.
A facility could lose its accreditation if it does not do so.
It is required by Medicare Conditions of Participation.
The facility won't get paid for treating patients unless service is provided by authorized provider.
It would violate state licensure regulations.
Medical school completion
Post graduate education completed
Closed medical malpractice claims
Licensure
Determine it there is evidence of poor quality that could affect the health and safety of its members.
Immediately take action to remove the provider from its panel
Initiate Ongoing Professional Practice Evaluation.
Notify the practitioner that he/she is under investigation and initiate the hearing process.
Emergency Medical Treatment and Active Labor Act
The National Practitioner Data Bank
The Patient Safety and Quality Improvement Act
Sherman Anti-trust Act
How many providers are in the specialty.
Established standards of practice such as, specialty board recommendations.
Whether or not the quality department can support the FPPE process.
The average cost to the patient.
It's required by accreditation standards.
It is required by the Medicare Conditions of Participation
To protect patient safety by ensuring current competency, relevance to the facility, and accepted standards of care.
It's required by bylaws.
General Surgeon
OB/GYN
Urologist
Interventional Cardiologist
Based on the individual's demonstrated current competence and the procedures the hospital can support.
Based on board certification
Based on the privileges the individual is currently approved to perform at other hospitals
Posted in a place that is accessible to all hospital employees
Hysterectomy
Transesophageal Echocardiography
Urethral Dilation
Renal dialysis
Medical Executive Committee
Quality Care Committee
Credentialing Committee
Patient Care Committee
Credentials Committee
Investigational Review Board
Utilization Review Committee
Medical Records Committee
Healthcare Quality Improvement Act
Patient Safety and Quality Improvement Act
Medicare Conditions of Participation
Sherman Anti-trust Act
Practitioners who have referred patients to the provider
Family, friends and neighbors
Former hospital administrators
Practitioners in the same professional discipline as the applicant
Showed that a hospital can assert that peer review is performed at the state's request
Illustrates that the governing body is the ultimate authority
Set aside the charitable immunity doctrine and held that the hospital was liable for negligent treatment of the patient
Illustrates the potential for antitrust liability arising out of the peer review activities
Granted temporary privileges
Provided due process
Reported immediately to the national practitioner data bank
Offered a leave of absence from the medical staff
Available to all members of the organization's staff
Described fully in an access policy
Available to the organization's patients and potential patients
Available to any physician on the staff
Credentials Committee
Peer Review Committee
Medical Executive Committee
Governing Body or Board
Current competence
Licensure and 5 year malpractice history of NPDB
Education and Training
Ability to perform privileges requested
One year
Two years
Three years
Not to exceed two years
The department chair
The CEO
The CEO on the recommendation of the medical staff president or authorized designee
The department chair and the president of the medical staff
Medicare/Medicaid Sanctions
Proof of professional liability insurance
Licensure, training, experience, and competence
Date of the last hepatitis test
DEA certificate
Licensure
Board certification
Medical school diploma
Federation of State Medical Boards
American Board of Medical Specialties
Education Commission on Foreign Medical Graduates Profile
Letter from the State licensing agency
The American Board of Medical Specialties
Education Commission on Foreign Medical Graduates Profile
Federation of State Medical Boards
Viewing of the original certificate issued by the certifying board
American Medical Association Masterfile
National Practitioner Data Bank
Federation of State Medical Boards
Education Commission on Foreign Medical Graduates Profile
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