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- Preface, Disclaimers
- Medical Staff Services
- Introduction to Peer Review
- Mental Illness
- Key requirements of the HCQIA of 1986
- Immunity from damages
- National Practitioner Data Bank
- Reportable NPD actions – table
- The Healthcare Integrity and Protection Data Bank (HIPDB)
- Peer support
- Web resources related to data banks
- State statutes protecting peer review
- New case law
- Fair Hearing and Appeal Rights for all staff
- Criminal Background Checks
- ‘High risk’ providers – the impaired physician
- Burnout:
- Female physicians’ workload – relation to burnout
- Psychiatrists – high incidence of burnout/substance abuse
- Strategies to avoid burnout
- Resident/medical student burnout
- Nurse’s burnout too
- Physician well-being
- Early detection
- Confronting aberrant or disruptive physician behaviors
- Detection of impairment related to the staff application process
- Focused reviews
- Rehabilitation Programs for Impaired Physicians
- Legal notes
- Provider sanctions
- Sanction levels
- Peer Review Plan
- Routine biennial performance evaluation
- Non-routine practitioner peer review – corrective action
- Fair Hearing Plan and Appellate Review Procedures
- Dispute Resolution
- Confidentiality, Indemnification and Immunity
- Confidentiality Statement Examples
- Scoring System for Peer Review
- Peer Review Committee minutes – example format
- Peer review confidentiality safeguards
- Corrective Action Plan – specific to an individual practitioner
- Cautions regarding the peer review process
- Proctoring – types of proctoring, issues, resource links
- Physician/physician or other professional colleague peer evaluation form
- Physician performance evaluation process; Santa Barbara Medical Foundation
- Resident Staff Evaluations
- Quality Assessment Review Form
- Physician Profiling to Measure Clinical Performance
- Medical Records; Physician Chart Review Profile Form
- ‘Boot Camps/Traffic Schools’ for “dyscompetent” physician
- References and Resources
- Joint Commission Standards
- Selected ‘benchmark’ case law citations
- Web Site Resources – Medical staff bylaws, rules and regulations; Peer review
- Legal Briefs
- Legal fee issues
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