The United States District Court of Maine (the “Court”) ruled in favor of a plaintiff seeking to compel a juvenile reformatory and the Maine Department of Corrections to produce certain documents, finding that self-critical analysis and peer review privileges were not applicable to the case....
Many medical staffs undergo significant redesign of their peer review programs to decrease bias and improve efficiency. While staffs typically adopt well-written policies that reflect those changes, unfortunately these programs commonly drift back to their old ways. This is often because initial...
It has been two years since Christopher Duntsch, MD, was convicted of a felony count of injury to an elderly person and sentenced to life in prison. Duntsch, a former neurosurgeon practicing in the Dallas area between 2012 and 2013, allegedly killed or maimed as many as 35 patients in botched...
Credentialing Resource Center Journal - Volume 28, Issue 3
Following the bylaws is critical because they reflect state and federal laws and regulations, such as the Health Care Quality Improvement Act (HCQIA). These laws and regulations include specific parameters for conducting the corrective action and the fair hearing, says Jon Kammerzelt, partner...
Credentialing Resource Center Journal - Volume 28, Issue 3
The fair hearing is a culmination of several detailed processes that medical staff service departments must follow when addressing concerns about a physician’s competency or behavior.
The following example broadly outlines the steps that result in a fair hearing, but keep in mind:...
Although OPPE indicators vary widely depending on a hospital’s operational and care circumstances, clinical varieties are generally founded on the Accreditation Council for Graduate Medical Education’s six core competencies.
Credentialing Resource Center Journal - Volume 28, Issue 2
The Fifth District Texas Court of Appeals at Dallas (the “Court”) affirmed a trial court decision ruling that a surgery center did not breach a contract when it terminated a partnership with a physician who refused to perform an illegal act because the contract specifically stated that said...
Credentialing Resource Center Journal - Volume 28, Issue 2
The 2019 CRC Symposium, being held in Las Vegas February 26–28, features a combination of new and returning speakers, physicians, and medical staff professionals. These speakers are experts in credentialing, privileging, provider enrollment, quality, physician leadership, and medical staff...
When medical staff services and provider enrollment processes are integrated into the same office, MSPs may have to work with enrollment specialists to report to stakeholders how providers are tracking through the credentialing and enrollment processes.
