Discovery Event Complaint Suspicion

1. Summary suspension not greater than 15-day + optional 15-day extension in writing – 30 day total. Discovery Event Complaint Suspicion Adverse Privileging Process Schematic Abeyance CQ Investigation Report in writing findings and recommendations to Credentials Committee – reviews report + if findings supported? Peer Review - 3 providers objective + similar background/specialty to provider under review. Notify provider of date of peer review + opportunity to submit a written statement. No right to appear or to attorney. Peer review determinations + recommendations NO Yes Return to Status + destroy papers END Provider requests hearing? END No further appeal. 2499 to MEDCOM for possible report to NPDB. Credentials Committee recommendations thru ECMS to MTF Commander – reviews and approves or disapproves + written notification of decision + hearing rights to provider. NO Yes Ch 10 AR 40-68 Legal Standard: Preponderance Findings and Recommendations Provider - Right to request reconsideration. Automatic appeal. Written notice of decision + basis MTF Commander RMC For review Reconsideration MEDCOM QM OSJA NPDB/State Agencies