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...
One very common clause in a physician employment agreement is “co-terminus” language, which addresses whether clinical privileges are tied to the employment contract. If they are, then physicians automatically lose their clinical privileges if the employment contract is terminated. This...
Sometimes well-intentioned medical staff leaders limit their effectiveness by confusing disruptive behavior with impairment. If an underlying impairment is the cause of disruptive behavior, our impulse is to heal it by providing a therapeutic intervention. But in many cases, the problematic...
