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Navy Adverse Privileging Actions

Navy Adverse Privileging Actions. BUMEDINST 6320.67A w/Ch 1. Adverse Action Triggers. Impairment – Characteristic or condition which may adversely affect the ability to render quality healthcare (3 Types: Professional, Behavioral, and Medical)

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Navy Adverse Privileging Actions

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  1. Navy Adverse Privileging Actions BUMEDINST 6320.67A w/Ch 1

  2. Adverse Action Triggers • Impairment – Characteristic or condition which may adversely affect the ability to render quality healthcare (3 Types: Professional, Behavioral, and Medical) • Misconduct – violations of criminal law or laws regulating the practice of medicine or allied health care professions

  3. Privileging Authority Decisions • Type of investigation (preliminary or formal) • Removal from patient care duties • Abeyance (decision in 28 days) • Summary Suspension (= Hearing)

  4. Hearing Procedures • Panel of 3 -5 Members • Represented by Counsel • Evidence disclosed in advance • Verbatim transcript • Written Panel Report • Respondent comments on Report • PA makes final decision

  5. Appeal Rights • Respondent has 14 days to appeal • PA endorses appeal to BUMED • Standard for appeal – abuse of discretion • BUMED Legal reviews case file for compliance with due process, supporting evidence for decision, and seeks recommendation by Corps Chief

  6. Surgeon General Decision • Case file reviewed by SG for decision • If appeal is denied, final adverse action is reported to NPDB, FSMB, and State(s) of Licensure • If appeal is granted, in whole or in part, case will only be reported if final decision is adverse • SG decision is final action on case

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