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Case Studies >
 Case
Study: Physician Contract Expiring
Situation:
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A large tertiary care facility's Chief of Staff relays to Medical Affairs that
a Pediatric Intensivist is not performing at an expected competence level
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The provider's contract expires shortly, and focused reviews must be done
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Other peer subspecialists are unable to conduct peer review due to economic
constraints
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The unit nurses are concerned with the unusual and erratic therapeutic
interventions and lack of responsiveness to questions
QMCG Team Role: Conduct an objective review of focused case events
to assist in performance documentation to enhance review of suitability for
continued employment:
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Peer review physician matched with similar experience, tenure, patient volume
and acuity
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Reviewer addressed standard of care determinations, opportunities for
improvement and suggestions for skill base improvement
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Offers to conference in person or by phone given
Peer Review Conclusions:
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Immediate concerns found with basic intensive case management practices
Medical Staff/Hospital Accomplishments:
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Report to be used with ongoing performance improvement data in order to make
sound judgment and employment decisions.
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