Medical staff bylaws and related documents, Part 5: Medical staff membership, rights, and responsibilities

The Centers for Medicare & Medicaid Services (CMS) has established the Conditions of Participation (CoP), which are the absolute minimum set of requirements that all hospitals must meet to participate in federal payment programs. CoP s require that there be an organized medical staff that operates under bylaws approved by the governing body and is responsible for quality of care. There is no guidance as to how the medical staff should organize itself; this is left for the organization to decide.

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