The CMS Conditions of Participation (CoP) and The Joint Commission are in complete agreement on this one: Medical staff departments are not required. The CoPs require a "well organized" medical staff. The Joint Commission requires an "organized self-governed medical staff." The Joint Commission...
Author's note: Over time, many medical staff governance decisions have become commonplace, even the ones that are unnecessary. This series examines some of the more prevalent myths and misconceptions, delineates what is required and what is not, and offers trends and best...