Health Care Quality Improvement Act of 1986: Hearings Before the Subcommittee on Civil and Constitutional Rights of the Committee on the Judiciary, House of Representatives, Ninety-ninth Congress, Second Session on H.R. 5540 ... October 8 and 9, 1986

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Page 112 - HR 32, before the Subcommittee on Civil and Constitutional Rights of the House Committee on the Judiciary, 94th Cong., 2d Sess.
Page 60 - ... a physician's association with, supervision of, delegation of authority to, support for, training of, or participation in a private group practice with, a member or members of a particular class of health care practitioner or professional, or (E) any other matter that does not relate to the competence or professional conduct of a physician. (10) The term "professional review activity...
Page 112 - Introduction The Lawyers' Committee is a nationwide civil rights organization, with local offices in Washington, Philadelphia, Boston, Chicago, Jackson, Denver, Los Angeles, and San Francisco. It was formed by the leaders of the American Bar in 1963, at the request of President Kennedy, to provide legal representation to blacks who were being deprived of their civil rights. Over the years, the national office of the Lawyers...
Page 138 - During the late 19th and the first half of the 20th century, the medical profession was mandated unprecedented authority.
Page 78 - ... difficult for physicians involved in legitimate hospital privileges disputes to have those disputes resolved equitably. For example, the provision stating "a professional review action is presumed to have been taken in good faith in the furtherance of quality health care unless it is shown by clear and convincing evidence, to the contrary" places a substantial legal burden on the physician against whom an adverse action has been taken. This is entirely appropriate where the action is based on...
Page 53 - STATEMENT OF SIDNEY M. WOLFE, MD, DIRECTOR, PUBLIC CITIZEN HEALTH RESEARCH GROUP Dr. WOLFE.
Page 133 - ... are enacted, the concern about the lack of confidentiality in the event of a lawsuit may decrease. Aside from the immunity granted to physicians engaged in the peer review process, HR 5110 includes various reporting provisions with respect to restriction of clinical privileges, license revocations, suspensions or restrictions, and malpractice settlements and judgments paid. Much of this information is currently available with respect to members of a hospital's medical staff. However, such information...
Page 39 - ... which is the thrust of HR 5110. Over the past few years, the number of disciplinary actions taken against physicians has been increasing. We found the national tabulations made by the Federation of State Medical Boards reveal an increase in actions, excluding simple administration actions, from 953 in 1982 to 1,381 in 1984, an increase of 45 percent. However, upon closer examination, the more serious action, such as revocation, suspensions, and probations, have remained relatively constant, increasing...
Page 34 - Office conductfri a prujidju inspection to help HHS and other interested parties gain a broadly based and up-to-date overview of State medical licensure and discipline — of the pressures being exerted, the issues being addressed, the changes taking...
Page 16 - The information required to be reported under sections 421, 422(a), and 423 shall be reported regularly (but not less often than monthly) and in such form and manner as the Secretary prescribes. Such information shall first be required to be reported on a date (not later than one year after the date of the enactment of this Act) specified by the Secretary.

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