Back To CalendarMay 20th, 2026 - May 22nd, 2026

Select Sessions

• Session Description: Knowing that people are your most valuable asset isn’t enough — real results come when you know how to empower them. This high-energy, interactive session explores encouragement as a performance tool and a leadership strategy. Through humor, storytelling, and audience engagement, nationally touring speaker Brad Montgomery will show you how to create purpose, positivity, and buy-in among staff, peers, and even yourself. Attendees will walk away with actionable tools to boost morale, enhance retention, and spark meaningful motivation in their teams — all while having a genuinely great time.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Participants will be able to identify and apply specific encouragement strategies that directly impact performance, morale, and retention and recruitment.
  2) Participants will demonstrate an understanding of how personal Meaning and Purpose can be intentionally cultivated in the workplace.
  3) Participants will learn to use humor, storytelling, and emotional intelligence as tools to inspire engagement and connection across diverse teams.
  Additional: Participants will leave motivated to take ownership of building up others — and equipped to do so.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders
  

• Session Description: This session provides a concise overview of the 2025 updates to NCQA Credentialing and Provider Network (CR/PN) standards and their operational impact. Attendees will gain practical insight into key requirement changes, implementation timelines, and enforcement considerations, along with a forward-looking discussion of what organizations should prioritize to prepare for the 2026 standards cycle.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identify key updates to the 2025 NCQA Credentialing standards and explain their impact on credentialing and delegated credentialing operations.
  2) Assess organizational readiness and compliance risks in light of revised timelines, monitoring expectations, and documentation requirements.
  3) Develop a 2026 action plan to strengthen credentialing processes, delegation oversight, and survey preparedness.
  
  Target Audience: Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders, New MSPs

• Session Description: Annie and Fernanda will provide an overview of APPs and cover all issues related to APPs that every medical staff professional should know!
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Be able to name all types of APPs and reporting obligations associated with each;
  2) Understand how the new laws affecting 103 and 104 NPs should be implemented and related corporate practice of medicine issues;
  3) Be able to discuss what due process looks like for APPs.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: Join us for a practical conversation to break down why and when physician competency assessments should be considered, the process for engaging with PACE, insights on the scope of information the Medical Staff should provide, details on the assessment process, and how Medical Staffs can use assessment results to support both patient safety and physician growth. Have a burning question for Peter? Send it to DaynaNicholson@dwt.com by April 30th and she’ll do her best to make sure it’s answered!
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Explain the Purpose and Process of Physician Competency Assessments
  Attendees will be able to describe why and when a physician competency assessment is indicated, including common referral scenarios (e.g., concerns about clinical performance, re-entry to practice, or compliance with regulatory orders), and outline the step-by-step process used by the UC San Diego PACE Program.
  2) Illustrate How Assessments Are Customized and Applied in Practice
  Attendees will learn how the PACE Program tailors each assessment to the physician’s specialty and reason for referral, including the use of pre-assessment case reviews, multidisciplinary input, and simulation-based evaluations to ensure relevance and rigor.
  3) Apply Best Practices for Utilizing Assessment Results in Peer Review and Remediation
  Attendees will be able to identify best practices for interpreting and implementing PACE assessment findings within medical staff peer review, credentialing, and performance improvement processes, ensuring that outcomes support both patient safety and physician professional development.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders
  

• Session Description: When a team is not aligned on process this opens up workflow gaps and challenges with effective output. Aligning on the Credentialing and Payor Enrollment processes are fundamental to successful revenue generation and costly mistakes. This session will dive deep into the integration of Credentialing and Payor Enrollment to help your team identify where efficiencies can be enhanced and scalable for growing organizations.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Understanding close alignment will ensures provider data is verified once and reused across credentialing and enrollment, reducing rework and errors.
  2) Cross-functional collaboration helps avoid downstream denials or billing rejections.
  3) Clarifying differences and synergies between credentialing and enrollment, mapping combined workflows, and sharing best practices to reduce time-to-revenue.
  Target Audience: Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders, New MSPs

• Session Description: As the healthcare industry evolves, so must a medical staff's governing documents. The discussion will focus on identifying areas of improvement to make governing documents easier to navigate and implement. Tips for navigating the medical staff revision process will also be addressed.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identify key provisions to include in the medical staff's governing documents to address problematic situations.
  2) Strategize regarding the utility of including similar governing document provisions across the health care system.
  3) Understand the project management skills needed to manage the governing documents revision process.
  
