Platinum Plus members: We have added three new eBooks to your library. Look for the "Resources" tab at the top of the CRC website, and then select "eBooks." The...
The Health Care Quality Improvement Act of 1986 (HCQIA) has no provision or requirement for an appellate review mechanism. However, if your hospital is accredited by The Joint Commission (TJC), standard MS.10.01.01, EP 5 states, “With the governing body, provides a mechanism to appeal adverse...
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...