Medical license verification


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Medical license verification

  1. 1. Medical License Verification to Minimize Medical Negligence and Medical MalpracticeA 1984 Harvard study of more than 30000 records from 51 randomly selected hospitals inNew York found that adverse medical events occur in the more than 3.7% of patientsadmitted and that more than a quarter of these were due to medical negligence. Close to14% of the adverse medical events were fatal and 2.6% resulted in severe disability. Whenextrapolated to the 2.7 million patients discharged from New York hospitals that year about13,450 people died and 2250 were seriously injured. (When Doctors Kill By Stephen J.Cina, Joshua A. Perper).These are the stats which are showing the medical malpractice and medical negligenceissues of the most prominent and advanced city of the world. After reading those horriblefigures one can understand that the world is suffering from medical malpractice andnegligence on a much higher scale and the prevention only lies when we background checkour doctor or medical practitioner through primary source verification, medical credentialingand by medical license verification.Investigation and verification of medical license can assure you the safety and integrity ofthe doctor or a medical practitioner you are going to get treated. To practice medicine, apractitioner must obtain a license from the appropriate state licensing agency (i.e. statemedical board). A physician usually applies for a state license after completing medicalschool and passing an examination that established his or her knowledge in the basicsciences.When a medical professional is suspected of a board violation, he or she will likely beinvestigated to determine if disciplinary action is necessary. The conditions for disciplinevary from board to board and state to state, but there are some rules that are adopted byall or almost all professional boards. Some of the common grounds for discipline include: License registration or renewal fraud Verify license, expiration date, and sanctions or limitations. Medical practice misconduct, fraud, or negligence Committing a health law violation Practicing while a license is pending or suspended Practicing while under the influence of alcohol or drugs Alcohol or drug dependency Committing a criminal offense Qualifying as mentally unstable or insaneCore Criteria for Medical License VerificationThe core criteria followed by different international organizations like joint commissioninternational for medical license verification is performed at the time of initial appointment,and at the time of each reappointment and/or re-privileging, and is recommended at thetime of license expiration. The following points must be considered while performing PSV: • Date and time of the license issuance. • State of licensure, license number, date of original licensure and expiration date • Name (first and last) of the person initiating the verification call • Name (first and last) of the person verifying the information
  2. 2. • Are there any current, past, or pending restrictions on the license? • Are there any current, past, or pending disciplinary actions against the practitioner?Peer Referencing is Essential for Medical License VerificationPeer Referencing is very important when medical license verification process is live. A peermust be someone who knows the doctor or medical practitioner from past three to fiveyears. If the applicant is finished training during past three to five years the peerreferencing letter must be from his/ her training program director. And at least onereference from the practitioners specialty which marks the reputation and competencyfactors.What to verify: 1. Relationship of the peer to the applicant 2. How the peer is aware of applicant’s current clinical competency 3. Validation by the peer of the applicants request for clinical privilegesPotential verification Method:Send a letter, and a questionnaire directly to the peer reference.ConclusionEvery medical professional must be licensed in order to legally practice medicine. Licensingboards are run at the state level and dictate the licensing requirements and conditions forall physicians or nurses within a particular state. These boards require all licensedindividuals to meet certain criteria in order to remain in good standing. If a doctor or nurseacts in a way that violates the code set by the board, he or she could be put on probation orcould have his or her license revoked altogether.