Horty Springer Chesapeake Regional Healthcare Medical Staff Leadership Program November 3-4, 2022
Identify legal issues that affect credentialing
Define the benefits of having policies and procedures to address problem practitioners Identify
Manage the variety of peer review issues that confront them in their roles as physician leaders
Define the legal responsibilities of Medical Staff leaders and the legal protections available to them.
CHESAPEAKE REGIONAL HEALTHCARE
November 3 & 4, 2022
Medical Staff Leadership Training Agenda
THURSDAY – NOV. 3, 2022
1:00 – 1:45 p.m. Giving Confidence – Legal Protections for Medical Staff Leaders
Medical Staff Law 101
How the Law Protects You!
1:45 – 2:45 p.m. Effective Peer Review of Clinical Concerns
Obstacles to effective reviews
Best practices to create an educational, non-punitive peer
Addressing employed practitioners
Obtaining meaningful input from those under review
2:45 – 3:00 p.m. Break
3:00 – 3:45 p.m. Stuff Happens on the Best of Medical Staffs! – What Do You Do
How to Conduct an Effective “Collegial Intervention”
The Progressive Steps Continuum - Using “Discipline” Is a
3:45 – 4:30 p.m. Performance Improvement Plans for Peer Review of Clinical
Best practices for effective plans
4:30 – 4:45 p.m. Precautionary Suspensions – When All Else Fails
Alternative to precautionary suspensions
Implementation tips to protect patients, respect the practitioner,
and minimize legal risk
4:45 – 5:00 p.m. Anything Goes Q&A
FRIDAY – NOV. 4, 2022
8:00 – 9:00 a.m. Meet Dr. Bourne: Initial Application Case Study
Spotting “Red Flags” in an Application
But What if You Are “in Dire Need of…”?
9:00 – 9:45 a.m. Credentialing Tips
Importance of eligibility criteria
Not processing incomplete applications
Responding to reference requests
9:45 – 10:00 a.m. Break
10:00 – 10:45 a.m. Hot Topics in Privileging
What Could Go Wrong?
“Turf Battles” and New Privileges
Advanced Practice Providers
10:45 – 11:45 a.m. Medical Staff Leader Potpourri
National Practitioner Data Bank
HIPAA and the Medical Staff
Conflicts of interest
11:45 a.m. – Noon Anything Goes Q&A
Noon – 1:00 p.m. Lunch
1:00 – 1:45 p.m. Dealing with Behavior that Undermines a Culture of Safety
Connection between behavior and patient safety
Best practices for addressing behavioral concerns
1:45 – 2:30 p.m. Practitioner Health
How common are health concerns?
Best practice tips for reviewing health issues using the
Southcoast Practitioner Health Policy
What to do about late career practitioners
2:30 – 2:45 p.m. Break
2:45 to 3:30 p.m. Conducting an Effective and Legally Sound Investigation
How to decide when formal action is necessary
Conducting an iron-clad investigation
Preparing for an adverse recommendation
3:30 to 4:00 p.m. Attracting, Preparing, and Maintaining Medical Staff Leaders
The information presented at this CME program represents the views and opinions of the individual presenters, and does not constitute the opinion or endorsement of, or promotion by, the UPMC Center for Continuing Education in the Health Sciences, UPMC / University of Pittsburgh Medical Center or Affiliates and University of Pittsburgh School of Medicine. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions including, without limitation, FDA-approved uses and any off-label uses
Phil Zarone, JD
LeeAnne Mitchell, JD
No members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any proprietary entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients to disclose.
Accreditation and credit designation
In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The University of Pittsburgh School designates this live activity for a maximum of 9.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other Healthcare Professionals
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
- 9.25 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 9.25 Attendance