  Target Audience: New MSP's, Seasoned MSP's, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: Medical Staff Professionals are excellent at putting their work first and their own wellbeing … off the list. Yet focusing on wellness is essential to not only for personal health, but also for professional efficacy. So how can you balance the wellness imperative with the sometimes-overwhelming work demands? Together, we’ll explore seven science-backed wellness tools that are easily integrated into the day—without having to head to the gym or roll out the yoga mat.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Understand how the brain processes stress.
  2) Recognize signs of overwhelm.
  3) Identify seven science-backed, manageable ways to improve wellness.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: Join Reji Varghese, Executive Director of the Medical Board of California, as he shares an update on the MBC activities, including new legislation, reporting, enforcement activities, and the physician health program.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identify the top areas of enforcement and reporting requirements
  2) Gain knowledge of the status and scope of the physician health program
  3) Understand the MBC’s top areas of focus
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: This session provides a practical overview of the fundamentals of provider enrollment and credentialing geared towards those who work with California hospitals and medical groups/practices. As a newer Payor Enrollment professional, you will be able to gain a clear understanding of how credentialing and enrollment work together to ensure regulatory compliance, payer participation, and timely reimbursement. The session explores California-specific requirements, common operational challenges, and real-world case studies that highlight the financial and compliance risks associated with delays or errors. Attendees will leave with actionable best practices to improve workflows, reduce revenue leakage, and support provider onboarding success.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Differentiate between provider credentialing and provider enrollment and explain how each impacts compliance, patient access, and reimbursement in California.
  2) Identify key California regulatory bodies, payers, and systems (e.g., DHCS, Medi-Cal, PECOS, PAVE, delegated credentialing) involved in the enrollment and credentialing process.
  3) Recognize common risks and challenges that lead to enrollment delays, payment denials, or delegation failures, using real-life examples and case studies.
  4) Apply best practices and operational strategies to improve enrollment timelines, maintain compliance, and protect organizational revenue.
  
  Target Audience: Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders, New MSPs

• Session Description: In this session we will review the top scored Medical Staff Standards in 2025, explain the Medical Staff Scoring trends, examine “Frequently Asked Questions” and other Joint Commission Standards applicable to the Medical Staff and review the 2025 National Data Review and Updates for 2026
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Understand Accreditation 360. Attendees will gain insight into the components of Accreditation 360, which go live January 1, 2026, including oversight mechanisms and available support tools.
  2) Review Survey Themes and Scoring. Participants will explore top themes identified during recent Joint Commission surveys and understand how scoring is applied within the Accreditation 360 framework.
  3) Utilize resources for compliance. Attendees will learn how to access and apply Joint Commission resources to support ongoing accreditation and compliance efforts.
  
  Target Audience: New MSP's, Seasoned MSP's, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: Not every physician issue requires a formal peer review sledgehammer—sometimes a scalpel works better. This session provides a practical toolkit for addressing performance and conduct concerns using graduated interventions, from informal conversations to external peer review. Through case studies and war stories, learn to match your response to the problem's severity, recognize when early intervention prevents formal action, and strategically deploy external reviewers for objectivity and legal protection. Plus: common mistakes and how to avoid them.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identify and apply a graduated response framework for addressing physician performance and conduct concerns, ranging from informal interventions to formal corrective action
  2) Evaluate the strategic advantages and disadvantages of external peer review, including cost considerations, objectivity benefits, and legal defensibility
  3) Distinguish when to use various peer review tools (OPPE monitoring, FPPE, behavioral agreements, external review, formal peer review) based on the nature and severity of the concern
  4) Develop decision-making criteria for escalating or de-escalating interventions based on physician response and ongoing monitoring data
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: A multi-perspective look at leadership roles: CMO, Chief of Staff, and staff’s attorney. Attendees will gain insight into clinical, administrative, and legal aspects of effective leadership, , governance best practices, and aligning medical staff operations with organizational goals and legal risk. This session will be highly interactive -- the audience stepping into the Medical Staff Professional’s role, asking questions, and pondering hypotheticals. This format will stimulate dialogue around issues physician leaders and MSPs face daily.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Advise and shape effective medical staff leadership and governance with the understanding of the clinical, administrative, and legal perspectives of the Chief Medical Officer, Chief of Staff, and the medical staff’s lawyer.
  2) Apply best practices for addressing common medical staff challenges – such as conflict management, hospital governance, accountability, and regulatory compliance – through interactive discussion of audience-generated questions and hypotheticals.
  3) Engage in practice problem solving and avoidance of needless conflict by understanding the role of the Medical Staff Professional and collaborating with faculty to develop thoughtful, compliant, and effective leadership responses to real world scenarios.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• CAMSS 55th Annual Education Forum President's Reception

