The medical staff develops and implements a process to identify and manage matters of individ...

(1)

The process to identify and manage matters of individual health for physicians and other licensed practitioners addresses the education of physicians or other licensed practitioners and other organization staff about illness and impairment recognition issues specific to practitioners (at-risk criteria).

(2)

The process to identify and manage matters of individual health for physicians and other licensed practitioners addresses self-referral by a physician or other licensed practitioner.

(3)

The process to identify and manage matters of individual health for physicians and other licensed practitioners addresses referral by others and maintaining informant confidentiality.

(4)

The process to identify and manage matters of individual health for physicians and other licensed practitioners addresses referral of the physician or other licensed practitioner to appropriate professional internal or external resources for evaluation, diagnosis, and treatment of the condition or concern.

(5)

The process to identify and manage matters of individual health for physicians and other licensed practitioners addresses maintenance of confidentiality of the physician or other licensed practitioner seeking referral or referred for assistance, except as limited by applicable law, ethical obligation, or when the health and safety of a patient is threatened.

(6)

The process to identify and manage matters of individual health for physicians and other licensed practitioners addresses evaluation of the credibility of a complaint, allegation, or concern.

(7)

The process to identify and manage matters of individual health for physicians and other licensed practitioners addresses monitoring the physician or other licensed practitioner and the safety of patients until the rehabilitation is complete and periodically thereafter, if required.

(8)

The process to identify and manage matters of individual health for physicians and other licensed practitioners addresses reporting to the organized medical staff leadership instances in which a physician or other licensed practitioner is providing unsafe treatment.

(9)

The process to identify and manage matters of individual health for physicians and other licensed practitioners addresses initiating appropriate actions when a physician or other licensed practitioner fails to complete the required rehabilitation program.

(10)

The medical staff implements its process to identify and manage matters of individual health for physicians and other licensed practitioners.