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Physician Peer Review in a Just Culture

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Physician Peer Review in a Just Culture

Disruptive Physician Policy. Physician Peer Review. It is important to realize that Physician Peer Review does not replace the managerial responsibilities of the HCO.

http://www.mha-apps.com/media/maps/Physician%20Peer%20Review%20in%20a%20Just%20Culture.doc

Date added: October 13, 2011 - Views: 52

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THE JOURNAL OF THE AMERICAN BOARD OF FAMILY PRACTICE

Peer Review Volunteer Form . Journal of the American Board of Family Medicine. Name, Academic Degrees: Email (preferred, then alternate, if any): Phone:

http://www.jabfm.org/site/misc/PeerReviewForm.doc

Date added: November 18, 2011 - Views: 41

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Peer Review Policy and Procedure/Hendricks Community Hospital ...

Medical Staff Peer Review Policy. Subject: Peer Review Activity. Policy: Review of circumstances as outlined in this policy will be conducted by a peer physician(s ...

http://www.hendricks.org/upload/docs/MedStaff/PeerReview.doc

Date added: October 13, 2011 - Views: 64

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Should we include something about the Board Members need to ...

PHYSICIAN REVIEW Study #1 Study #2 Report Format Interpretation Accuracy Study #1 Study #2. ... Peer Review QI Form (SAMPLE) Title:

http://www.intersocietal.org/vascular/forms/Peer_Review_QI_Form.doc

Date added: March 7, 2013 - Views: 8

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SAMPLE POLICY AND PROCESS FOR CREDENTIALING AND PRIVILEGING ...

The applicant has listed you as a peer who will be ... Medical Staff Coordinator Sample Peer Recommendation Form. CONFIDENTIAL Professional Peer Reference ...

http://www.kathymatzka.com/Downloads/Peer_Reference_Letter.doc

Date added: December 16, 2011 - Views: 233

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COPE Behavioral Services, Inc

PHYSICIAN PEER-REVIEW FORM. Patient ID#: Name of reviewer: Name of clinician: REASON(S) FOR PEER REVIEW. Random chart audit Referred by QM department Complaint Staff ...

http://www.copecommunityservices.org/cmmanual/QM%20physician%20peer-review%20form.doc

Date added: September 18, 2013 - Views: 14

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North County Health Services - A.T. Still University

NORTH COUNTY HEALTH SERVICES. Physician/Mid-Level Provider Peer Review Audit Form. Center: Chart#: Provider: Date of Index Visit: Date of Audit:

http://www.atsu.edu/wcn/Provider%20Peer%20Review/NCHS_Peer_Audit_Tool.doc

Date added: November 22, 2012 - Views: 23

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PEER REVIEWER IDENTIFICATION SURVEY - TOA - Welcome to the ...

The form . MUST. be completed by the physician as there are questions that only the physician can ... Did the Peer Review explain rationale for denying or approving ...

http://www.toa.org/ecard/2006/09-2006/5th/Forms/PEER%20REVIEWER%20ID%20Survey-printout-form.doc

Date added: October 27, 2011 - Views: 21

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NEW PHYSICIAN - ASPR

Physician Preceptor . Checklist ... Inform Medical Staff/Peer Review Coordinator and Director of Managed Care that new physician has signed contract for ...

http://c.ymcdn.com/sites/www.aspr.org/resource/resmgr/imported/Form-New%20Physician%20Orientation%20Checklist.doc

Date added: May 5, 2014 - Views: 24

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Quality Assurance Log - intersocietal.org

Peer Review Quality Improvement Log (Peer review worksheets should be used and maintained to document complete review. Sample is available on the website.)

http://intersocietal.org/vascular/forms/Peer_Review_QI_Log.doc

Date added: October 24, 2013 - Views: 9

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ED PHYSICIAN PEER EVALUATION - Jay Kaplan

ED PHYSICIAN PEER EVALUATION. Date ... Review of this physician’s charts when performing follow ... Please comment on the back of this form any concerns or problems ...

http://jaykaplanmd.com/tools/ed_physician_peer_evaluation_kaplan.doc

Date added: April 1, 2013 - Views: 12

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Trauma Case Review - Montana Performance Improvement Network

Trauma Case Review. ... Physician / Surgeon Time: ... Refer to Multidisciplinary Trauma Committee or Medical Staff Peer Review Process)

http://www.mtpin.org/docs/Peer%20Review%201%20Trauma%20Case%20Review%20Form.doc

Date added: March 6, 2012 - Views: 25

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Policy and Procedure Approval Form - HCA Ethics

