Medical staff bylaws and related documents, Part 9: Departments and committees

Are medical staff departments required? The Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoP), The Joint Commission (TJC), the Healthcare Facilities Accreditation Program, DNV GL Healthcare, and the Center for Improvement in Healthcare Quality are in complete agreement on this one: Medical staff departments are NOT required. Some states may require a specific structure, but most do not require that the medical staff organize by departments. This month we turn our attention to medical staff departments and committees. As with the MEC, we will look at some questions, some myths, and some facts.

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