Do you need a medical staff lawyer, or will a call to the hospital lawyer...
When medical staffs face a legal problem, they have a choice as to whether they use the hospital’s legal counsel or secure their own counsel. The fact that there is a choice may seem obvious, however,...
View Article$163 million squeezed from Medicare by organized crime, largest case of its kind
The largest Medicare fraud operation conducted by a single group was recently taken down, the Department of Justice announced earlier this week. The accused individuals allegedly stole the identities...
View ArticleDo patients need to prove malpractice before proving negligent credentialing?
Negligent credentialing claims usually overlap malpractice claims. But do patients need to prove one before the other? Courts have interpreted this differently. In Schelling v. Humphrey (2009), the...
View ArticleWas care spread too thin with multi-hospital privileges?
It’s not uncommon for practitioners to hold privileges at more than one facility. But can a practitioner’s ambitions put patient care in jeopardy? Should medical staffs set a limit on how many...
View ArticleCognitive decline associated with aging: What medical staffs need to know
Most of us may not consider aging to be an impairment, but it can greatly affect a physician’s ability to practice safely. Currently, the aging baby boomer generation of physicians is treating other...
View ArticleFeatured webcast: Managing adverse actions
Adverse actions are a serious matter that requires serious attention. From prevention to investigation to reporting, how can you ensure your organization has the best processes in place? In the...
View ArticleCentralization of physician performance data
The structure for collecting and trending practitioner data varies from organization to organization. In many, all FPPE and OPPE data is collected, tracked, and trended by medical staff services...
View ArticleHoly Moly, He Wants to Come Back!
Okay, here are the questions: What do you do when the physician requests his privileges be restored after he returns from rehab for his cocaine and sexual addictions? What do you do when the...
View ArticleDifference of opinion in Texas
Public Citizen, a nonprofit organization that advocates for individual rights, says the Texas Medical Board needs to step up its game. The organization asserts that the state medical board has failed...
View ArticleNurse to patient ratios: The key to Quality! Really?
A recent article in the Washington Post titled “D.C. Council chairman to propose bill boosting nursing staffs at hospitals” brings up again the issue of nurse-to-patient ratios. D.C. Council Chairman...
View ArticleMonday memo
I will be the first to admit that a) I am not a morning person; and b) I am definitely not a Monday-morning person. If you can relate, I hope this new blog installment will help. Every Monday,...
View ArticleFlu Shots, Masks, and the Orange Jumpsuit
A recent Wall Street Journal article (November 1, 2013) reports that hospitals must now report influenza vaccination rates to the CDC and enforce the wearing of masks by healthcare workers who are not...
View ArticleMonday memo
We talk a lot about medical staff bylaws, rules and regulations, and policies and procedures because these are considered the documents that lead to a smooth-running medical staff. However, it is...
View ArticlePreparing for an aging physician work force
More physicians are delaying retirement and practicing longer, and medical staffs across the country are wondering how to help physicians stay in practice longer while promoting quality care. The fact...
View ArticleMonday memo: Making the tough call
It’s possible to navigate the call to the physician about undisclosed issues without casualties. Rosemary Dragon, CPMSM, CPCS, a regular columnist for Credentialing Resource Center Journal, offers some...
View ArticleDisclosure requirements—sharing of information
When it comes to disclosing disciplinary actions taken against a physician or other practitioner granted clinical privileges, no news can be bad news—meaning, if an entity does not respond to requests...
View ArticleDisclosure requirements—sharing of information, Part 2
Appropriate disclosure is essential to ensure that medical staffs have sufficient information to make informed decisions when granting clinical privileges to practitioners. Following is the second of...
View ArticleDisclosure requirements—Sharing of information, Part 3
Appropriate disclosure is essential to ensure that medical staffs that are granting clinical privileges to practitioners have sufficient information to make informed decisions. Following is the third...
View ArticleMonday memo: Prepare now for an aging physician population
If you missed our popular webcast, Practicing Medicine Longer: Legal and Clinical Considerations for an Aging Physician Population, plan to tune in and hear the presentation by Elizabeth “Libby”...
View ArticleCPRLI readers, we want to hear from you
What would you change in Credentialing and Peer Review Legal Insider? What should we keep on doing? We’re asking CPRLI readers to take a short survey to help make this publication an even more valuable...
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