Last time, we saw Dr. Young experience double jeopardy following a patient complaint. Her employer wrote her up and threatened to terminate her if another incident occurred. The medical staff president gave her a slap on the wrist and said, "Try not to do it again." Dr. Young is rightfully...
CMS allows a hospital system to have a unified medical staff made up of all the individual hospitals in the system. The Joint Commission takes the hospital system issue a step further and requires that the medical staff bylaws of a multi-hospital system contain the process that would allow the...
Your medical staff governance documents may fail to provide clear guidance, be noncompliant with accreditation standards, or create liability for your hospital if they are inadequate for today’s care environment. During the webcast, ...
The Centers for Medicare & Medicaid Services requires medical staff bylaws to address who can perform the history and physical examination and in what time frame the history and physical exam must be completed. The Joint Commission also adopted this requirement in 2009. The following is...
CMS requires that medical staffs have a policy for fair hearing and appeal. An applicant or an individual holding a medical staff appointment is entitled to request a hearing when the MEC or the board has made an unfavorable recommendation regarding staff membership or privileges.
Medical staff leaders and board members need to understand that sidestepping the hospital bylaws or the written credentialing procedure will be looked at unfavorably during a malpractice or negligent credentialing lawsuit.
CMS and other accrediting bodies require that accredited hospitals...
