The MEC’s role in addressing conduct issues
Failure to hold the medical staff accountable for unprofessional behavior may have catastrophic consequences for patients. On July 9, 2008, The Joint Commission issued sentinel event #40, “Behaviors that undermine a culture of safety.” This led to the development of a leadership standard (LD.03.03.01) based on research that found intimidating and disruptive behaviors in the workplace may do the following:
- Foster medical errors
- Contribute to poor patient satisfaction and preventable adverse outcomes
- Increase the cost of care
- Cause qualified clinicians, administrators, and managers to seek new positions in more professional environments
The role of the medical executive committee (MEC) in managing professional conduct is somewhat limited, but is critically important in maintaining a culture of safety. The three aspects of the role are:
- Developing a code of conduct
- Communicating conduct expectations
- Enforcing the policy
The MEC is responsible for providing oversight, consistency, fairness, and wisdom in the development and execution of policies and processes. By doing this, the MEC will fulfill its responsibilities to the medical staff and, in turn, its fiduciary responsibilities to patients—ensuring the provision of safe, quality care.