Understanding Professional Review Activity [Health Care] and Its Legal Implications
Definition & Meaning
Professional review activity in health care refers to a process conducted by health care organizations to assess and manage the clinical privileges or membership of physicians. This includes:
- Evaluating whether a physician should be granted clinical privileges or membership.
- Investigating the scope or conditions under which a physician holds privileges or membership.
- Determining if there should be any changes or modifications to a physician's privileges or membership.
Legal Use & context
This term is commonly used in health care law and medical staff credentialing. Professional review activities are essential for ensuring that physicians meet the necessary standards to provide safe and effective care. These activities often involve legal considerations related to employment, malpractice, and patient safety. Users may find relevant legal forms and templates on platforms like US Legal Forms to assist with the documentation required for these activities.
Real-world examples
Here are a couple of examples of abatement:
Example 1: A hospital conducts a professional review activity to determine if a newly hired surgeon meets the qualifications for surgical privileges. The review includes assessing their training, experience, and past performance.
Example 2: A medical board investigates a physician after receiving complaints about their practice. The review activity involves examining patient records and interviewing staff to determine if the physician should retain their privileges. (hypothetical example)