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...
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.
According to the CMS Conditions of Participation for Medical Staff, §482.22, a hospital must have an organized medical staff that operates under bylaws approved by the governing body and is responsible for the quality of medical care provided to patients by the hospital. In addition to...
