2017 HSC Section 2 - Practice Management

Academic Radiology, Vol 20, No 9, September 2013

THE DISRUPTIVE PHYSICIAN: A LEGAL PERSPECTIVE

http://caselaw.findlaw.com/us-3rd-circuit/1265356.html . Accessed July 12, 2013. 13. Bryan v. James E . Holmes Regional Medical Center , 33 F. 3d 1318 Ct of App, 11th Ct 1994. Available at: https://bulk.resource.org/courts.gov/c/ F3/33/33.F3d.1318.92-2963.html . Accessed July 12, 2013. 14. Mahmoodian v. United Hosp. Center, Inc., 404 SE 2d 750-W Va: Supreme Court of Appeals 1991 @ 761. Available at: http://wv. findacase.com/research/wfrmDocViewer.aspx/xq/fac.19910425_9996. WV.htm/qx . Accessed July 12, 2013. 15. Nanavati, 107 N.J. at 254, 526 A. 2d at 704. Available at: http:// scholar.google.com/scholar_case?case=8717450390906093469&q=% 22disruptive+physician%22&hl=en&as_sdt=2 . Accessed July 12, 2013. 16. McElhinney v. William Booth Memorial Hosp., 544 2d 216, 218 (Ky. 1977). Available at: http://scholar.google.com/scholar_case?case= 18139559487535384215&q=%22disruptive+physician%22&hl=en&as_ sdt=2 . Accessed July 12, 2013. 17. Lapenta S. Disruptive behavior and the law. Phys Exec 2004(September- October);27–29 . 18. Sussman v. Overlook Hosp. Ass’n, supra, 95 N.J. Super. at 495 (valid and constructive criticism of hospital practices should not be equated with potential disharmony); Health Care Law, supra, x 15.04[2][c] at 15-30. Available at: http://scholar.google.com/scholar_case?case= 14360292466732114920&q=%22disruptive+physician%22&hl=en&as_ sdt=2 . Accessed July 12, 2013. 19. Clark v. Columbia/HCA Info. Servs., 25 P. 3d 215-Nev: Supreme Court 2001. Available at: http://scholar.google.com/scholar_case?case= 6116276865515422600&q=Clark+v.+Columbia/HCA+Info.+Servs.+25+P. +3d+215+-+Nv:+Supreme+Court+2001.&hl=en&as_sdt=2 . Accessed July 12, 2013. 20. Brown v. Presbyterian Healthcare Services, Nos. 95-2293, 96-2013. November 29, 1996. Available at: https://bulk.resource.org/courts.gov/c/ F3/101/101.F3d.1324.95-2293.96-2013.html . Accessed July 12, 2013. 21. American Medical Association policies related to physician health. Avail- able at: www.ama-assn.org/resources/doc/physician-health/policies- physicain-health.pdf . Accessed July 12, 2013. 22. Rakatansky H. Report of the Council on Ethical and Judicial Affairs, subject: physicians with disruptive behavior. Available at: http://search0. ama-assn.org/main/jsp/templates/primaryJSP/fullview.jsp?keyword= report+of+the+council+on+ethical+and+judicial+affairs+disruptive& FilterList=&advancedSearch=&sort=&pagination= . Accessed July 12, 2013. 23. Behaviors that undermine a culture of safety. Sentinel Event Alert 2008;(40):1 . 24. Behaviors that undermine a culture of safety. Sentinel Event Alert 2008;(40):3 . 25. Behaviors that undermine a culture of safety. Sentinel Event Alert 2008;(40):2 . 26. Rogers v. Columbia/HCA, 971 F. Supp. 229 (W.D. La. 1997), aff’d, 140 F. 3d 1038 (5th Cir. 1998). Available at: http://scholar.google.com/scholar_ case?case=17642893823341522934&q=%22disruptive+physician%22& hl=en&as_sdt=2 . Accessed July 12, 2013. 27. 42 U.S.C. x 11112(a)(2).- Standards for professional review actions. [cited 2013 February 18]; Available at: http://www.gpo.gov/fdsys/granule/ USCODE-2010-title42/USCODE-2010-title42-chap117-subchapI- sec11112/content-detail.html . Accessed July 12, 2013. 28. Cowell, 153 Wn. App. at 931 (quoting Morgan, 101 Wn. App. at 770). Available at: http://scholar.google.com/scholar_case?case= 3317719683749263277&q=%22disruptive+physician%22&hl=en&as_ sdt=2 . Accessed July 12, 2013.

a violation of social and professional norms that interferes with patient care. Subsequently, it is imperative that each organiza- tion clearly defines and communicates what constitutes inappropriate behavior in order to establish normative behav- ior for the work environment. It is equally important that the process for addressing disruptive behavior be transparent, predicable, and fair (ie, follows due process). Following the procedural requirements of due process benefits all involved. The hospital and those involved in peer review are protected from liability. The accused physician can be protected from disciplinary actions that are motivated by other concerns than quality of care. Once an organization defines disruptive behavior and subsequently establishes and enforces a process for managing it, then the necessary culture changes can begin to minimize and/or prevent such behaviors. 1. Medical professionalism in the new millennium: a physician charter. Ann Intern Med 2002; 136(3):243–246 . 2. Rosenstein AH, O’Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg 2006; 203(1):96–105 . 3. Weber D. Poll results: doctors’ disruptive behavior disturbs physician leaders. Phys Exec 2004(September-October);6–14 . 4. Berlin L. Sexual harassment. AJR Am J Roentgenol 2006; 187(2):288–293 . 5. Samenow C, Swiggart W, Spickard A. A CME course aimed at addressing disruptive physician behavior. Phys Exec 2008;(1):27–28 . 6. American Medical Association opinion 9.045-Physicians with disruptive behavior. Available at: http://www.ama-assn.org/ama/pub/physician- resources/medical-ethics/code-medical-ethics/opinion9045.page . Ac- cessed July 12, 2013. 7. Even v.Longmont United Hospital Association, 629 P.2d 1100, 1103 (Colo. Ct. App. 1981) Available at: http://scholar.google.com/scholar_case?case= 421475526018415843&q=%22disruptive+physician%22&hl=en&as_sdt=2 . Accessed July 12, 2013. 8. Ladenheim v. Union County Hospital District, 76 Ill. App. 3d 90, 98, 31 Ill. Dec. 568, 574, 394 N.E. 2d 770, 776 (1979). Available at: http://www. state.il.us/court/Opinions/AppellateCourt/1996/1stDistrict/September/WP/ 1950368.doc . Accessed July 11, 2013. 9. Yarnell v. Sisters of St. Francis Health Services, Inc. , 446 N.E. 2d 359, 363 (Ind. Ct. App. 1983). Available at: http://www.leagle.com/xmlResult.aspx? xmldoc=1983805446NE2d359_1789.xml&docbase=CSLWAR1-1950-1985 . Accessed July 12, 2013. 10. Health Care Quality Improvement Act of 1986. 42 U.S.C. x 11151(9) (1988). Available at: http://www.ssa.gov/OP_Home/comp2/F099-660.html . Ac- cessed July 12, 2013. 11. Gordon v. Lewistown Hospital, 714 A. 2d 539-Pa: Commonwealth Court. 1998 Available at: http://caselaw.findlaw.com/us-3rd-circuit/1265356. html . Accessed July 12, 2013. 12. Gordon v. Lewistown Hospital , 714 A. 2d 539-Pa: Commonwealth Court 1998 See N.T., Dr. Fishter’s Testimony, 2/16/93, pp. 97–98. Available at: REFERENCES

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