Medical staff structure: Determining medical staff committees

CMS, accrediting agencies, and state regulations enumerate myriad functions that medical staffs must address. These functions can be addressed in bylaws but may be better articulated in medical staff policies. The ultimate responsibility for all medical staff functions lies with the medical executive committee (MEC). Most medical staffs create additional working committees to share the workload. These committees can be standing committees, ad hoc committees, or task forces that operate on a time-limited basis to address an assigned project. In determining which committees to establish, it is important to review state regulations, which sometimes have requirements for specific medical staff committees.

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