Professional Relationships in Health Care Enterprises Flashcards

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1
Q

Health Care Quality Improvement Act

A

-Provides immunity for credentialling decisions based on quality
concerns

-Immunity for damages actions but not civil rights actions

-Presumption that credentialing decision compliant

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2
Q

“4 reasonables” for HCQIA requirements

A

Under HCQUIA hospitals must:

  1. Reasonably believe decision furthers health care quality
  2. Make reasonable effort to obtain relevant facts
  3. Provide fair (reasonable) notice
  4. Conclude action warranted by evidence f/ reasonable investigation
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