List of Contents
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
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
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