More Articles from NorthGauge Healthcare Advisors
  • No Harm Physician Peer Reviews

    Does No Harm Mean No Deviation?

    September 16, 2020 | Posted in Healthcare Consulting

    It is quite common for hospitals to conclude that if a patient was not harmed, there was either no deviation from standard of care or the deviation was of little significance.  It is unreasonable to rule out deviations from standard of care on the basis of an acceptable outcome or the absence of patient harm. … Read more…

  • Leadership Vigilance:  Critical to Medical Staff Success

    August 23, 2020 | Posted in Healthcare Consulting

    It’s not enough to have a well-designed peer review program.  The right procedures, policies, structure and leadership are critical.  But building a home correctly is just the beginning.  Living in it requires much more than just being couch potatoes.  When it’s new, living is easy and little maintenance or effort is needed.  But with time, … Read more…

  • Doctor Review With Peer and Staff

    One Pill for Healthcare: Require that RBAs Include Presentation of Costs

    May 11, 2020 | Posted in Healthcare Consulting

    Clinicians are very familiar with the acronym “RBA”: risks, benefits and alternatives.  The professional and legal standard is that RBAs be presented and discussed openly and honestly between physicians and patients before treatment.  The reason is to put the patient in a position of making an informed decision.  With rapidly escalating out-of-pocket cost impact on … Read more…

  • When Cases Individually Meet Standard of Care, But Collectively They Don’t

    March 23, 2020 | Posted in Healthcare Consulting

    I am honored to serve as the Chief Medical Officer of NorthGauge.  I was recently called upon to review 20% of a physician’s procedures over a six-month period, encompassing a spectrum of varying procedures the surgeon had performed.  Although I had no knowledge as to how the cases were selected, I presumed that they were … Read more…

  • News Physician Peer Review Services

    Peer Review in a World of Automation

    February 17, 2020 | Posted in Healthcare Consulting

    Our world is turning more and more toward automation of seemingly everything. A quick swipe of a credit card is faster than dealing with a cashier. It seems that almost everything is available to be purchased online and delivered to your door within hours if you so desire. You can bid for goods and services … Read more…

  • Avoiding Conflict at the Expense of Patient Safety: Implications for Physician Peer Review

    December 3, 2019 | Posted in Healthcare Consulting

    Physician peer review holds tremendous potential to improve quality and reduce risk.  But without trust, peer review can be a nightmare.  It is widely held that only when peer review is non-threatening to physicians can trust be built and maintained, allowing peer review to achieve its objectives.  If the core of peer review strategy is … Read more…

  • Quarterback Hospital Peer Review Process

    Reducing Bias In Peer Review

    November 6, 2019 | Posted in Healthcare Consulting

    Though often unavoidable, steps can be taken to reduce the influence of bias on internal and external peer review processes.  Several forms of bias arise in peer review, namely: outcome bias, hindsight bias, reviewer bias, and case selection bias.  Some of these issues are more challenging to address, but all can be mitigated with a … Read more…

  • Is Emotional Intelligence the Missing Link?

    October 27, 2019 | Posted in Healthcare Consulting

    I read with great interest an article in the September/October 2014 Journal of Healthcare Management titled Good to Great: Using 360-Degree Feedback to Improve Physician Emotional Intelligence.  This article makes a compelling case for the use of emotional intelligence (EI) assessment and training tools to enhance physician effectiveness, address and reduce disruptive behavior, improve teamwork … Read more…

  • Know when to consult your attorney!

    July 26, 2019 | Posted in Healthcare Consulting

    Having had a front row seat to thousands of peer review efforts, I can say with confidence that one of the most common and costly mistakes is failing to engage competent legal counsel until after preventable troubles arise.  Not every peer review situation requires the assistance of an attorney.  But sometimes, involving the right attorney … Read more…

  • Bear with Trash Metaphorically Improving Medical Staff

    Peer Review Records: Garbage In, Garbage Out

    April 17, 2019 | Posted in Healthcare Consulting

    It’s not easy to find examples of when putting garbage into a process generates something valuable.  A recycling program that takes what would otherwise be trash and converts it into new products comes to mind.  Or artists who turn junk into unique creations.  But when it comes to physician peer review, it’s garbage in, garbage … Read more…


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