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.
Physicians may claim that the data used to carry out peer review is invalid. This is a claim that many medical staff leaders have heard. It is true that the discovery of even the slightest inaccuracy will invalidate the entire performance report in the minds of some physicians. They will assume...
Credentialing Resource Center Journal - Volume 29, Issue 10
According to CMS, a hospital, “must have an effective governing body legally responsible for the conduct of the hospital as an institution. If a hospital does not have an organized governing body, the persons legally responsible for the conduct of the hospital must carry out the functions...
When addressing disruptive physician behavior, organizations must understand an often confusing phrase: zero tolerance. Many medical staffs are adopting a zero-tolerance policy with regard to disruptive behavior, but some hospitals are confused about what exactly zero tolerance entails. This...
The process of a hearing following the medical executive committee’s (MEC) recommendation is an important right that must be spelled out in the bylaws. The hearing process will be explored in depth in four separate installments. This month, we will examine the initiation and notice of a fair...