If the purpose of the query process is not for clarifying ambiguous or conflicting documentation ... CMS memorandum to the Peer Review ... of Physician Query Form ...

http://ec.hcahealthcare.com/CPM/REGSCOD012%20Rev%2012-1-2007.doc

Date added: September 25, 2011 - Views: 13

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Policy: Administrative - NAHQ

Peer Review information is maintained . ... Event Date: Department(s) Involved: Involved Physician(s): PSR #: ... attach it to this form, ...

http://www.nahq.org/uploads/appsfiles/UPDATED_GENERAL_peer_review_worksheet.doc

Date added: August 15, 2013 - Views: 7

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UNIVERSITY OF MICHIGAN HEALTH SYSTEM

The manager will review the peer review form, peer summary and self-evaluation and then complete the manager section of the ... University of Michigan Medical Center

http://www.med.umich.edu/nursing/jit/forms/PerformanceEvaluationInstructions.doc

Date added: May 30, 2013 - Views: 7

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PEER REVIEW - Medical Communications Corporation

PA Auto. What is a Peer Review? A Peer Review conducted under Act 6 of the Pennsylvania Automobile Reform is a review of a Health Care Professional by a reviewer of a ...

http://mccime.com/medmail/Pennsylvania%20Peer%20Review.doc

Date added: October 3, 2011 - Views: 7

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physiciansmedicalreview.com

REFERRAL FORM. www.pmrfa.com Service Requested Rush Service ... Physician Peer Review Pharmacological Review Lien Verification CMS Submission Case Type

http://physiciansmedicalreview.com/pdfs/pmr_referral_form.doc

Date added: August 24, 2013 - Views: 5

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PEER REVIEW - A.T. Still University

Peer Review. Submission by Ken Morris, MD. Getting Started. A system of peer review should be considered an integral component of any Quality Assurance program.

http://blogs.atsu.edu/ee/wcndocs/WCN_Clinical_Directors_Toolkit_Peer_Review.doc

Date added: May 2, 2013 - Views: 34

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Trauma Center Performance Improvement and Patient Safety Plan

Trauma PI issues will be documented on the “Trauma Review Form ... Provider Peer Review-issues identified in the review ... Trauma Director/Other Physician Review:

http://www.healthy.arkansas.gov/programsServices/injuryPreventionControl/TraumaticSystems/Documents/trauma/Resources/StateTraumaPerformanceImprovementSafetyPlan.doc

Date added: July 29, 2012 - Views: 39

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MGI 44-118 Nurse Telephone Triage Advice ... - Comments on

After physician review, SFs 600, Telephone Triage Encounter Overprint ... This will be accomplished utilizing the attached Telephone Triage Peer Review Form AF Form ...

http://www.awhonn-af.org/awhonn-af/wp-content/uploads/2010/12/MGI-44-118-Nurse-Telephone-Triage-Advice-Program2.doc

Date added: March 26, 2013 - Views: 19

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50.194.94.115

RANDOM CASE REVIEW FORM. Period I – January 1 to June 30. Period II – July 1 to December 31. Period: _____Year: _____ Reviewing Physician ...

http://50.194.94.115/pdfs/Peer_Review_Form.docx

Date added: September 30, 2013 - Views: 3

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Policy and Procedure Approval Form - HCA Ethics

CMS memorandum to the Peer Review Organizations entitled “Use of Physician Query Form” with Policy Clarification of Temporary Suspension of January 22, ...

http://ec.hcahealthcare.com/CPM/REGSDOC002.doc

Date added: September 25, 2011 - Views: 29

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www.stlukesonline.org

Create a culture with a positive approach to peer review by recognizing physician excellence as well as identifying improvement opportunities.

http://www.stlukesonline.org/for_physicians/committees/documents/PeerReviewPolicy3.08.doc

Date added: September 30, 2013 - Views: 4

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Confidential For Peer Review Purposes Only

form:_____ MR Number ... **ALL “YES” RESULTS ARE FALLOUTS AND REQUIRE REVIEW. Physician reviewer ... Confidential For Peer Review Purposes Only ...

http://www.gcrac.org/wp-content/uploads/2009/05/stroke_pi_indicators_12-09.doc

Date added: September 30, 2013 - Views: 13

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www.stlukesonline.org

Initial Physician Review Form CONFIDENTIAL . PEER REVIEW. RN Screener: Pursuant to Idaho Code 39-1392. MR #: D/C Date: Referral Date: Date Submitted For Review:

http://www.stlukesonline.org/for_physicians/committees/documents/rptPeerReviewTrackingFormPrePhysReview.doc

Date added: November 11, 2014 - Views: 1

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Fall Prevention and Management Program - MN hospitals

Review fall prevention interventions and modify plan of care ... DO NOT INCLUDE THIS FORM IN THE PATIENT’S MEDICAL RECORD ... (check type) Physician Peer Review .

http://www.mnhospitals.org/Portals/0/Documents/ptsafety/falls/NCPS_Falls_Policy.doc

Date added: March 4, 2013 - Views: 23

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GEORGIA REGIONAL HOSPITAL AT AUGUSTA - East Central Regional ...

