MSA Scope of Services

The UNMH Medical Staff Office is responsible for the following:

  • Receive, analyze, identify and investigate issues requiring follow up, prepare initial and reappointment files, expansion of privilege requests, for review by medical staff leadership and committee process.
  • Perform committee follow up and notification of providers upon approval by UNMH Governing Body.
  • Collaborate with CVO to ensure update of all UNM Health System data and notification of downstream systems.
  • Manage day-to-day operations and workflow of UNMH MSO which includes oversight of the credentialing, recredentialing, privileging and appeal process.
  • Assists in clinical privilege development, maintenance and regular review of specialty-specific clinical privilege criteria.
  • Maintain accreditation knowledge and ongoing compliance with state statutes; prepare and participate in accreditation surveys, develop action plans as appropriate.
  • Facilitate medical staff in peer review process, ensuring all aspects of medico-legal process are maintained.
  • Monitor, track and ensure clinical department compliance with Ongoing Professional Practice Evaluation.
  • Coordinate and maintain the UNMH MSO governance documents: Medical Staff Bylaws, Rules and Regulations, policies and procedures, and related documents; ensure continuing compliance.
  • Assures review of existing policies and governance documents on a regular basis and recommends changes to Medical Executive Committee (MEC) as appropriate.
  • Provides resources to the MSO leaders to assist them in carrying out their responsibilities.
  • Carries out specific tasks assigned by the MEC and/or the Chief of Staff.
  • Oversees the planning, implementation, execution, and evaluation of special projects.

Contact Us

UNMH Medical Staff Affairs (MSA)
1 University of New Mexico
MSC 08 4620
Albuquerque, NM 87131
Fax (505) 272-6055