A managed care peer review committee should obtain which of the following first?
A.
clinical practice guidelines
B.
confidentiality statement
C.
copies of themedical licenses
D.
statement of authenticity
The Answer Is:
B
This question includes an explanation.
Explanation:
A managed care peer review committee should first obtain a confidentiality statement. Confidentiality is crucial in peer review processes to protect patient privacy and ensure that the discussions and findings are secure and do not expose the organization or participants to legal risks. Obtaining confidentiality agreements ensures that all committee members are committed to maintaining the privacy of the information reviewed.
Clinical practice guidelines (A): These are important for the review process but are not the first step.
Copies of the medical licenses (C): While necessary for credentialing, they are not directly related to the initial step of ensuring confidentiality.
Statement of authenticity (D): This may be important for verifying documents but is secondary to ensuring confidentiality.
References
NAHQ Body of Knowledge: Peer Review Processes in Managed Care
NAHQ CPHQ Exam Preparation Materials: Confidentiality in Quality and Peer Review
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