Provide physician to physician contact in the peer process via consultation ... and recommendations on the Utilization Management form for review by the Utilization ...

http://www.augustareg.dhr.state.ga.us/Manuals/UMPLAN.doc

Date added: September 25, 2012 - Views: 9

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ILLINOIS CRITICAL ACCESS HOSPITAL NETWORK

EXTERNAL PEER REVIEW NETWORK. PHYSICIAN REPORT FORM - RADIOLOGY CONFIDENTIAL. Part I – to be completed by the requesting hospital and ICAHN office and sent to the ...

http://www.icahn.org/files/EPRN_Library/radiologist_eprn_report_form.doc

Date added: September 30, 2013 - Views: 1

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COMMUNITY HEALTH CARE, INC - Aspirus Medical Staff

Peer Review: The term “peer ... (e.g., physician, ... documentation will include the elements described in 8.2 accompanied by a final copy of an Initial Review form ...

http://www.aspirusmedicalstaff.org/media/MedicalStaffPeerReviewProcess2011.doc

Date added: May 2, 2013 - Views: 24

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Fall Prevention and Management Program - MN Hospitals

DO NOT INCLUDE THIS FORM IN THE PATIENT’S MEDICAL RECORD. ... Forwarded for ABI Mortality & Morbidity Review Root Cause Analysis Physician Peer Review ...

http://www.mnhospitals.org/Portals/0/Documents/ptsafety/falls/NCPS_Fall_Incident_Report.doc

Date added: April 5, 2013 - Views: 22

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www.choa.org

... recognizes the vital role played by professional staff leaders by encouraging quality improvement and peer review activities in the form ... Physician Peer Review.

http://www.choa.org/Menus/Documents/PhysicianPortal/Med%20Staff%20Gov/Confidentiality.doc

Date added: August 26, 2014 - Views: 1

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PARAMOUNT REVIEW SERVICES, LLC

This form is automated for editing on your desktop and can be printed ... IME / RME Peer Review ... Attending Physician / Provider: Specialty ...

http://paramountreview.com/docs/prs-ime-and-peer-request-form.doc

Date added: September 11, 2014 - Views: 3

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TRAUMA ED CHART REVIEW

Documentation may be in Medhost or other special care documents such as the conscious sedation form. ... Peer Review and Quality ... ED CHART REVIEW ...

http://www.traumanurses.org/_resources/resource_library/forms/trauma_ed_nursing_chart_review.doc?phpMyAdmin=YUKhXpm3NuRfJ3YccE22H8dYHvf

Date added: May 9, 2013 - Views: 10

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Referral Notification Form - ReMed Casualty

Independent Medical Evaluation by Physician with IME Recommendations . Chiropractic Peer Review with Chiropractor’s ... Referral Notification Form Author: Connie ...

http://remedcasualty.com/images/Referral_Notification_2009.doc

Date added: January 30, 2012 - Views: 14

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Enter Policy # in FILE - PROPERTIES - SUMMARY - 'Title:'

... a medical review or physician peer review of the death may be conducted as part of the ... The Initial Agency Death Review Form shall be submitted electronically ...

http://www.tn.gov/didd/provider_agencies/policies/Death%20Review%20Policy%205-31-2012.doc

Date added: June 20, 2013 - Views: 22

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Attachment G: - Pillow Paws Medical Footwear

Post Fall Documentation. Use the following forms to document a fall. ... Physician Peer Review . Mortality & Morbidity Review. Root Cause Analysis.

http://www.pillowpaws.com/files/forms/Post%20Fall%20Documentation%20Forms.doc

Date added: May 10, 2012 - Views: 3

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Drug Regimen Review Request Form

... Review, Peer to Peer Outreach provides a telephonic meeting with the treating prescriber(s) by a specialist physician to review therapy ... Review Request Form

http://painmanagement.pmsionline.com/Documents/MedAssess_Care_Management_Services%20Request_Form_8-24-2012_(Locked).docx

Date added: November 21, 2013 - Views: 7

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CodingCompliancePlan - Indian Health Service

Coding Compliance Plan ... PCC encounter form, physician orders ... The query form will be retained in a separate file and use by peer review organizations ...

http://www.ihs.gov/HIM/documents/CodingCompliancePlan.doc

Date added: October 24, 2011 - Views: 176

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A License to Harm or Good Public Policy: An Ethical Analysis ...

