Medical Staff Credentialing

Minimizing Liability Arising from Negligent Credentialing and Physician Lawsuits

Recording of a 90-minute CLE webinar with Q&A

Conducted on Wednesday, June 15, 2011

Recorded event now available

or call 1-800-926-7926
Program Materials

This CLE webinar will prepare healthcare provider counsel on procedures healthcare entities should follow in medical staff credentialing, privileging and peer review. The panel will explain the consequences of failing to meet the standards and will outline best practices for mitigating liability.


Hospitals are increasing scrutiny of physician performance. Medical staff and physician participants in managed care entities are profiled and given regular reports on factors such as average length of stay, cost per visit, and whether the outcomes achieved compare favorably with their peers.

The focus on quality outcomes relies on data that show the physicians' current competency to perform to the standards of their clinical privileges. Hospitals that fail to take proper remedial action are subject to corporate negligence or negligent credentialing claims.

Listen as our authoritative panel of healthcare attorneys examines the procedures healthcare entities should follow in credentialing the medical staff—and the legal consequences for failing to do so. The panel will explain the privileging and the peer review process and outline best practices for mitigating liability.



  1. Healthcare reform’s impact on credentialing
    1. Physician profiling
    2. Pay for performance
    3. Appointment and reappointment
  2. Negligent credentialing case law — recent developments
  3. Joint Commission standards on focused and ongoing performance monitoring
    1. Standard 3.10
    2. Standards MS.4.10 though MS.4.45
    3. MS.4.30
    4. MS.4.40
  4. Defending against a corporate negligence claim
  5. Best practices to minimize liability for negligent credentialing
    1. Preventative steps
    2. Pay for performance
    3. Maximizing confidentiality protection under peer review statute
    4. Steps to ensure that data collected and reports prepared are treated as confidential
    5. Other forms of remedial action


The panel will review these and other key questions:

  • What are the key policies and procedures for healthcare entities to minimize liability for negligent credentialing?
  • What are the professional criteria that healthcare entities should require physicians to meet as the basis for granting initial or renewed clinical privileges?
  • What protections should healthcare providers have to keep peer review records from public scrutiny?

Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.


Adrienne E. Marting
Adrienne E. Marting

Balch & Bingham

Her healthcare practice focuses primarily on regulatory and litigation matters. She advises clients regarding...  |  Read More

Robert C. Threlkeld
Robert C. Threlkeld

Morris Manning & Martin

Mr. Threlkeld has substantial experience in Medicare and Medicaid fraud and abuse matters, managed care disputes,...  |  Read More

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