• Session Description: This update from the NAMSS Director at Large offers attendees a current snapshot of National Association of Medical Staff Services’ initiatives, resources, and strategic efforts that support the medical staff services profession. The session highlights how NAMSS is advancing education, advocacy, leadership development, and member value while strengthening ties between the national organization and state affiliates. Attendees will learn about key programs, volunteer opportunities, and ongoing projects designed to enhance professional growth and promote excellence across the MSP community.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Summarize recent NAMSS initiatives and organizational priorities that impact medical staff professionals and the broader credentialing/privileging community.
  2) Identify NAMSS member resources, tools, and support platforms available to enhance professional practice, networking, and career advancement.
  3) Describe opportunities for member involvement and leadership engagement at the state and national levels to strengthen the profession and foster collaboration.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: As health plans tighten compliance oversight and value-based models continue to expand, Provider Enrollment has evolved from a transactional back-office function into a strategic revenue and growth driver. Delays, data inconsistencies, and fragmented workflows directly impact patient access, reimbursement timelines, and organizational scalability.
  
  This session explores advanced, enterprise-level Provider Enrollment strategies designed to reduce cycle times, improve first-pass acceptance rates, strengthen payer relationships, and ensure regulatory compliance. Attendees will gain practical frameworks for managing multi-state expansion, delegated credentialing oversight, telehealth enrollment complexity, and value-based program participation including alignment with CMS initiatives such as the No Surprises Act requirements.
  
  Ideal for credentialing leaders, enrollment managers, compliance professionals, revenue cycle executives, and healthcare operations strategists, this presentation delivers actionable insights to elevate Provider Enrollment from operational necessity to strategic advantage.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Analyze Enrollment Performance Drivers by identifying root causes of enrollment delays and implement metrics-driven strategies to reduce turnaround time and improve payer approval rates.
  2) Strengthen Compliance and Regulatory Alignment by applying advanced oversight strategies to meet health plan requirements, delegated credentialing standards, and federal mandates (including No Surprises Act and CMS Program participation requirements).
  3) Leverage Technology and Data Governance by implementing automation, centralized provider data management, reporting dashboards to improve transparency, accountability, and performance monitoring.
  Target Audience: Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders, New MSPs

• Session Description: In this session, we’ll explore the evolving role of artificial intelligence in medical staff services, focusing on the practical differences between open and encrypted large language models (LLMs). Learn why data privacy, compliance, and accountability are critical when selecting an AI solution, and how these considerations impact credentialing, privileging, and quality workflows. We’ll walk through real-world use cases, highlight ethical concerns and red flags, and demonstrate how to craft effective prompts.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identify and compare the practical applications and differences between open and encrypted large language models (LLMs) in medical staff services.
  2) Evaluate the importance of data privacy, compliance, and accountability when selecting AI solutions for credentialing, privileging, and quality management workflows.
  3) Apply ethical considerations and best practices by analyzing real-world case studies, recognizing red flags, and constructing effective AI prompts for use in medical staff operations.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders

