Overcoming Resource Constraints in Credentialing for Critical Access Hospitals

Written by: Robert Skeffington, Co-Founder of PMG Credentialing

Critical Access Hospitals (CAHs) face significant challenges due to resource constraints. While some of these can be mitigated with enhanced administrative oversight and staff training, other issues may be best addressed by partnering with an experienced third party CVO to either support weak areas or manage the entire credentialing process. Only your organization can determine the best path forward. Allocating more focus to credentialing might detract attention from other critical concerns.

Resource constraints are often viewed merely as a staffing issue. While staffing is a significant factor in credentialing inefficiencies, it is not the only one. Administrators should also consider the role of software, workflow and tracking systems, and detailed provider spreadsheets in identifying open issues and tracking recent progress. Let’s explore these areas and discuss potential quick fixes to enhance performance.

Staffing

CAHs, like many healthcare organizations, struggle with staffing—both in managing current staff and hiring experienced new employees. Remote work offers both opportunities and challenges. While it broadens the pool of potential hires, overseeing remote staff can be difficult, as we learned during the early days of COVID-19. If your organization embraces remote work, credentialing can be successfully managed remotely, as our company has demonstrated for years. Ensure staff are connected daily, have clear written goals, and understand the organization’s mission.

Budget

Since 2020, staffing costs have significantly increased nationwide. CAHs must review their budgets to ensure sufficient funding and stable staffing levels. Additionally, budget for software to manage the credentialing process is crucial. Although software costs have risen, the increases are usually reasonable.

Training

Training is an ongoing cost, not just an initial one for new staff members. Credentialing staff must be continually trained to comply with evolving regulations. Allocate funds to ensure ongoing compliance and effectiveness in the credentialing process.

Technology

Improving the credentialing process can often be achieved without additional costs. CAHs should review their credentialing software to ensure all available automation features are utilized. Organizations often select software based on a feature-rich RFP process but fail to use these features fully. For example, does your software flag stalled applications or assist with follow-ups? Reviewing and utilizing all available features can automate simple tasks currently managed by staff.

While the issue of resource constraints could be discussed at length, focusing on the primary components mentioned will provide CAHs with actionable insights for an improved credentialing process.

As always, reach out to us to see how we can help your hospital manage this complicated process or for any questions about what we've discussed here.