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Strategies for eliminating unfairness in peer review.

Physicians often find themselves the victims of uninformed peer review practices whereby hospital boards make decisions regarding medical staff privileges without adequately evaluating the charges and without affording physicians the appropriate due process protections. In addition to damaging a physician's reputation, such unfair review practices can lead to liability exposure and expensive and prolonged litigation. This article describes how medical staff physicians and hospital board members can avoid these problems by taking an active and informed role in the peer review process.

Constitution and Bylaws↗

Federal court's decisions will clarify the Health Care Quality Improvement Act.

Peer reviewers are anxiously awaiting the decision of the U.S. Court of Appeals for the Ninth Circuit in two antitrust cases. Both cases, Smith v. Ricks and Fobbs v. Holy Cross Health System Corp., were fully briefed and argued on the same day earlier this year, and the decisions are expected sometime this summer. In both matters, the court is expected to flesh out the meaning of the Health Care Quality Improvement Act of 1986, commonly known as "HCQIA." Based on contemporary press accounts of the parties' oral arguments before the court, however, it is uncertain whether the decisions will strengthen or weaken medical staff peer review.

California↗