Important Steps for Submitting a Presentation - There are two main areas detailed below.

1. Trio Submission requirements covers the information that must be entered into Trio to have the provider presentation presented to the client.
2. Presentation submission requirements includes the information that must be sent over in the presentation packet to have your provider presentation reviewed and presented to the client.

Strict adherence to these guidelines will allow for the fastest path to getting your providers accepted. To process the best presentations, Account Coordinators and Account Managers will kickback presentations that do not include the information below (if it has not been discussed already). If you are unable to include something in the presentation, detail why and the plan to get it sent over. Account Managers and Account Coordinators will take this into account as they review the presentation, though they still reserve the right to redirect it back to the vendor if they deem it necessary.

Trio Submission requirements- the following must be updated in Trio

• Full legal name (first, middle, last)
• Suffix for provider (MD, DO, PA, NP, CRNA)
• NPI number must be entered in Trio
• Provider email and best phone number (this pulls to the cover page for Client)
• Best time to contact (this pulls to the cover page for the Client)
• Years of experience must be updated in Trio
• Years of locums experience is optional
• License State where job is located... Copy of state license and the status. If provider s license in any other status besides active speak to Account Manager before presenting.
• Other Active State License(s)- only list if not in good standing and provide explanation.
• Certification (select multiple that apply; this pulls to the cover page for the Client)
• Availability Section what is the providers ongoing availability (this pulls to the cover page for Client)
• Answer the pertinent questions:
• Has the provider s professional license or certification been investigated or suspended? (pulls to the cover page for the Client)
• Has the provider been convicted of, or charged with, a crime other than a minor traffic violation?
• Malpractice History- add details- payouts, pending cases, settled cases and dismissals or list no malpractice
• In Additional Details section- (Client can view these details)
• Please state if provider is IMLC
• Please state if DEA will be obtained or transferred
• Highlights about the provider
• List if provider has worked at any other CommonSpirit (CHI or Dignity facilities)

• Bill Rates section
• Make sure all rates match the Master Services Agreement
• Does the provider require - Airfare, Lodging and Rental (must be withing CommonSpirit Travel Guidelines)

Presentation submission requirements

• Include an up-to-date CV, which shall include:
• Scope of practice in CV job history section for each job.
• Explain gaps on CV (30-day or larger gaps)
• Copy of Board Certification(s)- If board eligible (List if Candidate is within 5-years of residency?)
• Submit a copy of clean Sex Offender search- include screen shot - https://www.nsopw.gov/?AspxAutoDetectCookieSupport=1
• Supporting certifications such as DEA, BLS, ACLS, ATLS, NRP, PALS
• Procedures provider is comfortable performing: (For Inpatient Services)
• Copy of state license active status. If provider s license is in any other state besides Active, speak to Account Manager before presenting
• If obtaining a new state license for provider- detail where in the process the provider is currently
• Other Active State License(s)- list the state, license number and status
• Disciplinary Actions: (Must provide detailed explanation with presentation)
• Malpractice History- supporting documentation
• Two current Vendor references forms filled out (within two years) supervisor and peer or two peer references (requirements could vary by Facility). Please speak to the RM if Candidate is new to Vendor and references have not been obtained