Over the intervening 15 years, CSA has completed 50 reviews of individual California anesthesiologists or entire departments. The results may be instructive in avoiding issues and conflicts that have precipitated peer reviews. Consultants have a demonstrated interest and experience in peer review, and care is taken to avoid a conflict of interest through familiarity with, or geographic proximity to, the subject of the review. A report is drafted including observations, impressions, conclusions and recommendations. Due to the sensitive nature of the material, assistance from legal counsel is utilized throughout the process, including but not limited to drafting hold harmless agreements such that consultants are indemnified for their activities.
Confidentiality is imperative throughout the entire process.
CSA charges an hourly rate commensurate with an anesthesiologist's income generated in the operating room to avoid economic inducement to participate in reviews. The rate has not changed in the past four years. Results Since the inception of the program, CSA has completed 50 reviews, of which 33 involved individuals and 17 involved entire departments. Contrary to popular opinion, consultations are not limited to older anesthesiologists practicing in tiny hospitals in rural communities. One-third of CSA efforts involved hospitals of 200 beds or more.