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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: 54

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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: 71

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

Vascular Laboratory. Peripheral Venous Peer Review. Reviewing Physician (Initials): Date of Completion: TECHNICAL REVIEW Criteria Study #1 Study #2 Type of Exam ...

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

Date added: March 7, 2013 - Views: 10

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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: 42

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SAMPLE POLICY AND PROCESS FOR CREDENTIALING AND PRIVILEGING ...

Medical Staff Coordinator Sample Peer Recommendation Form. CONFIDENTIAL Professional Peer Reference & Competency Validation. Page 1 of 2. Name of Applicant: ...

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

Date added: December 16, 2011 - Views: 240

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North County Health Services - Osteopathic Medical School ...

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: 27

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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: 18

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Quality Assurance Log - IAC | Improving Health Care Through ...

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: 12

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WC Peer to Peer Review Form - Fax From - TOA - Welcome to the ...

TOA wishes to give members a forum to document their Peer to Peer Reviewer complaints so that we can carefully analyze those complaints before sending them to TDI/DWC.

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

Date added: October 27, 2011 - Views: 24

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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: 25

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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: 19

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Trauma Case Review - Montana Performance Improvement Network

Trauma Team: Trauma Form used? ... 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: 26

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Policy: Administrative - NAHQ.org

DO NOT PHOTOCOPY. Peer Review information is maintained . solely in the Quality & Patient Safety Office. Case #: A. PATIENT INFORMATION Patient Initials: Medical ...

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

Date added: August 15, 2013 - Views: 11

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Policy and Procedure Approval Form - HCA Ethics & Compliance ...

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/REGSCOD012%20Rev%2012-1-2007.doc

Date added: September 25, 2011 - Views: 15

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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: 10

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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: 9

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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: 37

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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: 42

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Performance Improvement Peer Review Process

The original PEC members are those who remained involved in the process and dedicated their time to help form ... The physician feedback ... of peer review at ...

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

Date added: September 30, 2013 - Views: 3

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

Physician Phone Triage Consultant/Primary Care Manager ... This will be accomplished utilizing the attached Telephone Triage Peer Review Form AF Form 3137, 19830501 ...

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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www.stlukesonline.org

Create a culture with a positive approach to peer review by recognizing physician excellence as well as ... A “peer” is an individual practicing in the same ...

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

Date added: September 30, 2013 - Views: 5

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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: 19

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

The Physician Advisor acts as a peer review specialist for any ... and recommendations on the Utilization Management form for review by the Utilization Management ...

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

Date added: September 25, 2012 - Views: 11

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Random Case Review

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: 8

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COMMUNITY HEALTH CARE, INC - Homepage - 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: 27

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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: 25

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Fall Prevention and Management Program - MN hospitals

FALL INCIDENT REPORT ... DO NOT INCLUDE THIS FORM IN THE PATIENT’S MEDICAL RECORD. ... (check type) Physician Peer Review . Mortality & Morbidity Review.

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

Date added: April 5, 2013 - Views: 25

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Attachment G: - Footwear Solutions - Color Coding Risk Alert ...

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: 7

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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 ... TRAUMA 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: 18

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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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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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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 ... Regimen 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: 12

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CodingCompliancePlan - Indian Health Service

... PCC encounter form, physician ... file and use by peer review organizations will ... to query the physician and research the coding problem ...

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

Date added: October 24, 2011 - Views: 181

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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: 30

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PEER REVIEW

Peer review of care that takes place in the hospital setting is usually conducted by hospital quality assurance committees. Selecting an Audit Tool.

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

Date added: December 12, 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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CME Application Form - Legacy Health - Portland and Vancouver ...

APPLICATION FORM – AMA PRA Category 1 Credit™ The CME application and ... Peer Review / Direct Observation Patient Feedback Physician/Patient Surveys and ...

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

Date added: October 24, 2013 - Views: 16

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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: 46

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Session Review Form - Good Samaritan Hospital Los Angeles ...

Were the physician attributes designated for the series ... did a pre-activity peer review of materials take ... Session Review Form, Page-1. Title: Session ...

https://goodsam.org/classes/rss/RSS-Session-Review-Form.doc

Date added: August 8, 2014 - Views: 4

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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: 19

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Peer Review for Group Presentation

Peer Review for Group Presentation. Your name: _____ Your. Team: _____ F. ormat for scoring group members

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: 22

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The Death Review Process - Mental Health | Home Page

I. Provider Mortality Review Section I. to be completed by Professional Level Staff. Complete & Submit . Within 5 Business Days. from Death Event Individual Information

http://dmh.mo.gov/docs/dd/directives/3070mortalityForm.doc

Date added: February 18, 2012 - Views: 20

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PHYSICIANS’ ACCREDITATION PROGRAM - Colorado.gov: The ...

The form will be sent to ... Physician's Accreditation Program . ... This program provides for peer review of a treating physician's case in order to determine ...

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: 11

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Missouri State Medical Association

Commercial Support Disclosure Form. Peer Review for Resolution of Conflict. ... Physician Certificate ... Published by the Missouri State Medical Association.

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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Application Guidance for Level 4 Trauma Center Designation

The STAC will consider the application and make a determination at their next ... Trauma PI Tracking Form, Trauma PI ... Candid physician peer review is a valuable ...

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

Date added: June 12, 2012 - Views: 26

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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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TO: - DHS | Department of Human Services

Criteria for physician peer review may include but not be limited to: ... A current Social Summary/Referral Form. Any current psychiatric(s) and psychological(s) ...

http://dhs.phila.gov/intranet/scintrahome_pub.nsf/AttachmentsByTitle/Discharge+Planning+Memo+and+Protocol/$FILE/Discharge+Planning+Memo+and+Protocol.doc

Date added: September 28, 2011 - Views: 28