• Session Description: This update session on DNV Healthcare Accreditation will give attendees a clear, practical overview of the latest developments in DNV’s accreditation standards and programs, including recent revisions to the NIAHO®/DIAS standards and new accreditation offerings such as the CMS-approved Ambulatory Surgery Center (ASC) accreditation program. We’ll discuss what these changes mean for survey readiness, compliance strategies, continuous improvement, and how organizations can align quality and safety systems with DNV’s risk-based, ISO-aligned approach to accreditation.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Summarize key updates to DNV accreditation standards and programs, including the DIAS 2026 revisions and the new ASC accreditation option.
  2) Interpret how DNV’s collaborative, continuous improvement model affects annual survey and compliance planning, particularly in relation to quality management system requirements and risk-based performance expectations.
  3) Develop actionable steps to enhance organizational readiness and performance improvement under DNV accreditation, including documentation practices, internal audits, and alignment with ISO principles.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: This session provides an overview of the critical processes involved in payer credentialing, provider enrollment, and delegated credentialing. Attendees will gain a solid understanding of how credentialing verifies provider qualifications, how provider enrollment integrates providers into health plans, and how delegated credentialing can accelerate and optimize these processes. The session covers the key differences between traditional credentialing, provider enrollment, and the more advanced delegated credentialing model, emphasizing its benefits such as faster enrollment, improved efficiency, and enhanced control.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Clearly define payer credentialing and provider enrollment and explain their significance in healthcare administration and revenue cycle management.
  2) Distinguish between the processes of credentialing and enrollment, emphasizing how each impacts practitioner participation in health plans and insurance networks.
  3) Break down the necessary steps for practitioners to enroll with various health plans, including completing applications, submitting required documents, and adhering to timelines.
  4) Compare and contrast the standard credentialing and provider enrollment processes with delegated credentialing
  5) Explain the requirements and compliance expectations for entering a delegated credentialing agreement, how it streamlines provider enrollment.
  
  Target Audience: Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders, New MSPs

• Session Description: Ruby W. Wood and Connie Y. Tcheng of Wood Tcheng LLP will provide a substantive discussion and practical advice regarding a key aspect of medical staff services – confidentiality. The presentation will provide a foundational understanding of confidentiality obligations regarding peer review documentation; discuss various disclosure requests, including from within the medical staff, hospital leadership, regulatory agencies, and third parties; and provide practical pointers for maximizing protections while complying with disclosure obligations.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Provide foundational understanding of confidentiality obligations applicable to peer review information and related documentation.
  2) In-depth discussion of responding to various types of requests for disclosures, within the medical staff, from hospital leadership, regulatory agencies, and third parties.
  3) Provide practical pointers for maximizing protections while meeting necessary disclosure requirements.
  
  Target Audience: New MSP's, Seasoned MSP's, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: This session will explore how structured physician coaching programs can serve as a proactive, non-punitive alternative to traditional corrective actions such as fair hearings and formal discipline generated by peer review and professional practices findings. Drawing on legal, HR, and quality perspectives, the presentation will highlight how coaching can reduce risk exposure, improve patient care, and support physician well-being—while also minimizing the likelihood of litigation and costly administrative processes.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identify common risk triggers that lead to physician discipline, litigation, or HR intervention.
  2) Understand how coaching can address underlying behavioral or communication issues before they escalate.
  3) Evaluate the legal and operational benefits of coaching as a risk mitigation strategy.
  4) Explore implementation models and success metrics from health systems that have adopted coaching programs.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: All too often our new team members come to an organization bringing with them the knowledge from their past employers and experiences with Provider Enrollment only to realize the climate and organization is way different from what they’ve experienced in the past. How can we set our teams and ourselves up for success and longevity within our organizations when expectations are vastly different from what we are accustomed?
  
  This session focuses on how to acclimate, create, lead, and sustain high-performing provider enrollment teams in today’s complex healthcare environment. Participants will explore the critical role enrollment teams play in supporting revenue integrity, provider access, and organizational growth. Through real-life examples and case studies, the session examines effective team structures, staffing models, performance metrics, and leadership strategies that drive efficiency and accountability. Attendees will gain practical insights to improve enrollment operations, reduce delays, and scale teams to meet organizational demands.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Describe the characteristics and core functions of high-performing provider enrollment teams and their impact on revenue, compliance, and provider satisfaction.
  2) Evaluate different enrollment team structures and staffing models to determine the best fit for their organization’s size, growth, and payer complexity.
  3) Identify key performance metrics and management strategies used to monitor productivity, address backlogs, and drive continuous improvement.
  4) Apply leadership best practices and real-world lessons from case studies to strengthen team performance, reduce operational risk, and support sustainable growth.
  
