Md. Code Regs. 10.07.01.22 - Practitioner Performance Evaluation
A. Consistent with the standards of the Joint
Commission for focused and ongoing professional performance evaluations, the
hospital shall establish a practitioner performance evaluation process that
objectively evaluates the performance of each member of the medical
staff.
B. The hospital's
practitioner performance evaluation process shall include a review of care
which shall:
(1) Be undertaken for cases:
(a) Chosen at random; and
(b) With unexpected adverse
outcomes;
(2) Be based
on objective review standards;
(3)
Include a review of the appropriateness of the plan of care for the patient,
particularly any medical procedures performed on the patient, in relation to
the patient's condition; and
(4) Be
conducted by members of the medical staff, or at the discretion of the
hospital, by external reviewers, who:
(a) Are
of the same specialty as the member of the medical staff under
review;
(b) Have been trained to
perform practitioner performance evaluation; and
(c) Are not otherwise associated with the
case under review.
C. A hospital shall take into account the
results of the practitioner performance evaluation process for a member of the
medical staff in the reappointment process.
Notes
Regulation .22 repealed effective May 23, 1994 (21:10 Md. R. 844)
Regulation .22 adopted effective April 16, 2012 (39:7 Md. R. 491)
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