Composition of Peer Review Boards
There is no one standard composition of Medical peer review bodies, nor are there different names for peer review bodies of varying constituent parts. They may be carried out by State medical boards (with different standards for membership), hospital administration, senior staff, department heads, etc., or a combination of these.
State medical boards conduct peer review of licentiates, composed of physicians only or including attorneys and other non-physicians, varying by state. Physicians may be board members in primarily advisory capacities. Medical peer review may be carried out by committees that may include physicians not on the board. The same is true of state boards run by physicians from that state; board physicians or physicians unaffiliated with the board may be in medical peer review committees.
In hospitals, only a peer review committee authorized by the physician medical staff is authorized to take action regarding a physician's medical privileges at that institution. A committee convened by the hospital administration or other group within the hospital may make disciplinary recommendations to the physician medical staff.
Departmental peer review committees are composed of physicians, while hospital-based performance-appraisal and systems-analysis committees may include nurses or administrators with or without the participation of physicians.
Although medical staff bodies utilize hospital attorneys and hospital funds to try peer review cases, the California Medical Association discourages this practice; California legislation requires separation of the hospital and medical staff.
Nursing professionals have historically been less likely to participate or be subject to Peer Review. This is changing, as is the previously limited extensiveness (for example, no aggregate studies of clinical nursing peer review practices had been published as of 2010) of the literature on nursing peer review
In response to the Health Care Quality Improvement Act of 1987, (HCQIA) (P.L. 99-660 ) national medical associations' executives and health care organizations formed the non-profit American Medical Foundation for Peer Review and Education to provide independent assessment of medical care.
Read more about this topic: Medical Peer Review
Famous quotes containing the words composition of, composition, peer, review and/or boards:
“Viewed freely, the English language is the accretion and growth of every dialect, race, and range of time, and is both the free and compacted composition of all.”
—Walt Whitman (1819–1892)
“When I think of God, when I think of him as existent, and when I believe him to be existent, my idea of him neither increases nor diminishes. But as it is certain there is a great difference betwixt the simple conception of the existence of an object, and the belief of it, and as this difference lies not in the parts or composition of the idea which we conceive; it follows, that it must lie in the manner in which we conceive it.”
—David Hume (1711–1776)
“I peer eagerly into every gap in a fence of a zipper.”
—Mason Cooley (b. 1927)
“Americans have internalized the value that mothers of young children should be mothers first and foremost, and not paid workers. The result is that a substantial amount of confusion, ambivalence, guilt, and anxiety is experienced by working mothers. Our cultural expectations of mother and realities of female participation in the labor force are directly contradictory.”
—Ruth E. Zambrana, U.S. researcher, M. Hurst, and R.L. Hite. “The Working Mother in Contemporary Perspectives: A Review of Literature,” Pediatrics (December 1979)
“Strange that so few ever come to the woods to see how the pine lives and grows and spires, lifting its evergreen arms to the light,—to see its perfect success; but most are content to behold it in the shape of many broad boards brought to market, and deem that its true success! But the pine is no more lumber than man is, and to be made into boards and houses is no more its true and highest use than the truest use of a man is to be cut down and made into manure.”
—Henry David Thoreau (1817–1862)