Horty Springer Reston Hospital Center Medical Staff Leadership Education 9.30.23
Upon completion of this program, participants should be able to:
identify legal issues that affect credentialing and should be able to define the benefits of having policies and procedures to address problem practitioners
identify “best practices” for medical staff peer review and recognize potential legal risks or inefficient or ineffective peer review procedures.
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
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
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.
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.
In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and Horty Springer Seminars. 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 of Medicine designates this live activity for a maximum of 6.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other health care 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.
- 6.25 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.
- 6.75 Attendance