We will begin by tracing the peer review process from its early development to the present time, reviewing the legal process of change and the acceptance by hospitals and physicians of their responsibility for assuring the quality of care. We will then build on this history by reviewing the legal status of peer review today. Case law as well as both federal and state peer review law will be examined. This lays the foundation of the remainder of the program. From this foundation, the remainder of the program and the development of the peer review process are built.
We will review the Health Care Quality Improvement Act in some depth and discuss what is required to meet the immunity standards under the Act. We will also address the antitrust law and how they do or do not apply to peer review activities.
We will discuss setting up a peer review process and how to make it effective, not just from a corrective action process, but as a methodology to improve the quality of patient care. We will also discuss negligent credentialing, medical necessity, economic credentialing and corrective action procedures.
In addition, we will deal with disruptive physicians and briefly review physician contracting procedures.
Why should you attend?
The purpose of this seminar is to provide the attendee with an understanding of the relationship between the hospital, its medical staff and the individual physicians on that staff. If you are involved as an executive, medical staff officer, peer review committee official, or staff to any of the above, you should attend this program to gain a better understanding of how and why the process works and how the law has developed the modern peer review process.
You will gain an understanding of what you can and cannot do, and how to protect yourself and the organization from potentially devastating legal challenges. You will learn how to meet the requirements of the Health Care Quality Improvement Act to gain immunity from damages resulting from peer review activities.
Further you will learn how to deal with the disruptive practitioner and how to be sure you do not run afoul of negligent credentialing claims. You will learn how to set up a viable peer review process that includes effective corrective action.
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