HIM 230 Legal & Ethical Concepts in Healthcare

Answer each with s short essay. Provide references to support your rationale. 

1. Dr. Jones is applying for privileges in pediatrics at the Neighborhood Community Hospital. He is relocating to be closer to family and would like to practice here. You are processing his application and see that he has previously worked at Medical Center Hospital from 1999-2005 and then at University Hospital from 2007-2019.He has listed the required references, and they have all responded that he is well-trained and had no issues while practicing. He is board certified in Pediatrics, has a current state license, and has the appropriate malpractice insurance with no claims. The inquiries to the NPDB and the OIG were fine, as was the criminal background check. Given this information, how would you proceed with Dr. Jones's request for privileges?

 

2. Dr. Johnson is applying for emergency room privileges at your hospital. He is a recent graduate of a surgical residency program from California, having transferred from a program in Georgia, before he started in New York. His application is complete, and the references all indicate he is competent without further elaboration. He needs to find information in the NPDB or with the OIG as he recently graduated. He does have a state license and malpractice insurance. Given this information, how would you proceed with Dr. Johnson's request for privileges

 

3. Dr. Stephens is requesting surgical privileges at your facility. He has practiced in the past at All Saint's Hospital (2001-2006) and Northview Hospital (2006-2019). On July 14, 2012, he completed the application process, and inquiries were sent to the references he listed. While waiting on those responses, the NPBD and the OIG were queried. A check of his malpractice insurance indicated that it was current. There had been one malpractice settlement five years ago, which was also reported on the NPDB report; the physician had also disclosed this on his application. His state license is current, and he is currently board-certified. Three months later, all the checks had been completed, and two of the three references had been verified. However, multiple attempts to communicate with the third reference have proven fruitless. Given this information, how would you proceed with Dr. Stephens's privilege request?

 

4. As the person responsible for credentialing physicians at your facility, you are aware of all physicians on staff at the hospital. One day you hear an overhead page for Dr. Michaels to the ER, and you are immediately attuned to the fact that there is no one credentialed on staff named Dr. Michaels. What should you do? How could this happen?