Professional Relationships in Health Care Enterprises Flashcards
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
2
Q
“4 reasonables” for HCQIA requirements
A
Under HCQUIA hospitals must:
- Reasonably believe decision furthers health care quality
- Make reasonable effort to obtain relevant facts
- Provide fair (reasonable) notice
- Conclude action warranted by evidence f/ reasonable investigation