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Outsourcing Hospital Peer Reviews Improves Quality Management

Learn how one hospital chose to outsource their peer review process to AllMed as they ran into conflicts of interest and response time issues when trying to handle the process in-house.

Case Study: Hospital Peer Review

The Challenge

The peer review process is an essential component of virtually every hospital’s quality management system.  However, smaller hospitals serving rural areas often have trouble-finding doctors without a conflict of interest or with suitable medical experience and credentials for conducting peer reviews in a timely manner. The small staff and close working relationships of doctors at Bay Area Hospital have made it difficult to handle hospital peer reviews internally. According to Sandy sharing peer reviews, so it had been using external Qualman, certified provider credentialing specialist and medical staff coordinator at Bay Area Hospital, doctors are sensitive to reviewing colleagues with whom they work and often depend on.

The Solution

Qualman indicates that as the need for more review specialists and timeliness increased, the hospital began sending cases to AllMed Healthcare Management. Bay Area Hospital usually sends cases to AllMed for review in groups.

“Our doctors simply prefer not to review peers, because of the close working relationships among the medical staff. “

 

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