Across settings, organizations are granting official practice authorization using delineation of privilege (DOP) forms that are incomplete, or that seem to be so, according to the AAAHC Quality Roadmap 2016...
A “no-retaliation” policy makes it clear that reporting improper conduct is a duty of all staff members. It articulates the disciplinary consequences of any effort to punish an employee for carrying out this duty. Hospital leadership must enforce the policy vigorously; otherwise, their...
The verification process for advanced practice professionals (APP) mimics the process for members of the medical staff in principle and within the designated time frames. Upon receipt of an application from an APP, there are several steps the medical staff office must take. Download these sample...
The process of a hearing following the MEC’s recommendation for corrective action is an important right that must be spelled out in the bylaws. It is essential that this section of the bylaws is carefully thought out, drafted with precision, and kept in strict compliance with the minimum...
Despite moves for transparency around healthcare quality and finances, there remain areas where strict confidentiality is not optional. It is required, period. For this reason, many medical staffs have adopted an overarching and general “Practitioner Attestation Confidentiality Statement,” such...
Some medical staffs still struggle with if and how to credential visiting physicians. Today’s resource is a medical staff application for visiting physicians to complete, which covers the basics of verification.
This application was developed by Arkansas Children’s Hospital, a teaching...
Abstracting meaningful professional practice evaluation data for advanced practice professionals (APP) is often a challenge given the dearth of available clinical activity information. This tool from HighPoint Health System in Gallatin, Tennessee, is a peer review rating form allowing reviewers...
There are a variety of viable ways to approach the delineation of medical history and physical exam (H&P) privileges. The following is a sampling of core privilege statements for various disciplines. Some address H&Ps in explicit terms, and others use alternative language.
Download this sample form that reviewers can use to document their practice recommendations based on OPPE outcomes originally featured in our book, The Complete Guide to OPPE and FPPE.
There is good protection for individuals who engage in peer review activities, including proctors, and one type of protection comes in the form of legal immunity from damages. This immunity is provided under federal law—the Health Care Quality Improvement Act of 1986 (HCQIA)—and it is often...
