Sample bylaws or policy and procedure language

Facilities seeking competency data may need to amend their policies or medical staff bylaws. These samples can be customized for most facilities, but consult with counsel first.

For obtaining information from other facilities:

Each practitioner, as a condition for obtaining and maintaining staff appointment and/or privileges at [hospital name], must authorize the disclosure of restrictive action taken, peer review information, results of focused and ongoing professional practice evaluations, and quality assessment/performance improvement activities by the medical staffs of hospitals where the practitioner has privileges or to which the practitioner has applied or is employed.

For releasing information to other facilities:

Each practitioner, as a condition for obtaining and maintaining staff appointment and/or privileges at [hospital name], must authorize the disclosure of restrictive action taken pursuant to Bylaws section _____ [refer to bylaws definition of "restrictive action," i.e. suspension, termination, mandatory consultation, agreement by a practitioner to withdraw his/her application, etc.], peer review information, results of focused and ongoing professional practice evaluations, and results of quality assessment/performance improvement activities to the medical staffs of hospitals where the practitioner has privileges or to which the practitioner has applied or is employed.