Resources

In the last few years, the Centers for Medicaid and Medicare (CMS) has increasingly set its sights on investigating Emergency Departments (EDs) for potential violations of the Emergency Medical Treatment and Labor Act (EMTALA).

As concerns about patient safety grow, are your medical staff leaders struggling with the painful question of what to do with valued, even beloved physicians whose signs of decline can no longer be ignored?

Strict adherence to sepsis guidelines results in dramatic improvements in morbidity and mortality. Despite intensive efforts to implement strict protocols and thoroughly educate providers, MDReview’s clients continue to experience problems in fully meeting standards of care.

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.