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...
Q: We are a system of multiple hospitals, and each has its own medical staff bylaws. Is it advisable to allow individual hospital medical staff policies if our organization is trying to develop consistency across all hospitals? Or is it acceptable and recommended to have separate bylaws...
In the past, medical staffs appointed new members for a provisional period, typically for six to 12 months, during which time they monitored the practitioner’s performance. This provisional status/period need no longer exist because The Joint Commission’s FPPE and OPPE regulations have replaced...
Bylaws serve as the governing documents of the medical staff and must meet the hospital’s accreditor’s standards, state and federal regulations, and the needs of the hospital’s medical staff. The Guide to Medical Staff...
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.