Adverse Actions: Steps to Prevent, Manage and Report
Product Description:
WEBCAST ON CD OR ON-DEMAND
Sponsored by: The 14th Annual Credentialing Resource Center Symposium
Presented on October 27 , 2011
Adverse actions are a serious matter. During this 90-minute Webcast, our speakers walk you through the steps to handle an adverse action from prevention, investigation, corrective action, due process to reporting.
Learn how to manage quality and/or behavior concerns at the department level and when to take them to peer review or medical executive committee for investigation and corrective action. Know when to report adverse actions and ensure you follow due process procedures at every step. You will also learn strategies to educate division chiefs to manage concerns before they require corrective action or result in adverse actions. Note: This is an intermediate-level program.
At the conclusion of this program, you will be able to:
- Describe a step-by-step approach to preventing and managing adverse actions
- Implement measures to address quality and/or behavior concerns early to avoid corrective action
- Discuss steps to educate and empower division/department chiefs to undertake collegial intervention
- Ensure the peer review committee and medical executive committee are prepared to conduct thorough, unbiased investigations, take corrective action when necessary, and what types of action are appropriate
- Understand what triggers procedural due process and know reporting obligations
- Prevention and education at division level
- Set and communicate clear expectations upfront to medical staff
- Educate division chiefs to manage adverse actions
- Track and trend data
- Termination of employment or other contract for professional services
- Prepare for the investigation
- Determine whether immediate corrective action is needed
- Gather information for investigation
- Identify potential conflicts of interest
- Follow due process policy and medical staff bylaws
- Set clear guidelines and expectations for the peer review committee
- Educate committee members on their role
- Ensure a fair and unbiased review and manage potential conflicts
- Consider state licensing board, National Practitioners Data Bank (NPDB) reporting options and implications
- Corrective action
- Non-adverse actions, including monitoring, counseling, letter of reprimand, probation
- Adverse actions, including consultation, proctoring, suspension, limited or termination of privileges
- Actions that are not corrective action, including administrative, precautionary, temporary suspension
- Due process obligations
- Corrective action
- Case study: Role of mediation
- Reporting obligations
- NPDB
- State licensing agency
- Other providers
Take a look at the agenda:
Bonus tools included in your materials packet:
In addition to the expertise and advice presented during this Webcast, you’ll also receive bonus tools provided within your materials packet, including:
- Guidelines for scoring and addressing incident reports
- Guidelines for:
- What actions are considered privilege restrictions
- What is reportable to the NPDB and State board
- What triggers due process (dependent on your bylaws)
- Recommendations for peer review members/MEC members conducting an investigation
- Bylaws/due process policy excepts
- Excerpts from the NPDB
- Excerpts from state licensing boards
- Sample due process/bylaw language
Meet the speakers:
Joanne P. Hopkins, JD, of Austin, TX, represents hospitals and their medical staffs and other health care providers in credentialing and peer review, operational, and regulatory matters. She specializes in medical staff bylaws development and interpretation, medical peer review actions, medical staff consolidations, allied health professional issues, nursing peer review and issues involving the confidentiality and disclosure of peer review. She is a former critical care and emergency room nurse.
Anne Roberts, CPCS, CPMSM, is the Senior Director of Medical Affairs at Children’s Medical Center of Dallas. She oversees medical staff quality, graduate medical education, medical staff services, continuing medical education, research administration, surgery administration and medical staff governance and communications. She has been an independent healthcare consultant for more than 10 years and author of more than 100 articles and several guidebooks related to medical staff leadership, governance, peer review and credentialing/privileging.
Who should listen?
Quality directors, medical staff services professional, medical staff director, credentialing specialist, VPMA, department chair, physician leader, credentials chair, peer review committee members, CMOs, MEC members, legal, and risk managers
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