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Ch. 189
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2002 LAWS OF MARYLAND
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(2000 Replacement Volume and 2001 Supplement)
BY repealing and reenacting, with amendments,
Article—Insurance
Section 15-112.1
Annotated Code of Maryland
(1997 Volume and 2001 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Health - General
19-319.
(e) (1) IN THIS SUBSECTION, "UNIFORM STANDARD CREDENTIALING FORM"
MEANS THE FORM DESIGNATED BY THE SECRETARY THROUGH REGULATION FOR
CREDENTIALING PHYSICIANS WHO SEEK TO BE EMPLOYED BY OR HAVE STAFF
PRIVILEGES AT A HOSPITAL.
(2) As a condition of licensure, each hospital shall:
(I) [establish] ESTABLISH a credentialing process for the
physicians who are employed by or who have staff privileges at the hospital; AND
(II) USE THE UNIFORM STANDARD CREDENTIALING FORM
PURSUANT TO § 15-112.1 OF THE INSURANCE ARTICLE AS THE INITIAL APPLICATION
OF A PHYSICIAN SEEKING TO BE CREDENTIALED.
(3) USE OF THE UNIFORM STANDARD CREDENTIALING FORM DOES NOT
PRECLUDE A HOSPITAL FROM REQUIRING SUPPLEMENTAL OR ADDITIONAL
INFORMATION AS PART OF THE HOSPITAL'S CREDENTIALING PROCESS.
(2) (4) The Secretary shall, by regulation and in consultation with
hospitals, physicians, interested community and advocacy groups, and
representatives of the Maryland Defense Bar and Plaintiffs' Bar, establish minimum
standards for a credentialling process which shall include:
(i) A formal written appointment process documenting the
physician's education, clinical expertise, licensure history, insurance history, medical
history, claims history, and professional experience.
(ii) A requirement that an initial appointment to staff not be
complete until the physician has successfully completed a probationary period.
(iii) A formal, written reappointment process to be conducted at
least every 2 years. The reappointment process shall document the physician's
pattern of performance by analyzing claims filed against the physician, data dealing
with utilization, quality, and risk, a review of clinical skills, adherence to hospital
bylaws, policies and procedures, compliance with continuing education requirements,
and mental and physical status.
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