The Office of Medical Staff Affairs under the direction of the Chief Medical Officer - CDS:
Organizes and coordinates Medical Staff activities
Arranges for the review, analysis, and evaluation of medical care in the hospital facilities of Presbyterian Healthcare Services in Albuquerque
Serves as ex-officio members of all standing. Special committees of the Medical Staff are charged with implementing Board of Directors and Medical Staff directives
Assists the formal Medical Staff organization in the oversight of the quality of Medical and Dental care within these hospital facilities under the ultimate authority of the Board of Directors
Facilitates the Medical Staff organization in governance, monitoring clinical performance, appropriate credentialing, communication, educational endeavors, and participation in administrative issues
Presbyterian Medical and Dental Staff
Over 1100 individuals, representing over two dozen recognized specialty fields. More than 800 of these are privileged to admit patients to our facilities, making this the largest admitting staff in the state.
Provider Activity or Case Log Request
To request a provider activity report or case log, please email the Quality Informatics department.
For an Initial Application Request
To request an initial application packet, please visit the Credentials Verification Organization (CVO) page. To complete the form, click on “Hospital Privilege Application,” and select “Initial Application Request.” Upon submission, Presbyterian’s CVO will send email to begin the AppCentral process.
Hospital Credentials Verification Organization (CVO)
Affiliation Letter request
For an affiliation verification please visit iResponse.
Note: If this is your first time visiting the Cactus website, you will be required to register. Click on the icon to create a username and password, then log in. To find a provider, enter the last name, NPI number or license number, and select search. Click on the name of the provider to view the affiliation letter.
If you are unable to pull up a provider’s affiliation verification, please call Medical Staff Affairs at
Medical Staff Peer Review
The purpose of medical staff peer review is to ensure that the hospital, through the activities of its medical staff, assesses the Ongoing Professional Practice Evaluation (OPPE) of individuals granted clinical privileges and uses the results of such assessments to improve care. When necessary, peer review is also used to perform Focused Professional Practice Evaluation (FPPE).
The goal of Medical Staff Peer Review is to:
Monitor and evaluate the ongoing professional practice of individual practitioners with clinical privileges.
Create a culture with a positive approach to peer review by recognizing practitioner excellence as well as identifying improvement opportunities.
Perform Focused Professional Practice Evaluation (FPPE) when potential practitioner improvement opportunities are identified.
Promote efficient use of practitioner and quality staff resources.
Provide accurate and timely performance data for practitioner feedback, Ongoing and Focused Professional Practice Evaluation (OPPE) and reappointment.
Support medical staff educational goals to improve patient care.
Provide a link with the hospital performance improvement structure to assure responsiveness to system improvement opportunities identified by the medical staff.
Assure that the process for peer review is clearly defined, fair, defensible, timely and useful.
In the public interest, peer review by medical staffs, medical societies, medical groups, health plans and other entities should be confidential, protected and not subject to disclosure or discovery.
Office of Medical Staff Affairs
Hours: 7:00 a.m. to 5:00 p.m. MST
Medical Staff Peer Review Office
- 1100 Central Ave SE
- Sub Level 1
- Albuquerque, NM 87106-4260
- Presbyterian Healthcare Services
- Medical Staff Affairs
- P.O. Box 26666
- Albuquerque, NM 87125