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

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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

Revisions include reversal of a Professional Review Action or reinstatement of the Practitioner’s participation in the Company’s programs or networks.
Upon notification that Reconsideration/Informal Review of a decision to terminate an HDO’s participation of a Professional Review Action was upheld by the CC, the credentialing staff will notify the entity via certified letter of the decision.
The time line that permits Practitioners or HDOs the opportunity to reapply for participation in one or more of the Company’s programs or networks, after a Professional Review Action has been taken by the Company Credentials Committee (CC) to deny or terminate the Practitioner’s or HDO’s participation varies depending upon the issues involved and is set forth herein.
When a Professional Review Action is taken by Company with respect to a professional Provider’s participation in one or more Company networks, Company may have an obligation to report such to the NPDB and/or HIPDB.
Upon notification that Reconsideration/Informal Review of a decision to terminate a Practitioner’s participation of a Professional Review Action was upheld by the CC, the credentialing staff will notify the Practitioner via certified letter of the decision.

More Definitions of Professional Review Action

Professional Review Action means an action or

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 of medical staff or allied health staff of a facility; corrective action proceedings, hearings or appeals in a facility; preparation of reports regarding conduct of a Hospital practitioner’s activities in a facility; and a recommendation or imposition of discipline or restrictions upon the professional activities of a Hospital practitioner.

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 professions review action as defined in the Health Care Quality Improvement Act of 1986.

Professional Review Action means an action or recommendation of a Peer Review Committee, taken in the course of a professional review activity, based upon a Practitioner's competence or professional conduct (which conduct affects or could adversely affect the health or welfare of a patient or patients), and which adversely affects (or may adversely affect) the Practitioner's Medical Staff Membership and/or Clinical Privileges. Such term includes a formal decision of a Peer Review Committee not to take an action or make a recommendation described in the previous sentence.

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

Professional Review Action means an action or recommendation of a Peer Review Committee, taken in the course of a professional review activity, based upon a practitioner's competence or professional conduct (which conduct affects or could adversely affect the health or welfare of a patient or patients), and which adversely affects (or may adversely affect) the practitioner's Medical Staff membership and/or clinical privileges, as applicable. Such term includes a formal decision of a professional review body not to take an action or make a recommendation described in the previous sentence. For clarity, Professional Review Actions do not include: (a) OPPE, (b) FPPE that is performed in relation to new or additional clinical privileges, (c) FPPE that is conducted as a matter of routine process and/or that otherwise does not otherwise constitute a non-routine investigation, or (d) actions that are Administrative Actions.