Medical staff officers have the responsibility to govern and oversee the administrative functions of the medical staff. In the past, the office of medical staff president or chief of staff was an honorary position that required little work—truth be told, most of that work was actually done by...
Committees of any kind often include a variety of participants and viewpoints, so a set of rules for participation must be set prior to the meeting. It’s especially important for the medical staff committee members themselves to establish these rules in order to achieve consensus and ensure...
Most medical staff bylaws contain a provision concerning the categories into which the medical staff will be divided. In fact, many medical staffs have created an unnecessarily complex array of categories. Many of these categories were created 20–30 years ago as medical staffs tried to...
When a concern with a pracititoner surfaces, always think, "What if this goes to a fair hearing?" Keep the following tips in mind throughout all professional review activities, even if a concern is not currently present. Issues sometimes surface much later, so you want to be confident that...
All acute-care hospitals should have policies regarding conflicts of interests. Make certain that every person covered by your facility's conflicts of interests policy submits in writing to the chief executive officer a Conflict of Interest Disclosure Statement listing all financial and/or...
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...
