The Greeley Guide to Medical Staff Bylaws, Third Edition
Mary Hoppa MD, MBA, CMSL
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Product Description:
Carefully developed, reviewed, and tested bylaws to empower your medical staff.
More than just boilerplate language, this easy-to-use resource empowers you with implementation strategies, tools, and instructions to update and maintain your medical staff bylaws. The third edition of this popular book from The Greeley Company walks you through each section of the bylaws and provides model language that meets regulatory requirements, including changes stemming from Joint Commission standard MS.01.01.01.
This one-stop resource provides the guidance and model language you need to bring your bylaws up to date. It will help you:
- Save time and expense creating compliant model bylaws language to address key regulatory changes
- Learn to work with your medical staff to revise your bylaws as needed
- Establish a process for resolving conflicts of interest between the medical staff, medical executive committee, and the board, as mandated by MS.01.01.01
- Identify sections of your bylaws that need updating
- Eliminate unnecessary and confusing language from your bylaws
- Use The Greeley Company's model language as a foundation for your own
This expanded and updated "how-to" manual includes:
- Downloadable, customizable sample language online
- Straightforward, sustainable solutions to comply with MS.01.01.01
- Additional analysis and recommendations for each bylaws section
Take a look at the table of contents:
Section one: Addressing the preliminaries
Organization name
Table of contents
Definitions
Preamble and statement of purpose
Section two: Medical staff governance
Membership of the medical staff
Medical staff categories
Medical staff officers
The medical executive committee
Medical staff structure: Should the medical staff be departmentalized?
Amending the bylaws
Section three: Member rights and due process
Member rights
Investigations
Special meeting requirements
Suspensions
The medical staff fair hearing
Appeals to the board
Reports to the NPDB
Section four: Credentialing and privileging procedures
Qualifications for members
Establishing the credentials committee
Special conditions for residents or fellows in training
Special conditions for moonlighting residents and fellows
Processing new applicants
Processing reappointments
Granting clinical privileges
Leaves of absence
Credentialing allied health practitioners
Credentialing telemedicine providers
Practitioners providing contracted service
Section five: Medical staff operational issues
Attendance and quorum
Determining the appropriate number of medical staff committees
Addressing required medical staff functions
Additional items for inclusion in medical staff governing documents
Pulling it all together
A guide to bylaws document review
Undertaking a bylaws review
Responsibility for the bylaws
Enable the creation of new bylaws
Who will benefit?
Medical staff leaders, medical directors, credentialing coordinators, chief medical officers, chief executive officers, quality directors/managers, medical staff services managers/professionals, bylaws committee chairs/members, vice presidents of medical affairs, medical staff presidents/chiefs of staff
About the author
Mary J. Hoppa, MD, MBA, CMSL, is a senior consultant with The Greeley Company, a division of HCPro, Inc., in Marblehead, MA. She brings more than 15 years of healthcare leadership and management experience to her work with physicians, hospitals, and healthcare organizations across the country. Dr. Hoppa's roles in hospital administration and medical staff leadership in academic and community hospital settings make her uniquely qualified to assist physicians and medical centers in developing effective solutions to their most significant challenges. She has experience in credentialing and privileging, peer review and quality, medical staff education, conflict resolution, and is the leader of The Greeley Company's bylaws division.
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