Staff Qualifictions and Competency
 Brentwood Hospital actively maintains ongoing
processes to assure that only qualified and competent staff provide patient
care or support services.
Credentialing
Facility employees are credentialed through an
internal mechanism supervised by the Director of Human Resources. Each employee
performs his or her duties according to a criteria-based job description that
reflects patient age and population, specific needs, and defines required qualifications
and competency standards. A performance appraisal is conducted for each employee
upon completion of the probationary period and at least once a year thereafter.
Clinical staff are also required to complete a competency assessment and orientation
upon hire and annually thereafter in selected areas to assure that ongoing competency
requirements are met.
Credentialing for members of the medical staff
and affiliate staff is provided through the medical staff credentialing and
privileging process for appointment as previously noted. This process is defined
in the Medical Staff Credentialing Plan and Medical Service Bylaws.
Evaluation
Monitoring and evaluation of the effectiveness
of patient care and support services are maintained on an ongoing basis through
a well-defined program for improving organizational performance. The program
emphasizes the analysis of the appropriateness of care, evaluation of problems
and concerns identified, as well as opportunities for improvement of services
and patient care. These activities provide mechanisms to effectively assure
a comparable level of care for all patients.
This plan for provision of patient care is reviewed
and revised as necessary, but not less than annually. The following elements
are taken into consideration in conducting the annual review:
- The facility’s mission
- Strategic and budget planning process
- Findings from performance improvement, risk
management, utilization review and other evaluation activities
- Changes in inpatient care needs/community
needs
- Patient requirements and implications for
staffing
- Relevant information from staffing variance
reports
- Adequacy of staff recruitment and development
activities
Findings from the annual review will be reported
to the Quality Council, Medical Executive Committee and Board of Trustees.
For further information simply call (318)
678-7500 or Toll Free (877) 678-7500. We offer confidential assessments and
referrals.
| 
