Medical Staff Bylaws — Session 3 Collegial Intervention & Peer Review Activities

March 7, 2017 - 1:00 pm to 2:00 pm (ET)

FACULTYLinda Haddad and Susan Lapenta

Join us:  A key to excellent leadership is excellent learning!

Designed to be informative for any Medical Staff member, 2017’s Grand Rounds should be particularly helpful for Medical Staff Leadership:  Medical Staff Officers, members of the Medical Executive Committee, Department Chairs, Chairs of the Credentials and Peer Review Committees, and the Chairs of other key Medical Staff committees. 

If you have new members in any of these important positions, this is a not-to-be-missed opportunity for direct education that we guarantee will be helpful to them in their new roles.

Medical Staff leaders have begun to embrace their responsibility to “give every medical staff member the best chance to be successful.”   Rather than permitting small issues — documentation failures, inappropriate comments, inappropriate hospitalization — to mount, early intervention is the opportunity to alert the physician to the concern, remind him or her of the rules and guide appropriate behavior.   You call that “collegial intervention.”  It works!  But it must be structured the right way.

The Bylaws should make it clear that even this informal process is part of your peer review, subject to the same rules and protections, such as documentation and mandatory participation.  And, because collegial intervention is not as easy as it may seem, careful planning improves the likelihood of success.

Listen live on March 7, 2017.  Or, purchase the recording (mp3 or CD) of this audio conference to share with Medical Staff members at an upcoming meeting or throughout the year.

Audio conference registration (includes MP3): $250/line

(Additional lines are $50 extra, limit 2 additional lines. Please call us to set up additional lines.)

Audio CD or MP3 only: $250

Click here for a registration form to print and fax to us at 412.687.7692.

This audio conference is part of our Grand Rounds series. Order the entire series and receive a discounted rate.


  • What should the Bylaws say about collegial intervention?
  • Conflict of interest guidelines
  • Attorney participation in peer review meetings
  • Notice to practitioner of reported concerns
  • Notice to practitioner of information to be added to credentialing/peer review file
  • Mandatory attendance at collegial intervention meeting

Learning Objectives

Upon completion of this audio conference, participants should be able to:

  1. better develop performance improvement plans to address concerns about practitioners’ clinical performance;
  2. define the benefits of utilizing collegial intervention and other progressive steps for addressing these issues in a constructive manner, rather than immediately pursuing disciplinary action; and
  3. identify and implement processes to maximize participation in the process.

Education Credit

Instructions on how to obtain your Continuing Education certificate for audio conferences will be e-mailed to the contact person for your organization at the conclusion of each audio conference.

Category 1 CME

Joint Provider Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Pittsburgh School of Medicine and HortySpringer Seminars.  The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

CEUs Credit

Other health care professionals are awarded 0.1 continuing education units (CEUs), which is equal to 1 contact hour.

NAMSS Continuing Education Credit

This course has been approved for National Association of Medical Staff Services (NAMSS) continuing education credit and NAMSS hereby awards 1.0 NAMSS continuing education credits for participation in this activity.  Accreditation of this educational content in no way implies endorsement or sponsorship by NAMSS.



Mix and Match:  $250 for each individual Grand Rounds audio conference.

Audio Conference Registration:   $1,850/line for all twelve 2017 monthly Grand Rounds (includes BONUS Session entitled Guide to Drafting and Adopting Medical Staff Bylaws, Policies and Rules & Regulations, recorded on December 13, 2016).

Audio Conference & MP3:     $1,850 for all 2017 monthly Grand Rounds (Participation and MP3).

CD Only:     $1,850 for all 2017 monthly Grand Round recordings.

MP3 Only:    $1,850 for all 2017 monthly Grand Round recordings.