Medical Staff Health Policy
Purpose and Objectives
The purpose of this policy is:
To offer assistance to the medical staff by creating
an environment and consultation mechanism
that is conducive to self-referral and rehabilitation
of members who may be suffering from a
disabling mental or physical condition that poses
a treat to patient care.
To assure patient safety by establishing a mechanism
to identify and treat impaired medical
staff members.
The objectives of this policy are:
Educating the medical staff and other members
of the organization about illness and impairment
recognition.
Enhancing the safety of UCLA Medical Center
patients, medical staff, trainees and employees.
Providing oversight, treatment and assistance
for a potentially impaired medical staff member
by:
- Ensuring the reporting of a potentially
impaired medical staff member to the appropriate
leadership as specified in the procedure
below.
- Making an assessment of the credibility of a
third party complaint or allegation of
impairment.
- Maintaining all deliberations and records as
confidentially as possible.
- Referring the impaired medical staff member
to the appropriate internal or external
resource for diagnosis and treatment of the
illness or addiction under the guidance of
the Medical Staff Health Committee.
- Monitoring the re-integration into active
medical staff status according to a contract
established between the medical staff member
and the MSHC.
- Referring the impaired member to the Diversion
Program of the Medical Board of California
when required by law.
- When deemed necessary, facilitating the safe
removal of the impaired medical staff member
from the UCLA Medical Center.
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