Physician evaluation standards' requirements

Physician evaluation standards

1. Physician Evaluation Dr. Liza. H. H. V

2. Medical Staff definition. Practitioner appraisal process responsibility. Why Physician Evaluation? Practitioner's profile What we have? Next Step Who are Medical staff ?

3. All physicians and dentists who are licensed to practice independently (without supervision) and who provide preventive, curative, restorative, surgical, rehabilitative services or who provide interpretative services for patients, such as pathology, radiology, or laboratory services. All classifications of appointments, all types and levels of staff (employed, honorary, contract, visiting, and private locum tenens, or invited experts) are included. Other practitioners, such as “house officers,” “hospitalists,” and “junior doctors,” that are no longer in training, but may or may not be permitted by the hospital to practice independently. Outline

4. The governing body holds the ultimate responsible for the Credentialing, privileging and competency appraisal process, The governing body makes its decisions based on recommendations from the medical staff leaders. Who is responsible for Practitioner appraisal process?

5. CBAHI, JCIA and ACHSI standards requiments Requirements of All accrediting bodies (key services and benchmark) CBAHI (LD, MS, QM, HR) JCIA (SQE, GLD, QPS) ACHSI (Clinical, Corporate, Support) Why Physician Evaluation?

6. Done to already privileged practitioners. Used in conjunction with Re-credentialing and Re-privileging activities. Done by peers & reviewed by the medical director. Should be as concurrent as possible. Maintained confidential. Involves information about clinical and administrative activities (utilization-teamwork… etc ). Practitioner's profile.

7. Identify in this workshop the required competencies to be evaluated and their monitoring indicators. Agreed on 5 indicator per specialty/ per level. Revise and finalize the list with IT Present the list to CMO for final approval Start data collection next month Next Step: