CMS and all hospital accreditation organizations require peer review, but do not require any particular way to organize your peer review program. This is a plus for those who want to do effective peer review to meet the needs of their particular medical staff culture and resources.
Whatever review structure you choose, make sure it is able to produce a process that is unbiased, reliable, and efficient. This white paper discusses the pros and cons of the common structures used currently and how these
structures influence the functions of peer review.