20 Questions
What does the HRSA Site Visit Protocol call 'Peer Review'?
Quarterly Assessments of Clinician Care
According to HRSA requirements, what must the peer review be based on?
Data collected from patient records
Who is responsible for conducting the peer review as outlined by HRSA?
Physicians or other licensed healthcare professionals
What is considered a best practice when it comes to performing peer reviews according to the text?
Having peers evaluate peers
What is one option provided in the text for peer review in smaller organizations?
Blind reviews removing all provider information
Which type of staff members are generally assumed to be 'Providers' in peer reviews?
Physicians, Advanced Practice Registered Nurses, and Physician Assistants
What is the recommended number of charts/service dates to be reviewed for each LIP and OLCP every quarter?
3-5 charts/service dates
What is HRSA looking for in terms of data collection during peer reviews?
Standardized fashion of evaluating clinicians' care
Why are some health centers cautious about the 'peer review exchange' with other organizations?
Concerns about the level of insight shared with other organizations
What is one downside mentioned about having the department director evaluate all Behavioral Health providers?
It may not provide variety and diversity in reviews
What is the purpose of reviewing the sample of files for current clinical staff that contain credentialing and privileging information?
To ensure documentation is up-to-date as defined by the health center's operating procedures.
In the site visit findings, what is the required response if the current clinical staff files do not contain up-to-date documentation of licensure and credentialing?
An explanation is required.
What type of documentation should be up-to-date based on the review of current clinical staff files?
Privileging decisions documentation.
What is a key requirement for contracted or referral providers according to the text?
Being licensed, certified, or registered through a credentialing process
How is the competency of contracted or referred providers assessed?
Through a privileging process
What is one of the prioritization criteria mentioned for reviewing contracts with provider organizations?
Review based on clinical services only offered via Column III
What is a key requirement for clinical staff in terms of basic life support training?
Complete basic life support training or comparable training
What is one of the aspects that privileging procedures would address for clinical staff members?
Verification of fitness for duty, immunization, and communicable disease status
What method is suggested for verifying current clinical competence during initial privileging?
Reference reviews
What is the process for denying, modifying, or removing privileges based on according to the text?
Assessments of clinical competence and/or fitness for duty
Learn about the HRSA Site Visit Protocol Chapter 10: QI/QA, specifically about the activity commonly known as peer review, which HRSA refers to as "Quarterly Assessments of Clinician Care". Understand the requirements outlined by HRSA for these assessments based on data systematically collected from patient records.
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