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Sharing Information from Credentials File
Last Post 14 Feb 2018 06:53 PM by catherine ballard. 1 Replies.
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Linda Marshall


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14 Feb 2018 06:03 PM
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I am the medical staff services professional at our hospital, and I am constantly receiving calls from our affiliated physician group asking for information about physicians that the group is thinking about employing, such as their social security number, licensure verification, etc. They get upset when I tell them I cannot share anything from the physician’s credentials file. Can I share anything? If I can’t, what else can I tell them so they will understand?
catherine ballard


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14 Feb 2018 06:53 PM
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I can appreciate your frustration. It is true in most states, and it is definitely true in Ohio, that you should not share any information with the group from a physician’s credentials file. When you do, you are taking protected peer review information and using it for a non-peer review purpose (employment). That means that (1) the information is not discoverable from the group’s file, and (2) if you do this on a regular basis, you run the risk of undermining the integrity of your entire peer review process. One option would be to create a centralized information office (that would be designated as peer review protected) that gathers all information and then distributes it to various components of the hospital and its affiliates (e.g., medical staff, physician group, managed care office, etc.). Whether the information is subject to discovery will depend upon where it is located i.e., it will be safe in the credentials file but it will be subject to discovery in the managed care file. This needs to be carefully set up so you should reach out to your legal counsel for assistance.
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