KELOMPOK 2

Negligent Credentialing: RS tidak melakukan kredensial dengan benar, sehingga riwayat pekerjaan Salinsky
sebelumnya tidak dapat diketahui. Salinsky juga menutupi tindakan kelalaian yang sebelumnya dilakukan
dengan menunjukan bahwa dia “bersih”.
 GENERAL ONGOING PROFESSIONAL PRACTICE EVALUATION

Name: Salinsky

Data source(s)
(in addition to credentialing file review)

Indicator

Not Applicable
Unacceptable

Not Observed/
Improvement
Acceptable

TREND
Needs
PATIENT CARE: v
1. Clinical Assessment of Patients
2. Quality of Patient Management Plans v
3. Clinical Competence and Judgement v
4. Appropriate and Timely Use of v
Consultants
5. Responds to Pages and Concerns; v
Availability
6. Patient/Family Education Including v
Discharge Instructions
7. Medication Management v
8. Supports National Patient Safety Goals v
Initiatives
9. Admissions and Assigned Level of Care v
Appropriate
10. Follows Accepted Management v
Guidelines/Standards of Care
Comments: Salinsky did has the competency, but the hospital did not
credentialed Salinsky appropriately.

Recommendations: Hospital credentials the physician by medical committee.

MEDICAL KNOWLEDGE v
1. Basic Medical Knowledge
2. Medical Knowledge – Specialty-Specific v
3. CME Requirements Satisfied v
4. Participates Willingly and Effectively in v
the Education of Medical Students and
Residents

2
 GENERAL ONGOING PROFESSIONAL PRACTICE EVALUATION

Name: Salinsky

Not Applicable
Unacceptable

Not Observed/
Improvement
Acceptable

TREND
Needs
5. Appropriate use of Laboratory and v
Imaging Services
Comments: Salinsky’s basic medical knowledge is poor.

Recommendations: Salinksy perlu mengupdate ilmunya lagi. Organisasi profesi

perlu mengkaji ulang rekomendasi izin praktik Salinsky untuk ditahan
sementara.

INTERPERSONAL AND v
COMMUNICATION SKILLS:
1. Relationship with Medical Staff and
Hospital Staff
2. Clarity of Records v
3. Histories and Physical Exam v
Documentation Complete and Timely
4. Progress Notes Documentation Complete v
and Timely
5. Collaborates with SBAR Method v
6. Uses Approved Standardized Orders v
(When Appropriate)
7. Signs Orders in a Timely Fashion v
Comments: No data.

Recommendations: -
PROFESSIONALISM: v
1. Respectful of Others
2. Collegial, Courteous, Pleasant, Positive v
with all Staff, Patients, and Families
3. Compassionate v
4. Accountable for Personal Behavior and v
Actions
5. Maintains Patient Confidentiality v
6. Maintains Confidentiality in all Peer v
Review Processes
7. Follows Ethical Principles at all Times v
8. Adheres to the Medical Staff By-Laws, v
Rules and Regulations, and Policies.

3
 GENERAL ONGOING PROFESSIONAL PRACTICE EVALUATION

Name: Salinsky

Not Applicable
Unacceptable
Improvement

Not Observed/

TREND
Acceptable

Needs
9. Quarterly Medical Staff, Committee, v
Department Meeting Participation and
Attendance
10. Participates Cooperatively and v
Constructively in Peer Review Activities,
Case Reviews, RCA’s
11. Press Ganey Patient Satisfaction Scores v
12. Follows Admission Processes and Policies v

Comments: Salinsky tidak professional, tidak ada empati dengan pasiennya.

Recommendations: Salinsky perlu diberikan pembinaan dari Komite Etik.

UTILIZATION MANAGEMENT/QUALITY v
OF CARE:
1. Adjusted LOS
2. Maintains Legible Records v
3. Blood Usage v
4. Discharge Summaries Complete and v
Timely
5. Re-Admission Rate v
6. Cooperates with Discharge Planning v
Process; Discharge to Appropriate Level of
Care
7. Ancillary Utilization (appropriate Social v
Service, Respiratory Therapy, Physical
Therapy)
8. Appropriate and Timely Attention to v
Lifesaving Orders/Advance Directives
9. Appropriately Completes Imaging and v
Laboratory Requests/Pre-Authorization
10. Appropriate Documentation v
11. Cooperates With CDI; Query System v
Comments: No Data.

Recommendations: -

4
 GENERAL ONGOING PROFESSIONAL PRACTICE EVALUATION

Name: Salinsky
CONDUCT Kelalaian medis saat hip surgery yang menyebabkan pasien mengalami
1. Incident Reports kerusakan permanen dan lumpuh pada kaki kiri
2. Unusual Occurrence Reports Misericordia Community Hospitals, 1991

3. Staff/Patient/Family Complaints Mr. Johnson

Comments: Salinsky diberikan teguran (suspended).

Recommendations: Berita acara operasi seharusnya dilampirkan. Perlu

dilakukan audit medis.

MORBIDITY & MORTALITY □ None requiring review Mortalities reviewed:

Including: Resuscitations reviewed: Targeted reviews:
“Never Events” as defined by CMS, BCBSM
“Sentinel Events” as defined by TJC □ No adverse outcomes □ Medical management appropriate. No
Medication Errors quality issues

Minor adverse outcomes: Major adverse outcomes:

Care appropriate: Care appropriate:

Medical management controversial:

Medical management inappropriate:

Comments: KTD

Recommendations: Perlu dikaji ulang kompetensi Salinsky karena mempunyai riwayat malpraktik
sebanyak 8 kali, dan salah satu pasiennya mengalami cacat permanen.

FOCUSED REVIEW/ACTION
Including:
FPPE
PEER Reviews
Suspension/Privilege Restrict

Comments: RS tidak melakukan kredensial dengan benar, sehingga riwayat

pekerjaan Salinsky sebelumnya tidak dapat diketahui. Salinsky juga menutupi
tindakan kelalaian yang sebelumnya dilakukan dengan menunjukan bahwa dia
“bersih”.
Recommendations: RS benar-benar perlu melakukan kredensialing secara
menyeluruh tenaga medisnya dan dilakukan terjadwal contohnya bila ada
perubahan pada kompetensi medisnya.

5
 GENERAL ONGOING PROFESSIONAL PRACTICE EVALUATION

Name: Salinsky

PHYSICIAN SIGNATURE: dr. Adam

EVALUATION COMPLETED BY: dr. Iqnu, dr. Alman

Chief Medical Officer

Date 25 Feb 22

EVALUATION REVIEWED BY: dr. Azmilla

Department Chair

Department of Medical Committee

Date 25 Feb 22

EVALUATION APPROVED BY: dr. Aditya

Chief of Staff

Date 25 Feb 22

EVALUATION REVIEWED WITH: dr. Mega, Mrs. Sri Hastutin

Practitioner

Date 25 Feb 22