To ensure that the credentials committee benefits from interested, experienced, and knowledgeable members, the members of the credentials committee should be able to serve significant tenures (e.g., three or more years).

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A robust peer review process often hinges on collaboration among a variety of disciplines. Specific participants are selected according to medical staff policies and procedures. In addition to the practitioner and the designated reviewer, additional support staff, including medical staff professionals (MSP) and quality professionals, may participate as specified in their job descriptions and/or by invitation (e.g., by a vote of the MEC or peer review committee members).

Regulators continue to put pressure on hospitals to ensure physician competence through an effective peer review process. Medical staff leaders are charged with organizing and managing a robust approach to peer review. This policy outlines one approach to the challenge of medical staff peer review.

Airlines and aviation have often been held up as standards for safety, but can what they do apply to hospitals, clinics, labs, and other healthcare organizations? This is Part 2 of an interview with Jeffrey Salvon-Harman, MD, CPE, CPPS, vice president at the Institute for Healthcare Improvement (IHI) and an aviation safety expert.