The following actions must be reported:
Professional review action based on a practitioner’s professional competence or professional conduct that adversely effects his/her clinical privileges for a period of more than 30 days
Acceptance of the surrender or restriction of clinical privileges while the practitioner is under investigation by the hospital or health care entity relating to possible professional incompetence or improper professional conduct
Only final actions are reported. A final, reportable action occurs when the Corporate Credentials Committee makes a final decision on the course of action to be taken after considering all available information including the report of any appeal hearing panel, if such was convened. MHNet’s legal counsel reviews all action prior to reporting.
The information must be reported within seven days of the adverse action being taken.
For final, reportable actions, reports are made to:
A practitioner can appeal any decision and a hearing will be conducted within 30 days.