Health Information Technologies and Processes

Suspension of Privileges?

  • 1.  Suspension of Privileges?

    Posted 07-25-2019 14:56
    Has anyone stopped the practice of actually suspending the privileges of providers for delinquent records but rather uses another disciplinary process?  Have you had any issues with this related to The Joint Commission or CMS Surveys?

    I am  working on revising our Medical Staff Rules and Regs and the CMO wants to delete the action of suspending privileges,  since we are a small hospital and we don't actually ever suspend anyone.
    Donna Hofer, RHIA
    Director, HIM Department
    RML Specialty Hospital

    Donna Hofer, RHIA
    Director, Him Department
    RML Specialty Hospital

  • 2.  RE: Suspension of Privileges?

    Posted 07-25-2019 15:28



    We continue to suspend providers but we also have a system based practice dashboard that focuses on key items selected by our organization that we need may need improvement. This gets funneled up to our Medical Executive Committee and Board of Trustees. It has been quite effective.




  • 3.  RE: Suspension of Privileges?

    Posted 07-26-2019 07:21
    ​We stopped suspending physicians many years ago, as it was ineffective.....physicians would just have their partner admit for them - put the patient in the middle of the physician's problem........instead, we have a monetary fining system which seems to work pretty well.........there are certainly still delinquent physicians, but they are more motivated to get the charts done than with the suspension approach.

    Wendy Mangin
    Executive Project Director
    Good Samaritan

  • 4.  RE: Suspension of Privileges?

    Posted 07-26-2019 08:26
    If anyone has a policy they would be willing to share it would be great.  We are also a small hospital and our policy isn't great.  We do everything possible to not suspend and really our biggest issues aren't our regular physicians that admit, but the sepcialists that consult that are only on site weekly or monthly.  They don't normally admit anyway so suspending admission privileges doesn't ​mean a whole lot to them.  Thanks,

    Pamela Gonterman
    Director of His/Coding

  • 5.  RE: Suspension of Privileges?

    Posted 07-26-2019 08:49


    I agree with you!!  I am looking for help too.  Hopefully someone out there has something they are willing to share.



  • 6.  RE: Suspension of Privileges?

    Posted 07-26-2019 10:15
    ​Hi Donna:

    We continue to suspend for medicine providers, however for surgeons/proceduralist - we have recently changed our policy - if the surgeon/proceduralist has delinquent records they cannot schedule any new procedures/surgeries until the records are completed.

    Marcia Matthias
    Corporate Director Health Information/Privacy Officer
    Southern Illinois Healthcare

  • 7.  RE: Suspension of Privileges?

    Posted 07-26-2019 12:43
    I would be interested in seeing other policies as well.  We have never suspended privileges, but at some point in the past we withheld some type of bonus that they received, but honestly - for the chronic offenders, this was not really effective either.   Our problem physicians are in-house, employed physicians, and most of them are okay, but we have a few that we have a constant battle with, and we usually end up having to write multiple accounts off because of this.​

    Karen Evans
    Him Director
    Yuma District Hospital

  • 8.  RE: Suspension of Privileges?

    Posted 07-29-2019 11:46
    Our policy says:

    ​When suspended from the staff, the physician may not see patients, including those previously scheduled for surgery, and may not attend patients in active
    labor.  In unusual circumstances, patients may be admitted after consultation with an approval by the Chief of the Clinical Department concerned, or the
    Medical Staff President, who will then notify the Hospital.  The physician may regain membership on the staff only by completing all of his/her incomplete delinquent records.

    Cheryl Ervin, RHIT
    Coordinator, Health Information Management
    Community Hospital of Bremen