Deciding whether to have non-physicians, such as nurses, participate in peer review is a culture issue-although it is wise to consult with your legal counsel to make sure that having non-physicians participate in peer review does not jeopardize any peer review legal protection.
The main...
Credentialing Resource Center Digest - Volume 7, Issue 17
The importance of creating a reporting system that respects and protects staff members who disclose improper conduct can not be overstated. Hospital staff may be reluctant to report physician misconduct out of fear of retaliation by powerful physicians, and a physician's colleagues may be...
Credentialing Resource Center Digest - Volume 7, Issue 15
The medical executive committee (MEC) is a democratically elected organization appointed to conduct quality monitoring. However, individual physicians must also be held accountable for the quality of care they deliver. To encourage physicians to take this...
Credentialing Resource Center Digest - Volume 7, Issue 14
In the traditional approach to medical staff bylaws construction, the table of contents is placed at the beginning of the document and enables all parties to quickly locate the pages on which to find relevant articles, sections, and provisions. Some medical staff bylaws include a table of...
Credentialing Resource Center Digest - Volume 7, Issue 9
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) made available for field review revised medical staff standards addressing what information must be included in hospital bylaws versus that which may be included in supplemental documents, such as manuals and policies.
Credentialing Resource Center Digest - Volume 7, Issue 8
Members of an organization are typically granted rights as a benefit of that membership. When a physician joins the medical staff, he or she is typically granted privileges to perform clinical tasks based on education, training, and current clinical competency...
Credentialing Resource Center Digest - Volume 7, Issue 7
The American Board of Medical Specialties (ABMS) recently signed a licensing agreement with the American Osteopathic Association to designate the American Osteopathic Information Organization's (AOIA) Physician Profile Service as an official ABMS display agent, according to an ABMS press release...
Credentialing Resource Center Digest - Volume 7, Issue 4
Sometimes raising communication levels between the medical staff office and the medical staff needs a little push. Today, many physicians do not come to the hospital on a regular basis and are unfamiliar with the MSO staff members. Consider sponsoring social events and creating a medical staff...
Credentialing Resource Center Digest - Volume 7, Issue 2
If we expect physician leaders to lead, we must make sure the medical staff is "leadable." A leadable medical staff begins with simple, efficient structures that follow clear, reliable processes. These structures and processes involve the following areas: