HCPro.com: Medical Staff Briefing

September 2008 (Volume 18, Issue 9)	view entire issue

Post-Kadlec best practices
The recent Kadlec decision has medical staff offices (MSO) nationwide wondering how to prevent a disruptive or impaired physician from getting onto their medical staffs or passing one on to another facility. (See "Kadlec verdict reversed: The effect on exclusive contracts" in the July MSB for an overview of the Kadlec case.) Because hospitals are not required to divulge anything more than a physician's dates of affiliation, MSPs are developing techniques to ensure the quality of their medical staffs. The following tips can help you do the same.

Practice makes perfect: Physician refresher/re-entry courses
A long-standing cardiologist on the medical staff hasn't been performing up to par. The chair of the cardiology department meets with the physician and explains which areas the medical staff's peer review committee has determined the physician needs to improve. What's next? "It is different everywhere you go," says Kathy Matzka, CPMSM, CPCS, a medical staff consultant in Lebanon, IL. Many times, Matzka explains, the responsibility of finding appropriate resources for physicians who have been deemed deficient in certain areas falls to the medical staff office or to the physicians.

Competency of the month: Measuring systems-based practice
Editor's note: In the August MSB, we saw how the University of Pennsylvania Health System assesses professionalism. This month, we explore the systems-based practice competency. The Accreditation Council for Graduate Medical Education (ACGME)/Joint Commission's (formerly JCAHO) six core competencies are: 1. Patient care 2. Medical knowledge 3. Practice-based learning and improvement 4. Interpersonal and communication skills 5. Professionalism 6. Systems-based practice According to the ACGME, the systems-based practice competency requires physicians to "demonstrate an awareness of and responsiveness to the larger context and system of healthcare, as well as the ability to call on the effectiveness of other resources in the system to provide optimal healthcare."

Other recently-published articles from Medical Staff Briefing:

Train an interdisciplinary team for communication

Six evergreen tips for holiday scheduling

Thirteen tips for protecting peer review data and streamlining your processes

Understanding the nuances of legal terms

Understand 2009 Joint Commission changes

Consolidate medical staff categories to take pressure off the MSO and streamline reappointmen

Opening doors for physicians with mental health concerns

13 tips to protect your peer review data and streamline your processes

Sounding the alarm on disruptive behavior to meet Joint Commission standards

Creating win-win physician-hospital arrangements

Measuring the six core competencies to comply with FPPE and OPPE requirements

Competency of the month: Measuring systems-based practice

Practice makes perfect: Physician refresher/re-entry courses

Post-Kadlec best practices

Simplifying the medical staff structure

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