Who has authority to sanction health care providers?
Top three (five): Limit rule to whats required under the statute: providers only No reporting until a final determination/conviction/finding has been made through a due-process proceeding For hospitals and other entities: quality review / QI / peer review Require personal knowledge of the inability to practice Clarity of definitions consistent with existing law, e.g., diminished capacity No required reporting by Insurers Joint commission hospitals Associations Impaired provider programs and licensees who work in these programs Coordination QI programs Managers / supervisors (or define better) Other concerns: No statutory authority to fine Require consultation with boards and commissions Consultation = meaningful discussion with opportunity to give comment on proposed rules Rules should be acceptable to boards and commissions No required reporting of confidential patient information RCW 5.60.060 Allow direct reporting to impaired practitioner program instead of to DOH.
