IRO Core 3.0

IRO CORE 32 - Senior Clinical Staff Responsibilities

Submited by: Tom Goddard

The Basics

The senior clinician whose qualifications are set forth in Core 31 must, according to this standard, provide guidance and be responsible for all of the clinical aspects of the organization's program being accredited. In addition, the senior clinician must have periodic consultation with individuals in the field or licensed to deliver healthcare services without supervision, i.e. practitioners. Finally, he/she must be responsible for your organization's program to assure that all clinicians accountable to your organization for decisions that affect consumers are qualified.

Management Tips

Again, management personnel should make sure that the senior clinician's job description and resume are in order and in compliance with the standard. In addition, the organization's program description or policy and procedures that describe the clinician's role in accountabilities should be reviewed to make sure it complies with the standard.

Accreditation Tips

Desktop Review
The only documentation you need to submit for this standard is either a job description of the senior clinician, if employed, or, if he/she is a consultant, the consulting agreement. If that agreement does not address all the requirements of this standard, in addition to the contract, you should submit a program description of policy that does fully address the responsibilities described in this standard.
Validation Review
Interviews
The reviewer will interview the senior clinician regarding each of the responsibilities described in this standard.
Document Review
The reviewer will examine the senior clinician's personnel file.

  • Core 4.0 Pre-release / 12.05.2018

    C-OPIN 4-1: Delegation Management

    This standard sets forth what appear to be simple requirements regarding how your organization manages the delegation process. In short, it says that if your organization delegates functions that are within the scope of your URAC accreditation, it retains accountability for compliance with URAC standards regarding those functions and conducts periodic oversight of the performance of the delegated...

    READ FULL POST
  • Core 4.0 Pre-release / 12.05.2018

    C-PMI 1-5: Quality Management Program Evaluation

    This standard both requires that your organization conduct an annual evaluation of the effectiveness of your QM program and describes the required components of that evaluation, which must be provided to the leadership at least annually. The required components include:Recommendations to leadership on how to improve the QM program;An analysis of the organization's performance as compared to the or...

    READ FULL POST
  • Core 4.0 Pre-release / 12.04.2018

    C-PMI 1-4: Data Management and Performance Reporting

    This standard focuses on the data side of the QM program. Your QM documentation needs to clearly identify:how you collect performance indicator data;how you analyze those data; andhow and to whom you report data.In addition, the performance indicators must be relevant to your organization's performance and must be quantifiable. You'll need to benchmark your performance on these performance indicat...

    READ FULL POST
Top