HCPro.com: Credentialing and Peer Review Legal Insider

The Credentialing and Peer Review Legal Insider provides the latest 'how-to' techniques, and practical 'working tools' to help you credential and conduct peer review more easily and more effectively - while avoiding legal pitfalls!

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April 2008 (Volume 5, Issue 4)	view entire issue

A graduated discipline policy can boost procedural compliance
Busy physicians often focus on accomplishing particular goals, and, as a result, they may not always follow their organization's specific procedures to reach those goals. Yet, when physicians fail to adhere to established processes, it can create inefficiency, engender interpersonal squabbles, lower employee morale, and, ultimately, adversely affect patient care. For their part, medical staff leaders face a challenging task-to ensure that physicians comply with the hospital and medical staff's rules and regulations. To be successful, leaders must communicate effectively, take a proportional approach to discipline, and promote physician growth and well-being.

Be prepared to scrutinize all privilege requests during reappointment process to comply with regulations
New Joint Commission standards surrounding focused professional practice evaluation (FPPE) that took effect January 1-as well as other physician quality data-related pressures brought to bear by CMS and third-party payers' pay-for-performance systems-force hospitals to collect and evaluate physician performance data to a greater extent than in the past. Although many hospitals are only beginning to come to grips with the fact that their credentialing and reappointment decisions must be based on quantifiable evidence and standards, there are options to consider when the existing data on a physician are insufficient to continue to grant him or her one or more existing privileges.

Other recently-published articles from Credentialing and Peer Review Legal Insider:

Introduce technology with an inclusive evaluation process

Recent court rulings

Manage poor behavior with risk awareness, culture change, and follow-up

Address telemedicine, contracted physicians, and advanced practice professionals in medical staff bylaws

Facilities collaborate to overcome credentialing and peer review hurdles

Improve physician behavior using patient satisfaction data

Effective leadership training prevents lawsuits, ensures regulatory compliance

Ensure physicians know restrictions on standing orders

Sentinel Event Alert: Evaluate disruptive behavior policies

Ensure appropriate competency assessments for AHPs

Overcome barriers to the effective use of physician quality data

Avoid three pitfalls common to the core privileging method

Joint Commission suspends revised standard MS.1.20 implementation

Hospitals’ creative solutions ensure adequate ED coverage

Hospital management benefits from transparent, communicative culture

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