Policies on Confidentiality & Access to Peer Review Files

December 5, 2017 - 1:00 pm to 2:00 pm (ET)

FACULTY:  Nick Calabrese and Ian Donaldson

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.

Do you dread taking minutes at committee meetings because you take notes on everything that is said, and always end up with writer’s cramp?

Do you live in fear of picking up the phone, nervous that it might be Dr. Smith, demanding that he be allowed to see his entire credentials file, and that he’ll be down in five minutes?

Do you lie awake at night worried that, by giving the hospital-owned physician group information on Dr. Jones, you have blown through all the peer review protections?

Join us for Policies on Confidentiality and Access to Peer Review Files where we try and put your worries to rest!

Listen live on December 5, 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.


  • Committee minutes — are they your best friend or your worst enemy?
  • Credentialing and peer review files — what goes in? What comes out?
  • Access to confidential files
  • Sharing of information within the health care system/Information-sharing agreements


Learning Objectives

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

  1. identify what does and does not belong in credentials and quality files, as well as who can and cannot access them;
  2. recognize the challenges to confidentiality; and
  3. examine the limitations of sharing information within a system and the safeguards you can use to manage those limitations.

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.