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.