

In general, most of our customers’ programs already meet these recommendations.   None collect the personal information of SSNs, drivers licenses, credit checks, and resumes.  

A few nuances we would recommend:  

Record the expirations of immunizations.   The status of “current” is what is essential here.   A document that is collected one time at the start of a relationship does not reflect changes that occur over time.  A simple notation of “expiration date” can help both the health system and the representative stay on top of this potential exposure.

Sanction checks need to be done more frequently.  CMS has pushed state level bodies to check at least monthly, and the rate of recidivism is relatively high.  Of all checks, this should certainly be done by someone other than the rep or the employer.   However, privacy can be protected even here.   Basic information such as name, county, and state of residence is generally enough to clear any sanction list match question.   Vendormate counsels its customers that any additional information is required to reconcile a potential match be collected only on an as needed basis and with the full awareness of the potentially matching person.   

The recommendations clearly reflect that these are for reps in “clinical areas.”   Clinical reps are only one part of the supply chain approach to vendor credentialing.  In addition to the clinical rep, the healthcare system will still want to define standards for its vendor companies — the company’s financial strength, the company’s sanction list standing, etc.  

Entry filed under: AHRMM, Immunization Requirements, vendor compliance, vendor credentials. Tags: , , , , .

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