  Target Audience: Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders, New MSPs

• Session Description: As hospital systems and clinical networks broaden, medical staffs and peer review bodies have greater opportunities to collaborate and integrate their credentialing, peer review, and quality oversight responsibilities. Join Rebecca Hoyes (Polsinelli LLP) and Rachel Van Houten (Adventist Health Director of Medical Staff Services) as they explore effective strategies for conducting joint peer review functions, such as investigations, hearings, and committee responsibilities.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identify appropriate structures and processes for joint medical staff committees, investigations, and hearings withing health care systems.
  2) Evaluate effective models for integrating responsibilities for credentialing and peer review, including the role of CVOs.
  3) Apply legal and operational guidelines for sharing peer review information among hospital medical staffs, medical groups, foundations, and ambulatory surgery centers, and recognize scenarios requiring heightened caution.
  
  Target Audience: New MSP's, Seasoned MSP's, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: Professionalism has evolved to encompass skills like clear communication, accessibility, self-awareness, and an appreciation that medicine is a team sport. Being a highly-reliable healthcare organization means consistent excellence in quality and safety. To achieve this level of performance, an organization must promote a safety culture where providers understand the importance of professionalism and speaking up. We will explore how the creation of a Professionalism Committee can promote and support a safety culture at your institution.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Learn about signs that may lead to disruptive and unprofessional actions by providers.
  2) Understand the importance of a comprehensive, well organized, and equitable process to address Medical Staff practitioner professionalism.
  3) Identify and understand the monitoring, support mechanisms, and remediation processes available for medical staff practitioners who demonstrate a lack of professionalism.
  4) Design and implement a balanced process to enhance professionalism on your Medical Staff and ensure the safety of patients at your facility.
  
  Target Audience: New MSP's, Seasoned MSP's, CVO, Medical Staff Leaders, Administrative Leaders

• Annual Forum business meeting with lunch provided.

• Session Description: This session will cover the fundamental aspects of provider enrollment, including requirements, documentation, application processes, timelines, revalidation, and maintenance. Participants will gain insights into the importance of accurate documentation and learn how to navigate the enrollment application process efficiently. We will discuss strategies for staying compliant with revalidation requirements and provide tips for managing timelines effectively to avoid delays.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Understand the significance of provider enrollment for healthcare professionals and suppliers, including required documentation (credentials, licenses, certifications, tax IDs), and the step-by-step application process.
  2) Recognize the importance of adhering to enrollment timelines, managing potential delays, and maintaining up-to-date information through revalidation and other maintenance requirements.
  3) Discover valuable resources for further education and support, including official websites, training opportunities, professional associations, and consulting services
  
  Target Audience: Payer Enrollment Professionals, Medical Staff Leaders, Administrative Leaders, New MSPs
  

• Session Description: Annie and Jeffrey will discuss how to handle incident reports involving a medical staff credentialed practitioner and an employee. Same incident, same facts, same witnesses, but different investigating bodies. Annie and Jeffrey will discuss how to preserve Section 1157 protections, joint fact gathering, and maintaining separate records for the medical staff and HR.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Be able to distinguish between joint fact gathering and joint investigations;
  2) Understand what should go into a joint fact gathering agreement;
  3) Understand how to work with HR without compromising Section 1157 protections.
  
  Target Audience: Seasoned MSP's, Medical Staff Leaders, Administrative Leaders
  

• Session Description: Participants will learn why strong relationships with providers are essential and how relationships influence trust, responsiveness, compliance and outcomes. We will explore the cultural dynamics unique to physicians, including communication expectations and what builds credibility in their world. Real examples will demonstrate how strong relationships can support initiatives such as vaccination compliance, policy adoption, privileging creation and peer review collaboration. You will leave with confidence and tools to build the kind of relationships that make you a trusted partner.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Understand why relational leadership is essential and how it impacts engagement and operational outcomes.
  2) Identify practical, meaningful strategies to engage providers including approaches for new leaders and introverts.
  3) Apply communication techniques that build trust, reduce defensiveness and foster collaboration.
  4) Create trust without blurring professional boundaries.
  
