Time Topic 
8:00 – 8:15 a.m. Welcome, Introductions, & Overview
8:15 – 9:00 a.m. Confidence to Become Great Leaders – Despite What You Hear, the Law Is 
on Your Side!
 Medical Staff Law 101 
 Legal and practical protections when serving as a Medical Staff leader 
 Focus on the patients, not on the lawyers 
9:00 – 10:00 a.m. Credentialing for Excellence – Tools, Tips, and Tactics 
 Good policies and procedures – the road map for everything you do 
 Use your threshold eligibility criteria 
 Don’t process incomplete applications 
 Skills enhancement process 
 Avoid unnecessary “denials” 
 Responding to reference requests 
10:00 – 10:15 a.m. Break 
10:15 – 11:00 a.m. Collegial Counseling and Other Progressive Steps
 Using the “progressive steps continuum” 
 How to conduct an effective collegial counseling session 
 Documentation – tone and content, and where is it kept? 
11:00 – 11:30 a.m. What if You Can’t “Fix” Something? 
 Precautionary suspensions (or voluntary refrainment?) 
 What happens if you have to take an “adverse action”? 
11:30 – Noon Tips for Conducting a Medical Staff Investigation 
Noon – 12:30 p.m. Lunch 
4863-1283-8249, v. 1 2 
12:30 – 1:15 p.m. Let’s Take “The Peer Review Challenge” 
 Peer review basics 
 Understanding FPPE and OPPE 
 Tips, traps, and tools 
1:15 – 2:00 p.m. Understanding the Behavior/Patient Safety Connection 
 What do physicians, accrediting entities, and courts say about the 
connection between behavior and patient safety? 
 Tools that should be in your policy 
 Performance Improvement Plans for conduct 
 What about a Medical Staff member’s bad behavior on Social Media? 
2:00 – 2:15 p.m. Break 
2:15 – 3:00 p.m. Practitioner Health 
 How common are health concerns? 
 Best practice tips for reviewing health issues using the Practitioner Health 
Policy 
 What about “late career practitioners”? 
3:00 – 3:45 p.m. Understanding Your Medical Staff Bylaws – and How They Work for You!
3:45 – 4:00 p.m. Attracting and Preparing Medical Staff Leaders

Disclaimer Statement

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.