Managed Care Nursing

Category - Healthcare Management

Select the option that indicates incorrect interpretation of physician profiling program guideline.
  1. Physician involvement in the development of processes, goals and measures
  2. Physician involvement in the feedback and appeals loops
  3. Maintain clear lines of distinction between single physician and peer group comparisons
  4. Develop clearly stated measures with explanation of data sources
  5. Use criteria based on provider competency and report card data
Explanation
Answer: E - Physician profiling program guidelines do not include criteria based on provider competence and report card data.

There are guidelines that include physician involvement in the development of processes, goals and measures, feedback and appeals loops and involvement with explanation of data measures and sources.
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