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...
Some innovative health systems have established a physician navigator position to help a physician who is to be employed by the health system navigate the myriad complexities of human resources, physician recruiting, medical staff services, payer credentialing, and physician practice management...
In the past, institutions often relied on references supplied solely by the applicant for clinical privileges. Today, it is generally recommended (and, in some instances, required) that the institution identify the specific individuals from whom it wishes to receive a reference. References are...
Each individual practitioner who either applies for or maintains medical staff membership and/ or privileges has the burden of providing evidence that demonstrates that he or she meets the hospital’s established criteria for membership and/or privileges. This policy applies at the time of...
Through University Hospital's medical staff services and credentialing career ladder, an entry-level hire begins as either a credentialing assistant or credentialing quality control specialist and can work his or her way up the departmental rungs as a medical staff services and credentialing...
An approach hospital may use to bring disruptive behavior policies to life is providing every new physician with the same messages from the chief of staff during orientation and the credentials interview. Download this excerpt from a disruptive behavior poilcy from Glendale Adventist Medical...
Medical staff credentialing and peer review requires a hospital to collect data on practitioners that is significant and sensitive. It is important that the hospital use such information only for the purposes for which it was collected. A hospital should take all reasonable measures to protect...
This form is easy to follow and has the required questions. Consider pairing it with a policy and procedure to guide its use and including a section to denote confirmation of the hospital’s assessment/ability to perform a new procedure or treatment, the need for new equipment, etc.
When an outside third party is used to proctor, it is always important to describe the parameters of the working relationship in a formal agreement or contract. This agreement must address the expectation that the proctor’s observations and findings will be kept confidential and patient...
