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The due process manual, Part 2: The Health Care Quality Improvement Act

The bedrock of the medical staff due process manual is a federal statute named the Health Care Quality Improvement Act of 1986 (HCQIA). As with many laws and statutes, a specific case triggered HCQIA. The story is worth repeating as it highlights what constitutes good-faith and bad-faith peer review. The case is also important because HCQIA gave rise to the National Practitioner Data Bank (NPDB), a continuing source of confusion and vexation for medical staffs that are considering taking corrective actions against a colleague.

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