CPCS Credentialing Cases Latest Update Graded A+

CPCS Credentialing Cases Latest Update Graded A+ Darling v. Charleston Fact: Negligent treatment resulting in amputation of teenagers leg Key: Charitable Immunity Doctrine Johnson v. Misericordia Fact: Patient injured by physician who failed to disclose malpractice cases Key: Negligent credentialing; failure of initial credentialing Elam v. College Park Fact: Podiatrist's negligence Key: Negligent Credentialing Patrick v. Burget Fact: Peer review for anti-competitive reasons Key: HCQIA, Violation of Federal Anti-trust Laws Robinson v. Magovern Fact: Physician denied privileges because of shortage of OR space and failure to publish MD on seven other staffs, not able to contribute to teaching program Key: Hospitals may determine proper limitation on competition within the hospital Miller v. Eisenhower Fact: Inability to work with others; no quality of care problems Key: Disruptive behavior must be patient care related Rao v. Auburn General Fact: Denied priv after hospitals reported substandard work and emotional instability Key: Disruptive behavior, personality may be considered if it affects ability to practice Boyd v. Albert Einstein Fact: IPA type HMO advertising as providing medical care held liable for member MD's negligence Key: MCO liable for practitioners action Harrell v. Total Health Fact: State law granted immunity to non-profit health plans; MCO not liable for negligent credentialing Key: Negligent credentialing; failure to credential McClellan v. Health Maintenance Fact: MCO liable for providers action Key: Ostensible Agency Mathews v. Lancaster Fact: HCQIA immunity; presumption of good faith upheld Key: HCQIA burden on phyician to prove bad faith peer review Bell v. Sharp Cabrillo Fact: Hospital liable for physician's actions due to its failure to request data from other hospital about basis for its summary suspension. Key: Negligence in Reappointment Hongsathavij v. Queen of the Angels Fact: Physician taken off back-up panel for failing to accept patient. Key: Governing body is ultimate authority Mahmoodian v. United Hospital Center Fact: Physician's disruptive behavior may adversely affect patient care Key: Disruptive Behavoir Oskooi v. Fountatin Valley Fact: Ophthalmologist did not disclose all prior hospital affiliations on applications Key: Failure to disclose Webman v. Little Company Fact: Physician refused to authorize release of information by prior hospital Key: Duty to credential, Reasonable application requirements Kadlec v. Lakeview Fact: Hospital gave privieleges to anesthesiologist who had a history of substance abuse. Key: Reference letters were false leading to liability on their part. Hospital had no legal duty to disclose investigation and knowledge of drug problems. Frigo v. Silver Cross Fact: Podiatrist did not meet initial or revised criteria for Level II surgical privileges but was was granted privileges Key: Doctrine of Corporate Negligence - Negligent Credentialing