Professional Review Action definition

Professional Review Action means any action or recommendation of a Professional Review Body which is taken or made in the conduct of Professional Review Activity, which is based on the competence or professional conduct of a health care provider and which affects, or may affect such individual’s Staff Membership and/or Clinical Privileges.4

Professional Review Action means an action or recommendation of a professional review body which is taken or made in the conduct of professional peer review activity, which is based on the competence or professional conduct of a staff appointee, and which affects or may affect adversely the clinical privileges or appointment of the staff appointee.

Professional Review Action means an action or recommendation of a peer review committee which is taken or made in the conduct of professional review activity, which is based on the competence or professional conduct of an individual practitioner (which conduct affects or could affect adversely the health or welfare of a patient or patients or is disruptive or not conducive to the orderly operation of the Hospital), and which affects (or may affect) adversely the clinical privileges of the practitioner. Such term includes a formal decision of a professional review body not to take an action or make a recommendation and also includes professional review activities relating to a professional review action and shall further mean any activity of the hospital with respect to an individual practitioner to determine whether the practitioner may or may not have clinical privileges with respect to, or membership in, the hospital, to determine the scope or condition of such privileges or membership, or to change or modify such privileges or membership.

Examples of Professional Review Action in a sentence

• Notwithstanding any other provision of this Policy, no Practitioner shall be entitled, as of right, to more than one hearing with respect to a Professional Review Action or Summary Suspension taken against that Practitioner.

• If a Professional Review Action is deemed final, or if a Practitioner voluntarily relinquishes participation in the Plan or if a Practitioner waives a hearing in exchange for the Plan foregoing an investigation and/or peer review committee action, such actions shall be reported to all appropriate agencies, boards, or other entities in accordance with applicable law/regulation.

• When a hearing is waived, the Vice President Quality Management or his/her designee shall decide whether a proposed Professional Review Action shall become effective or a Summary Suspension shall remain in effect against the Practitioner.

• The Vice President Quality Management or his/her designee shall give prompt written notice of a proposed Professional Review Action or a Summary Suspension to an affected Practitioner.

• The Practitioner has the burden of proving by a preponderance of the evidence that the proposed Professional Review Action or Summary Suspension lacks any reasonable basis or that the conclusions drawn therefrom are arbitrary and capricious.

More Definitions of Professional Review Action

Professional Review Action means a recommendation by a professional review panel (with at least a majority vote) to affect adversely the clinicalprivileges of a physician or dentist taken as a result of a professional review activity based on the competence or professional conduct of an individual physician or dentist in cases in which such conduct affects or could affect adversely the health or welfare of a patient, or patients. An action is not considered to be based on the competence or professional conduct of a physician or dentist, if the action is primarily based on:

Professional Review Action means an action or

Professional Review Action means professions review action as defined in the Health Care Quality Improvement Act of 1986.

Professional Review Action means an action or recommendation of a health care entity: (1) taken in the course of professional review activity; (2) based on the professional competence or professional conduct of an individual health care practitioner which affects or could affect adversely the health or welfare of a patient; and (3) which adversely affects or may adversely affect the clinical privileges or membership in a professional society of the health care practitioner.

Professional Review Action means an action taken in the process of a professional review or on account of professional review information. Professional review actions include, but are not limited to: appointment, non-appointment, reappointment and non- reappointment to a Medical Staff of a facility; corrective action proceedings or appeals in a facility; preparation of reports upon conduct of a Health Professional's activities in a facility; and a recommendation or imposition of discipline or restrictions upon the professional activities of a Member.

Professional Review Action means any action of a professional review committee taken to evaluate either the qualifications, the patient care provided, or the merits of a complaint against a Practitioner, provided that the evaluation of any such complaint shall include a determination or recommendation concerning the complaint.

Professional Review Action means any action or recommendation of a Professional Review Body which is taken or made in the conduct of Professional Review Activity, which is based on