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This is any specific area of medicine in which a physician may focus his practice. This is an area of medicine the physician has had focused training.
The information is collected through the provider attestation on the credentialing application and verified through the appropriate avenue at the time of the credentialing/re-credentialing process at least every three years, and at the time of any change in the physician's professional standing.
This medical specialty certification indicates that this physician has received recognition for his/her expertise in a particular specialty or subspecialty of medical practice, achieved through a voluntary and rigorous process of testing and peer evaluation. Board certifications, when first offered, did not have an expiration date; however, recognizing the changing pace of medical knowledge recertification is now required to maintain the recognition.
This information is updated by PacificSource Health Plans at the time of the credentialing/re-credentialing process at least every three years, and through monthly reviews to define current changes.
This is a certification process that facilities voluntarily seek identifying their ability to perform at nationally accepted standards. This rigorous review process helps hospitals to improve their performance and maximize their service delivery of patient care and demonstrate accountability within the ever changing healthcare environment.
This information is validated by the health plan at the time of the credentialing/re-credentialing process at least every three years, and through monthly reviews to update current changes. The hospital is responsible for notifying PacificSource Health Plans of any change in their accreditation status.
These are practitioner groups of physicians who have working relationships or associations. These groups are generally of the same or similar practice specialties.
This information is updated by PacificSource Health Plans at the time of the credentialing/re-credentialing process at least every three years, and when the physician notifies PacificSource Health Plans of any changes.
These are hospitals where this physician has privileges (where he/she has the hospital's permission to utilize the facility to care for his/her patients). This information is updated by the health plan at the time of the credentialing/re-credentialing process at least every three years, and when the physician notifies the health plan of any changes.
A physician’s affiliation with a hospital does not guarantee the hospital is participating provider in your plan’s provider network. Please confirm your desired hospital is in-network.
This refers to the languages other than English this physician or his/her clinical staff can speak and communicate to those needing medical care.
This information is voluntarily provided to PacificSource Health Plans by the physician at the time of the credentialing/re-credentialing process at least every three years, and at any time the physician notifies PacificSource Health Plans of any changes.
PacificSource utilizes Medicare.gov/Hospital Compare as our Quality Data source reference. Within this link you will be able to view and compare hospitals and various quality data elements, such as: patient experience, timely and effective care, complications, re-admissions, mortality measures, use of medical imaging, and payment and value of care.
This data is collected and maintained by CMS, and may not include all commercial and marketplace hospitals within our participating network. The links to this information will be validated on a monthly basis to ensure accuracy and availability of the data.
Some plans or networks have more than one level of participating providers. You’ll receive the most value by seeing a Tier 1 provider in your plan’s network.
ADA Compliant is when a provider’s office/facility has accommodations for people with physical disabilities, including offices, exam room(s) and equipment.
Cultural Competency Training
Cultural Competency Training is instruction to achieve cultural competence and the ability to appreciate and interpret accurately other cultures. Cultural competence refers to an ability to interact effectively with people of different cultures (required bi-annually per ORS 413.450 for licensed health professionals).