Resources

As is the case with most things in life, balance and perspective are key. When it comes to identifying and addressing potential quality issues, external peer review provides the opportunity to closely examine the details of select cases, while tracking outcomes can shed broader light on problematic trends that warrant further study.

Know if providers are meeting standard of care, even if clinical outcomes may appear otherwise.

One of the downsides to the electronic health record (EHR) is that it generates hundreds, sometimes thousands, of pages of records for virtually every hospital encounter. When engaging MDReview for an external review project, our clients often ask why it’s necessary to send all medical records in addition to other items we often request, such as pre- and post procedure office notes and any preoperative, intraoperative, or postoperative imaging.

A well-respected, senior surgeon with an outstanding reputation and decades of successful practice in a major metropolitan area, was given a complaint that he was performing surgeries that were unnecessarily aggressive and not clinically indicated. 

This presentation will highlight the interactions between the Medical Services Professional, the Medical Staff Leader and the Attorney.

The evaluation and varied methods of management of physicians and physician extenders who exhibit troublesome behavior presents unique, and at times, daunting challenges.

MSPs carry the burden of the inevitable “ask” to do the impossible.

Accurate, reliable, consistent provider data is critical for onboarding, credentialing, privileging, enrollment, and provider directories.

Robotic Process Automation (RPA) sounds intimidating, but it is nothing more than automating human process activities to make things more streamlined, improve efficiencies and improve accuracy.

Many physician leaders, both paid and volunteer, find themselves appointed, elected, or hired into leadership positions with little or no leadership training.

The credentialing process is very time consuming, particularly when in-house resources are stretched thin and duplicate processes across multiple service lines add more to the workload.

Telehealth is changing the health care landscape forever. Many organizations are requesting guidance on how to adapt their practices and performance measures to successfully deliver telehealth services.