  Target Audience: New MSP's, Seasoned MSP's, Administrative Leaders

• Session Description: This session will be designed as a free-flowing discussion between the audience and the panel regarding common legal issues all medical staffs deal with. While the conversation will be open to any question asked by the audience, the experienced panel of attorneys may discuss anything from reporting scenarios, whistleblower & retaliation issues, handling investigations (including the risks/benefits of joint investigations), and credentialing issues.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Understand issues commonly faced by MSPs.
  2) Identify opportunities to refine or change medical staff processes. Learn key concepts related to a wide variety of credentialing topics.
  3) Identify opportunities to refine or change medical staff processes. Learn key concepts related to a wide variety of credentialing topics.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: Trainees are important to the delivery of high-quality patient care, yet they practice within a distinct regulatory and operational framework. As GME programs expand into hospitals, and accreditation and regulatory requirements grow increasingly complex, the Medical Staff is often involved in matters related to trainees. Participants will examine the Medical Staff’s responsibilities related to trainee supervision and accountability, as well as key compliance considerations that safeguard patient care.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Describe the structure and purpose of GME Programs
  2) Identify supervision and scope-of-practice requirements for trainees
  3) Recognize common administrative challenges for the Medical Staff when dealing with trainees4) Understand the roles the Medical Staff and GME play in trainee oversight and the coordination required between the two entities to ensure safe patient care
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: This session will offer a practical guide to California’s Business and Professions Code Sections 805, 805.01, 805.8, and NPDB reporting requirements: triggers, timelines, report types, and documentation. We will translate regulatory requirements into actionable steps for MSPs and medical staff leaders with practical guidance on best practices to preserve peer review protections and legal immunities. Attendees will leave with a clear roadmap to avoid common reporting pitfalls, align peer review actions with reporting duties, and strengthen compliance with state and federal peer review law.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identify when California Business & Professions Code Sections 805 and 805.01 reporting is triggered and how those obligations interface with federal NPDB reporting.
  2) Identify the reporting obligations under California Business and Professions Code Section 805.8.
  3) Explain the consequences of failing to report, including regulatory exposure and liability implications for hospitals and medical staffs.
  4) Distinguish NPDB report types and analyze common pitfalls in drafting narratives that withstand practitioner disputes and queries.
  
  Target Audience: New MSP's, Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: This presentation focuses on how to recognize when the medical staff – or its leadership – is not effectively fulfilling its core responsibilities in areas such as peer review, credentialing, quality oversight, and professionalism. Through practical examples and real world scenarios, the session will examine common warning signs of dysfunction, inaction, or breakdown in medical staff processes and governance. Participants will explore the operational, clinical, and legal risks that arise when medical staff obligations are not being met, as well as the range of options available to address these issues. The discussion will cover informal and formal interventions, leadership engagement strategies, use of bylaws and policies, and circumstances that may require escalation or organizational action. Designed for medical staff leaders, executives, and Medical Staff Professionals, this session provides practical guidance for identifying problems early and responding effectively while balancing collaboration, accountability, and compliance.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identify key indicators that the medical staff or its leadership is not effectively carrying out core responsibilities such as peer review, credentialing, quality oversight, and professionalism.
  2) Evaluate the clinical, operational, and legal risks associated with medical staff inaction or dysfunction, including potential regulatory, accreditation, and liability implications.
  3) Determine appropriate response options and escalation strategies—ranging from informal interventions to formal bylaw-driven actions—to address medical staff failures while maintaining compliance and effective governance.
  
  Target Audience: Seasoned MSP's, Medical Staff Leaders, Administrative Leaders

• Session Description: Define and differentiate between Virtual Reality (VR) and Augmented Reality (AR) in the clinical context, distinguishing between immersive therapeutics and procedural overlays and identify current FDA-cleared and authorized AR/VR applications for both surgical navigation (orthopedic and spine) and medical therapeutics (chronic pain management).
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identify and assess the novel patient safety, technical, and human-factors risks associated with AR/VR systems, including registration error, cognitive load, and operating room distraction and discuss the evolving medicolegal liability landscape, including the impact on the ""learned intermediary"" doctrine and the enterprise risk of negligent credentialing claims.
  2) Apply the CMS CoPs, specifically the mandate to evaluate competency for each new task or technology, to AR/VR privileging and incorporate The Joint Commissions standards for Focused Professional Practice Evaluation and Ongoing Professional Practice Evaluation into a new technology governance framework.
  3) Design a competency based privileging pathway, including a Delineation of Privileges addendum, by leveraging existing robotic surgery privileging models.
  4) Structure a robust FPPE process that mandates manufacturer didactic training, simulation based skills assessment, and a defined proctoring requirements and establish specific, data-driven metrics for both FPPE (proctoring forms) and OPPE (reappointment dashboards) to monitor practitioner performance and patient outcomes related to AR/VR use.
  
