When faced with a negligent credentialing claim, two priorities are paramount regarding documents in the hospital’s or healthcare entity’s possession. Take steps to ensure that information does not go missing. In most organizations, a risk manager will place the relevant credentials file in a...
One of the most important roles of a hospital’s organized medical staff is to evaluate practitioners’ credentials and make recommendations to the board regarding membership on the medical staff and/or the assignment of clinical privileges. Historically, many medical staff bylaws included...
This series has emphasized time and again the need to be as clear as possible within each part of the fair hearing and due process section of your bylaws. Accordingly, the medical staff bylaws should plainly articulate a member’s right to a hearing, as well as how that hearing will be conducted...
Credentialing Resource Center Journal - Volume 29, Issue 11
One of the first steps in keeping disruptive behavior out of your organization is to only appoint excellent physicians. The best predictor of future behavior is past behavior. Therefore, if you appoint to the medical staff a physician who has a history of disruptive behavior in previous clinical...
The Health Care Quality Improvement Act of 1986 (HCQIA) enumerates components to ensure procedural fairness. The first principle of fairness concerns adequate notice of a hearing, which was explored in last month’s article; such a notice must conform to time frames laid out in the HCQIA.
In order to consider a change to core privileges, you should first examine the privilege delineation system currently in place at your organization. Most likely you will find many examples to bolster your case for a conversion to a criteria-based core privileging system. Areas that you want to...
