Although the peer review coordinator is involved throughout the case review process, the coordinator has the primary responsibility at the beginning of case review and through the following four steps: case identification, case screening, review preparation, and physician reviewer assignment. It...
Credentialing Resource Center Journal - Volume 28, Issue 10
Sharing peer review information between healthcare organizations is essential to help medical staffs determine practitioners' competence and make informed privilege-granting decisions. However, medical staffs can find themselves facing legal challenges if the disclosure process is done
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Credentialing Resource Center Journal - Volume 28, Issue 9
Accreditation organizations require medical staff services departments to perform ongoing professional practice evaluations to assess the competency of providers granted clinical privileges, including APPs, on a continual basis.The OPPE process relies on MSPs’ ability to collect clean data that...
According to a study of private health insurance claims data, use of telehealth services is increasing rapidly. In 2005, the number of annual telemedicine visits in the data set was 206. In 2017, that number increased to more than 202,000. As telemedicine use continues to surge, it is becoming...
Because all data are biased to a certain extent, it is important to include an explanation in physician performance reports about how the data are derived. When explaining data to physicians, or any group, keep in mind that the audience will be less familiar with the data than you.
It is wise to have potential external peer reviewers in mind because the need for them can arise without warning. A good external peer review organization should provide the following:
