The United States District Court for the Northern District of Illinois Eastern Division (the “Court”) granted in part and denied in part defendants’ motion to dismiss, finding that allegations of individual misconduct may not be sufficient in a pleading of racial discrimination...
The Health Care Quality Improvement Act of 1986 (HCQIA) enumerates components to ensure procedural fairness. The first principle of fairness concerns adequate notice of a hearing, which was explored in last month’s article; such a notice must conform to time frames laid out in the HCQIA.
Credentialing Resource Center Journal - Volume 29, Issue 10
According to CMS, a hospital, “must have an effective governing body legally responsible for the conduct of the hospital as an institution. If a hospital does not have an organized governing body, the persons legally responsible for the conduct of the hospital must carry out the functions...
Credentialing Resource Center Journal - Volume 29, Issue 9
As 2020 launched, healthcare executives had no way of knowing the havoc a novel virus that had emerged in Wuhan, China, would wreak on the healthcare industry. By March 11, 2020, the World Health Organization acknowledged a pandemic was in progress, and COVID-19 began impacting the U.S....
It is important to have a crystal-clear definition of investigation in your bylaws. A failure to do so could have serious implications for your organization in reporting to the National Practitioner Data Bank (NPDB). You may hear the term bright line applied to the definition of investigation....
Credentialing Resource Center Journal - Volume 29, Issue 5
One of the most challenging problems faced by physician leaders is addressing the unprofessional behavior of a colleague. Why is it that the most skilled, the highest producer, the best and brightest, the only physician in that specialty, has behavioral issues? The answer is simple—because it is...
Credentialing Resource Center Journal - Volume 29, Issue 3
If you’ve worked in medical staff services for a long time, you probably have a solid process in place for managing and processing physician applications for appointment/reappointment. Can you say the same for your advanced practice professional applicants (APP)?
Many medical staff bylaws were written in the distant past. Over time, some have come to resemble archaeological documents. Occasionally they might be dusted off and modified, whether to accommodate a new accreditation standard or to address a controversy du jour affecting the medical...
Credentialing Resource Center Journal - Volume 29, Issue 2
Mentoring is a relationship between two or more people that provides each party a structured professional connection to share experiences and skills. In addition to sharing experiences, mentoring is used to guide others when needed. It is suggested that all professionals find a mentor,...
Exponential change in healthcare is a given. Because of the swiftness of change, there are multiple opportunities for misunderstandings or breakdowns in communication. Congratulations if you currently enjoy a cooperative and collaborative working relationship between medical staff, hospital...