ONBOARDING CHECKLIST
EVANGELICAL EMPLOYED PHYSICIANS/PROVIDERS
PHYSICIAN: _______________________________________________
SPECIALTY: _______________________________________________
o Contract Signed (date) ___________________________
o Expected Start Date _________________________
o Pre-Application approved by VPMA and sent to CSHP for app (date) __________
o Medical Affairs Office: Privilege Application Sent (date) _____________
o Medical Liability Completed (MHA Application)
o CAQH Application Completed
o Health Insurances/Plans In Process (PPR Billing Services)
o MSO: Privilege Application Received (date) _____________
o HR Informed: Pre-Employment Physical Scheduled (date) ____________
o HR: Benefits/Other Explained (date) _____________
o HR: State Police Criminal Record , Child Abuse and FBI (dates) ____________
o Employee Health (Kate S.- TB / Hep. B shots (dates) ______________
o Marketing informed/photo shoot/marketing plan/ etc
o New Employee Orientation Scheduled (date) ______________
o Special Practice Equipment Needs:
____________________________________________________________________
o Special Staffing Needs:
____________________________________________________________________
o I.D. Badge and Parking Completed
o IT Informed / Computer Access (Lee Shreck, Systems Analyst)
o HPF, Dictation and Medical Records informed
o Lab Coat Ordered
o Practice Start-Up Plan (location, dba, phone/fax/pager, forms, charts, etc.)
o To Credentialing Committee (date) _______________________
o To Board for Final Approval (date) _______________________
o Physician Liaison Orientation/Training and Tours (date) __________________
o Orientation/ Lunch with Key Departments and Leaders (Introductions) - Specific
Departments (dates) __________________
Lab; Imaging; ICU/Pulm/CC; ER; Pharmacy; Nursing Admin; Rehab;
OR;/Home/Hospice; Hospitalist; Marketing; EMSO, CMO
o Introduction to Medical Staff at Monthly Meeting (date) _____________________
o Marketing Plan Developed – Separate Document
o Other: ______________________________________________________________
____________________________________________________________________
Dennis Burns, Physician Recruitment and Retention (4-2014)