Medical Staff Peer Review: Motivation and Performance in the Era of Managed Care, Revised - JB Printing

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The key to patient safety and improved efficiency of care is the proper evaluation of individual professional performance.

Co-published with the American College of Physician Executives, this newly revised edition provides tools and strategies for the performance of effective peer review. Whereas the first edition focuses on peer review of the acute care hospital medical staff, this edition broadens the approach to include ambulatory and post acute delivery settings. It updates ...

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Overview

The key to patient safety and improved efficiency of care is the proper evaluation of individual professional performance.

Co-published with the American College of Physician Executives, this newly revised edition provides tools and strategies for the performance of effective peer review. Whereas the first edition focuses on peer review of the acute care hospital medical staff, this edition broadens the approach to include ambulatory and post acute delivery settings. It updates and expands the technical and organizational tools available to those who are faced with the need to find ways to improve clinical performance.

The book contains black-and-white illustrations.

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Editorial Reviews

J. Michael Condit
In this very readable book the author addresses the entire spectrum of medical staff peer review, from initial credentialing through subsequent performance measurements and reporting. In an earlier edition only peer review of the acute care hospital medical staff was covered, but the focus in this revised edition has been expanded to include ambulatory and post acute delivery settings. There are sample guidelines and procedures to help readers implement the author's recommendations. The author explains the difficulties inherent in peer review, including the necessity for careful documentation, consistency of process, and assessment of effectiveness. This complex subject is poorly understood by many in healthcare, and he does an excellent job giving a global overview while also providing adequate detail. The book is written as a guide for all health professionals who deal with peer review. The author's ultimate goal is to better the healhcare delivery system through a creative approach to improving or limiting individual practitioner performance. He is a recognized authority in this field and effectively communicates his extensive experience gained through years of working with multiple professionals. The greatest value of the book is the author's concise, fresh, and direct approach to an increasingly important subject that is often considered an unpleasant necessity. He explains the initial credentialing process in detail, but then he goes further and describes how to observe and measure individual performance in real time. He addresses the effects of physician health impairment on performance and the wide range of ethical considerations in peer review. There is a liberal supplyof practical figures, tables, and appendixes that make it easy for readers to understand and apply the author's experience. The expansion of coverage in this revised edition beyond the acute hospital setting makes it an excellent reference for group practices and managed care organizations.
From The Critics
Reviewer: J. Michael Condit, MD (Kelsey-Seybold Clinic)
Description: In this very readable book the author addresses the entire spectrum of medical staff peer review, from initial credentialing through subsequent performance measurements and reporting. In an earlier edition only peer review of the acute care hospital medical staff was covered, but the focus in this revised edition has been expanded to include ambulatory and post acute delivery settings. There are sample guidelines and procedures to help readers implement the author's recommendations.
Purpose: The author explains the difficulties inherent in peer review, including the necessity for careful documentation, consistency of process, and assessment of effectiveness. This complex subject is poorly understood by many in healthcare, and he does an excellent job giving a global overview while also providing adequate detail.
Audience: The book is written as a guide for all health professionals who deal with peer review. The author's ultimate goal is to better the healhcare delivery system through a creative approach to improving or limiting individual practitioner performance. He is a recognized authority in this field and effectively communicates his extensive experience gained through years of working with multiple professionals.
Features: The greatest value of the book is the author's concise, fresh, and direct approach to an increasingly important subject that is often considered an unpleasant necessity. He explains the initial credentialing process in detail, but then he goes further and describes how to observe and measure individual performance in real time. He addresses the effects of physician health impairment on performance and the wide range of ethical considerations in peer review. There is a liberal supply of practical figures, tables, and appendixes that make it easy for readers to understand and apply the author's experience.
Assessment: The expansion of coverage in this revised edition beyond the acute hospital setting makes it an excellent reference for group practices and managed care organizations.
Booknews
Reprint of a 1999 revised work published by the American Hospital Association, providing tools and strategies for effective peer review. Coverage includes staff of acute care hospital medical staff as well as the staff of ambulatory and post acute delivery settings. The guide gives tools for initial evaluation and credentialing of physicians and for determining clinical privileges, and discusses ethical dimensions, decision making, and implications of adverse peer review. Included are sample policies, agreements, and physician performance profiles. The author is an internist with 20 years of private practice experience, and is medical director of the Healthcare Association of Southern California and of the National Health Foundation in Los Angeles. Annotation c. Book News, Inc., Portland, OR (booknews.com)

5 Stars! from Doody
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Product Details

  • ISBN-13: 9780787956004
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 7/28/2000
  • Series: J-B AHA Press Series, #46
  • Edition description: REVISED
  • Edition number: 1
  • Pages: 308
  • Product dimensions: 6.04 (w) x 9.14 (h) x 0.63 (d)

Table of Contents

List of Figures and Tables
About the Author
Acknowledgments
Introduction
Ch. 1 Assessing the New Applicant: The Credentials Function 1
Ch. 2 Assigned Privileges: The Basis of Peer Review 41
Ch. 3 Direct Observation: Testing the Accuracy of Clinical Privileges 69
Ch. 4 Measurement of Professional Performance: The Effect of Systems 91
Ch. 5 Measurement of Professional Performance: Scoring Individual Practice 125
Ch. 6 Improving Individual Performance 169
Ch. 7 Physician Health: A Key Peer Review Component 203
Ch. 8 Ethical Dimensions of Physician Performance 229
Ch. 9 The Basis for Making a Medical Personnel Decision 261
App. A Physician Well-Being Committee: Policies and Procedures 273
App. B Elements of a Monitoring Agreement 279
App. C Policy Guidelines for Assisting the Disruptive Physician 281
Index 285
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