Tip of the week: Provide physician reviewers with guidance
Medical Staff Leader Connection, January 21, 2009
Want to receive articles like this one in your inbox? Subscribe to Medical Staff Leader Connection!
The primary question a physician reviewer is trying to answer is whether a physician’s actions and decisions were appropriate independent of the care outcome. One of the main components of reviewing performance is identifying the key issues of the case. Described below are some questions for the reviewer to consider that will help with this task.
- Was an important diagnosis not considered?
- Was an important procedure, medical treatment, or test not indicated or appropriate at the time it was performed?
- Was an important procedure, medical treatment, consultation, or diagnostic test not performed that should have been?
- Was there a problem with procedural technique?
- Was there a delay in diagnosis, evaluation, consultation, intervention, or decision making that affected the patient’s clinical condition?
- Was there a problem with communication, coordination of care, or supervision that affected the patient’s clinical condition?
This week’s tip is from Peer Review Best Practices: Case Studies and Lessons Learned, by Robert J. Marder, MD, CMSL, and Jonathan H. Burroughs, MD, FACPE, CPE, FACEP, CMSL.
Want to receive articles like this one in your inbox? Subscribe to Medical Staff Leader Connection!
Comments
0 comments on “Tip of the week: Provide physician reviewers with guidance ”
Related Products
-
The Medical Executive Committee Handbook, Third Edition
Updated to reflect the new 2007 Joint Commission standards, this best-selling resource offers practical tools and strategies...
-
Medical Staff Leaders' Practical Guide, Sixth Edition
Written by experienced medical staff leaders currently working in hospitals, The Medical Staff Leaders' Practical Guide...
-
Measuring Physician Competency:
Written for medical staff leaders, medical services professionals, and quality professionals, Measuring Physician...
-
Effective Peer Review, Second Edition:
Newly updated and in high demand, Effective Peer Review, Second Edition, outlines and provides advice about how to do...
-
Medical Staff Briefing
This monthly resource acts as a support system by providing time-saving tools, expert advice, and analyses to help you...
Most Popular
- Articles
-
- Q/A: Billing telemetry daily monitoring
- Credentialing monthly: What is the role of the credentials committee in addressing unprofessional conduct?
- 2010 ICD-9 code updates now available online
- Master modifiers to ensure accurate reimbursement
- Radiologist indicted for fraudulently signing reports
- National Quality Forum creates standardized set of data for electronic health records
- H1N1 hits Maine facility
- New report reveals $47 billion in Medicare fraud
- Understand the H1N1 Flu and how to code it
- Don’t be scared into silence: Affiliation letter safeguards allow you to disclose more
- E-mailed
-
- Q/A: Billing telemetry daily monitoring
- Credentialing monthly: What is the role of the credentials committee in addressing unprofessional conduct?
- Radiologist indicted for fraudulently signing reports
- Revised MS.1.20 'huge improvement', out for comment again
- Briefings on Outpatient Rehab Reimbursement and Regulations, December 2009
- New report reveals $47 billion in Medicare fraud
- Press Ganey report: Patient satisfaction increasing across the country
- Residency Program Alert, December 2009
- CMW News: Palliative care programs save hospitals money
- Briefings on The Joint Commission, June 2009
- Searched