Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.01 - Acute General Hospitals and Special Hospitals
Section 10.07.01.22 - Practitioner Performance Evaluation
Universal Citation: MD Code Reg 10.07.01.22
Current through Register Vol. 51, No. 19, September 20, 2024
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.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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