Flagging individual charts for physician review is just the beginning of the interpretation process; the real interpretation occurs when the physician reviewer looks at the chart. Common concerns are that chart review is subjective and that there is little consistency or inter-rater reliability...
Credentialing Resource Center Digest - Volume 7, Issue 25
Since there is currently no standard performance feedback report from which to work, many healthcare organizations find themselves wondering exactly what types of information to include. Although each organization must decide for itself what physician data it will continually monitor, all...
Credentialing Resource Center Digest - Volume 7, Issue 24
A person who believes it is important to consider the interests and concerns of other stakeholders in a situation is said to act ethically. A person who acts only in his or her own interest, even when others are harmed, is said to act unethically. In what they say and do, all leaders consciously...
Credentialing Resource Center Digest - Volume 7, Issue 21
In your bylaws you should have a section that describes "automatic suspensions." An automatic suspension is an administrative action (time out) that is triggered by a member's failure to abide by previously stated requirements or rules. They require no thought or work by the medical executive...
Credentialing Resource Center Digest - Volume 7, Issue 18
Deciding whether to have non-physicians, such as nurses, participate in peer review is a culture issue-although it is wise to consult with your legal counsel to make sure that having non-physicians participate in peer review does not jeopardize any peer review legal protection.
The main...
Credentialing Resource Center Digest - Volume 7, Issue 17
The importance of creating a reporting system that respects and protects staff members who disclose improper conduct can not be overstated. Hospital staff may be reluctant to report physician misconduct out of fear of retaliation by powerful physicians, and a physician's colleagues may be...
Credentialing Resource Center Digest - Volume 7, Issue 15
The medical executive committee (MEC) is a democratically elected organization appointed to conduct quality monitoring. However, individual physicians must also be held accountable for the quality of care they deliver. To encourage physicians to take this...
Credentialing Resource Center Digest - Volume 7, Issue 14
In the traditional approach to medical staff bylaws construction, the table of contents is placed at the beginning of the document and enables all parties to quickly locate the pages on which to find relevant articles, sections, and provisions. Some medical staff bylaws include a table of...
Credentialing Resource Center Digest - Volume 7, Issue 9
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) made available for field review revised medical staff standards addressing what information must be included in hospital bylaws versus that which may be included in supplemental documents, such as manuals and policies.
Credentialing Resource Center Digest - Volume 7, Issue 8
Members of an organization are typically granted rights as a benefit of that membership. When a physician joins the medical staff, he or she is typically granted privileges to perform clinical tasks based on education, training, and current clinical competency...
