Synergy - January/February 2014 - 11

industry feature

NAMSS CE QUIZ:
Questions on Dealing with the Disruptive Practitioner
See worksheet on page 28.
1. Once a practitioner's
performance has improved, it is
entirely appropriate to remove
documentation of past
disruptive incidents from the
practitioner's file.
a. True
b. False
2. The first step in a disruptive
practitioner policy is to have a
statement in the medical staff
bylaws to the effect that each
practitioner is expected to
comply with all medical staff
bylaws provisions, policies, and
procedures relating to behavior
and performance.
a. True
b. False
3. When a medical staff member
is not meeting performance
and/or disciplinary policy, the
following action should
immediately be taken:
a. The hospital CEO should
refer the matter to the
hospital board for
appropriate action.
b. The department chairman
should meet with the
practitioner to discuss
the matter.
c. The medical executive
committee should initiate
disciplinary proceedings.
4. When a first disruptive incident
occurs, the department
chairman should meet with the
practitioner and inform him/her
of the nature of the problem
and the action that is necessary
to correct it.

a. True
b. False
5. After meeting with the
practitioner and discussing what
action should be taken, the
department chairman should
always prepare a memorandum
for the practitioner's file
detailing the discussion and the
plan of action.
a. True
b. False
6. When there is a second
incident of disruptive behavior,
the department chairman
should take the following
action:
a. Issue a written reprimand to
the practitioner.
b. Inform the practitioner in
writing that if there is a
future incident, the matter
will be referred to the
medical executive committee
for appropriate sanction
under the corrective action
procedures.
c. Prepare a memorandum for
the practitioner's file detailing
the problem, the meeting
and the action taken.
d. All of the above.
7. Where there is serious
misconduct, the matter should
be referred to the medical
executive committee for
corrective action immediately,
disregarding the series of steps
in the progressive policy.
a. True
b. False

8. There are several good
programs available dealing with
correcting disruptive behavior.
The medical executive can
require the offending
practitioner to attend one of
these programs, rather than
taking a formal adverse action.
a. True
b. False
9. Where there is serious
misconduct, the department
chairman should immediately
suspend the practitioner before
referring the matter to the
medical executive committee.
a. True
b. False
10. Where there is ample
evidence that the disruptive
behavior is a continuing
problem, and the medical staff
has made every effort to
correct it with a progressive
policy, the medical executive
committee can demonstrate
that it took the adverse action
based on a substantial factual
basis and that its action was
not arbitrary, unreasonable,
or capricious.
a. True
b. False

Take this quiz online
and receive your results
immediately!
Click the SYNERGY Quizzes
link in the Headlines section of
www.namss.org.

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Synergy - January/February 2014

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