  Target Audience: Seasoned MSP's, Medical Staff Leaders

• Session Description: Physician burnout is a growing concern with significant implications for healthcare quality, safety, and workforce sustainability. This session explores the critical components of physician wellness and provides a comprehensive overview of the individual and systemic factors that contribute to burnout. Attendees will gain insights into organization strategies that promote a culture of wellness, along with practical tools that physician and Medical Staff Professions can use to manage stress, build resilience, and foster long-term well being
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Explore the causes of physician burnout. Attendees will examine individual and systemic factors contributing to physician burnout and their impact on workforce sustainability
  2) Promote a culture of wellness. Participants will gain insights into organizational strategies that foster physician well-being and support a healthy work environment.
  3) Apply practical tools for resilience. Attendees will learn actional techniques to manage stress, build resilience, and support long term well being
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: This presentation will explore obvious and subtle red flags that suggest a clinical or behavioral problem with applicant practitioners. It will explore the legal nuances between an initial applicant and an applicant for reappointment. It will discuss the resources available to Medical Staffs to assess applications and navigate the procedures for processing such applications. We will opine on the roles of hospital and medical staff representatives in the evaluation and decision-making processing while using case examples and invite the audience to discuss their own experiences with difficult applications.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Identifying applications with underlying red flags or potential patient safety concerns.
  2) Understanding how to navigate red flag applications, reporting requirements, and hearing rights.
  3) Exploring practical tools available to Medical Staffs to evaluate an application with red flags.
  
  Target Audience: New MSP's, Seasoned MSP's, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: “First Do No Harm”. A core ethical principle for the practice of all medicine but unfortunately not always followed. In this session we will look at medical providers who have been arrested for various crimes, including healthcare fraud, illegal prescriptions, sexual assault, and other criminal activities. We will focus on identifying points in time that may have aided in early intervention and prevention of harm.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) State one way in which fraudulent credentials can be discovered
  2) Identify a common theme related to providers who take a wrong turn
  3) Identify at least two early warning signs of a problem provider
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: From the physician found intoxicated in the hospital parking lot to the practitioner who argues with parking enforcement over unauthorized parking, conduct outside the four walls of the hospital can present complex challenges for Medical Staff leadership. This session will examine real-world scenarios and provide a practical framework for assessing when conduct outside the hospital impacts patient care and falls within the Medical Staff’s purview.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Recognize categories of off-campus practitioner conduct that may trigger Medical Staff review based on patient safety, clinical competence, professionalism, or compliance considerations.
  2) Evaluate off-campus conduct using a consistent, defensible framework to determine Medical Staff jurisdiction, appropriate peer review pathways, and due process obligations.
  3) Select and implement proportionate Medical Staff interventions and disciplinary actions that align with bylaws, fair hearing requirements, and regulatory expectations while mitigating organizational risk.
  
  Target Audience: New MSP's, Seasoned MSP's, CVO, Medical Staff Leaders, Administrative Leaders

• Session Description: The annual legal update will cover a wide range of the legislative and legal updates from 2025-2026. This presentation will help ensure that MSPs are in the know, including recent legislative changes under AB 1501 [PAs and podiatrists; Supervision changes], AB 489 [Artificial Intelligence], AB 82 [reporting of dispensing testosterone and mifepristone], updates relating to CDPH decisions around the requests to update the Medical Staff composition in the California regulations. Recent notable decisions such as Palmer v. Bonta and Najibi v. Providence Valley Service Community Ministry Board will be discussed. Finally, the presentation will cover potential new legislation such as SB 679 [annual reporting requirements to Civil Rights Department] and the physician health and wellness program.
  
  Session Objectives:
  At the conclusion of the session, participants will be able to:
  1) Provide general legal update on new statutes, regulations, and case law relevant to medical staffs.
  2) Identify and discuss the implications of new developments on the medical staff office’s duties and responsibilities.
  3) Provide practice tips for addressing and incorporating these developments into the MSP’s practice.
  
  Target Audience: New MSP's, Seasoned MSP's, Payer Enrollment Professionals, CVO, Medical Staff Leaders, Administrative Leaders