AUDIOCONFERENCE ON TAPE OR CD
sponsored by The Greeley Company Model Bylaws Guide
presented on May 16, 2006
Medical services professionals breathed a huge sigh of relief in July 2005 when the JCAHO announced it would delay until January 2007 a new requirement that would have forced many hospitals to rework their medical staff bylaws. More recently, the JCAHO closed a field review in early March 2006 of revised medical staff standards addressing what information must be included in hospital bylaws versus that which may be included in supplemental documents, such as manuals and policies.
The latest round of revisions have left many in the field more confused than before. Nevertheless many medical staffs are moving ahead to create strong and more user-friendly bylaws.
Don’t be held hostage by poorly written bylaws!
Listen to our expert speakers for this intermediate level audioconference where they will discuss the best way to organize medical staff governance documents and make them more user-friendly, tactics to improve the flexibility and adaptability of bylaws, and best practices that these important documents should reflect.
By the end of this audioconference, listeners will be able to:
- Recognize what the JCAHO currently requires organizations to include in their medical staff bylaws
- Understand how supplemental manuals can be used in conjunction with medical staff bylaws
- Articulate the controversy over the bylaws amendment process
- Enumerate best practices that should be included in bylaws, including
- tactics to strengthen your organization's corrective action process
- the identification of factors that do and do not trigger a fair hearing
- whether to use a pre-application for new members
- whether to utilize and ‘intended practice plan’ in the credentialing process
Agenda
1. Should you rewrite your bylaws?
- Should you hold off in the face of anticipated JCAHO changes regarding bylaws
- Has it been more than five years since your bylaws have undergone major revisions
- Are your bylaws organized in a user-friendly way that corresponds to best practices
2. Do you need to rewrite your bylaws in the face of changing JCAHO Standards?
- History: In February 2006, JCAHO posted for field review its standards for bylaws
- Recap of developments: This was the fourth time JCAHO proposed changes to its bylaws standards
3. What are the best practices in making bylaws relevant to physicians?
- Making the bylaws more user friendly (incorporate them more into daily operations, not sit on shelf)
- How to make them more organized
- Exploring the legal language
4. Can bylaws improve your corrective action process?
- Use of a fair hearing officer versus a panel
- What triggers a fair hearing
- Investigations (summary, disciplinary suspensions, relinquishment)
- How much detail is necessary in bylaws
5. What are the best methods to make changes to bylaws?
- Amendment process
- Methodology of the positive and negative approaches
- E-mail versus mail ballots
- Are non-votes considered "yes" votes
6. Should my bylaws be amended incrementally or undergo a major overhaul?
- Do you set up a task force
- Do you let traditional bylaws committee do this
- Is a redesign of the medical staff structure necessary
7. Should we use a pre-application?
- Should these include an intended practice plan
- Risk management and tactics
8. Q&A
Who should listen?
Directors of medical staff services/medical staff leaders, medical staff professionals, medical executive committee members and chairs, credentials committee members and chairs, quality directors and managers, VPMAs, hospital administrators and management, governance members
Meet the speakers
Todd Sagin, MD, JD, vice president and medical director for The Greeley Company, a division of HCPro, Inc. His expertise includes quality and performance management, credentialing and privileging, and medical staff affairs. Sagin is a physician executive with broad experience in the healthcare marketplace. Board certified in family practice and geriatrics, Sagin also holds a degree in law, is a certified physician executive (CPE), and is a diplomat of the American Board of Quality Assurance and Utilization Review Physicians with subspecialty recognition in managed care.
Joseph Cooper, MD, consultant at The Greeley Company. Cooper is a physician executive with extensive experience in medical staff organization and function, reengineering, bylaws review and design, and credentialing and privileging. He is a board certified ophthalmologist and a member of the American College of Physician Executives (ACPE). Cooper has held numerous medical staff positions including department chair, credentials chair, and president of the medical staff. He has served as a hospital board trustee and chaired the quality council.
PROGRAM MATERIALS
Program materials will be provided with PDF links.
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