Medical Staff Peer Review: Motivation and Performance in the Era of Managed Care by Daniel A. Lang MD, Paperback | Barnes & Noble
Medical Staff Peer Review: Motivation and Performance in the Era of Managed Care

Medical Staff Peer Review: Motivation and Performance in the Era of Managed Care

by Daniel A. Lang MD
     
 

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

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.Chapters include:-Tools for the initial evaluation and credentialing of physicians-Sample physician performance profiles-Techniques for determining clinical privileges of a physician at initial appointment and re-appointment-Making medical personnel decisions-Ethical dimensions of physician performance-Implications of adverse peer review beyond the hospital medical staff-Methods for distinguishing between system and practitioner performance problems

Editorial Reviews

Doody's Review Service
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.
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.
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.
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)

Product Details

ISBN-13:
9781556482663
Publisher:
Wiley
Publication date:
10/15/1999
Series:
J-B AHA Press Series, #122
Edition description:
REVISED
Pages:
292
Product dimensions:
6.06(w) x 9.01(h) x 0.68(d)

Meet the Author

DANIEL A. LANG, a board-certified internist with 20 years of private practice experience, is the medical director of the Health care Association of Southern California (HASC) and of the National Health Foundation in Los Angeles. He is a senior physician consultant to Pacific Health Services Group, management services division. Dr. Lang is also a consultant to the Medical Staff Survey Committee of the Institute for Medical Quality. He serves as the medical director of the Southern California Health Policy Research Consortium.Dr. Lang is a nationally recognized expert in peer review and medical staff management. He is a frequent consultant and lectures on medical staff and hospital reorganization, bioethics, quality improvement, risk management, and hospital-medical staff relations. He provides consultation to medical staffs and hospital boards regarding accreditation, licensure issues, and HCFA certification. He has held 15 years of experience as medical director or vice president for medical affairs in several large Los Angeles community hospitals. He serves as a consultant to the California Medical Association (CMA) Committee on Wellbeing of Physicians and participated in the most recent revision of the CMA guidelines for medical staff well-being committees. He is the editor of the Medical Staff Newsline, a newsletter of the HASC.Dr. Lang is the author of several books, including The Disabled Physician: Problem-Solving Strategies for the Medical Staff; Medical Staff Peer Review: A Strategy for Motivation and Performance; and Managing Medical Staff Change Through Bylaws and Other Strategies.

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