A nurse in the Cardiac Catheterization Lab filled out a Committee Event Report Form ... Physician Peer Review: Serving The Patient or The Physician, ...

http://works.bepress.com/context/lamar_odom/article/1000/type/native/viewcontent/

Date added: October 3, 2011 - Views: 24

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Urban Indian Health Program On-Site Review Manual

URBAN INDIAN HEALTH PROGRAM. ON-SITE REVIEW MANUAL. April 2004. Revised April 19, 2011. Urban Indian Health Program Office. Indian Health Service Headquarters

http://www.ihs.gov/Urban/documents/Urban_Indian_Health_Program_Review_Manual.doc

Date added: May 2, 2013 - Views: 40

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Missouri State Medical Association

Documentation Review Form for a CME Activity. ... Commercial Support Disclosure Form. Peer Review for Resolution of Conflict. ... Non-Physician Certificate ...

http://www.msma.org/docs/education/cme%20handbook/CME%20Provider%20Handbook%20Table%20of%20Contents.doc

Date added: June 29, 2013 - Views: 15

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Independent Medical Review Regulations - California ...

Commenter also opines that true peer review means that only California physician peers ... or on the “Primary Treating Physician’s Progress Report,” DWC Form PR ...

http://www.dir.ca.gov/dwc/DWCPropRegs/UR_commentChart/UR_2nd15DayComments.doc

Date added: November 21, 2011 - Views: 17

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Application Guidance for Level 4 Trauma Center Designation

Contact the designation coordinator to have in-house curriculum ... Trauma PI Tracking Form, Trauma PI Filter ... Candid physician peer review is a valuable tool in ...

http://www.health.state.mn.us/traumasystem/hospresources/applications/applicationguidance4.docx

Date added: June 12, 2012 - Views: 23

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CME Application Form - Legacy Health

– The Legacy physician who has overall ... Peer Review / Direct Observation Patient Feedback Physician/Patient ... CME Application Form Author:

http://www.legacyhealth.org/~/media/Files/PDF/Health%20Professionals/CME%20Planning%20Resources/CME%20Planning%20Resources/Application%20Form.ashx

Date added: October 24, 2013 - Views: 14

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RSO PEER REVIEW RECORD - United States Navy

Physician Supervisor SignatureIDC Signature ... Morandi, Tiffany A. LT Created Date: 10/08/2014 14:43:00 Title: RSO PEER REVIEW RECORD Last modified by: ...

http://www.public.navy.mil/surfor/IDCorpsmen_Docs/MonthlyQAForm.docx

Date added: October 26, 2014 - Views: 1

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Peer Review for Group Presentation

Peer Review for Group Presentation Last modified by: uta Company: University of Texas at Arlington ...

http://wweb.uta.edu/management/Dr.Quick/courses/3318/Quick%20Presentation%20Rubric%20Peer.docx

Date added: December 7, 2012 - Views: 19

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Trauma Quality Improvement Worksheet - Minnesota Department ...

Trauma PI Tracking Form. Demographics. ... peer review. resource enhancement. ... Trauma Quality Improvement Worksheet Last modified by:

http://www.health.state.mn.us/traumasystem/hospresources/resourcemanual/pitrackingform.docx

Date added: May 9, 2012 - Views: 13

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MEDICAL STAFF BYLAWS, POLICIES, AND

4.7 Application Form 11. ... 6.3 Responsibilities of Supervising Physician 21. 7. PEER REVIEW PROCEDURES FOR QUESTIONS. INVOLVING ALLIED HEALTH PRACTITIONERS. 22.

https://www.sjmed.com/documents/phys/Allied%20Health%20Policy%20Oct%202010.doc

Date added: September 9, 2014 - Views: 1

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PHYSICIANS’ ACCREDITATION PROGRAM - Colorado

The form will be sent to you with ... This program provides for peer review of a treating physician's case in order to determine whether or not the medical ...

http://www.colorado.gov/cs/Satellite?blobcol=urldata&blobheader=application%2Fmsword&blobkey=id&blobtable=MungoBlobs&blobwhere=1251616377838&ssbinary=true

Date added: April 15, 2013 - Views: 10