Medical Staff Bylaws: Complying With CMS, NPDB, and Joint Commission

Course Details
- smart_display Format
On-Demand
- signal_cellular_alt Difficulty Level
Intermediate
- work Practice Area
Health
- event Date
Tuesday, June 4, 2024
- schedule Time
1:00 p.m. ET./10:00 a.m. PT
- timer Program Length
90 minutes
-
This 90-minute webinar is eligible in most states for 1.5 CLE credits.
This CLE course will prepare healthcare counsel to guide healthcare providers, medical staffs, and hospitals working towards medical staff bylaws compliance with Joint Commission standards, Centers for Medicare and Medicaid Services (CMS) Conditions of Participation, the National Practitioner Data Bank (NPDB) requirements, and other applicable federal and state laws. Updates to address hospital employment and consolidation and other best practices will be presented.
Faculty

Ms. Snelson represents medical staffs, medical societies and physician interests across the country. Her practice areas include medical staff bylaws, credentialing and clinical privileges, disruptive behavior issues, peer review, and other matters. Ms. Snelson has nearly 20 years of experience working with medical staffs, medical societies and medical staff professionals, and is a frequent author and lecturer on medical staff bylaws, among other issues.
Description
Medical staff bylaws and related rules and regulations are the key governance documents that establish processes measuring the competence of medical staff physicians and other providers.
Areas typically covered under the bylaws include peer review, credentialing, privileging, and corrective actions; governance, including membership, leadership selection, voting, and committee activities; and hearings, appeals, and reporting requirements.
Medical staff bylaws must comply with accreditation and CMS standards, NPDB requirements, and other federal and state mandates, creating technical challenges for medical staff and hospital attorneys.
Listen as our bylaws expert Elizabeth Snelson reviews recent developments and implications for healthcare providers and medical staff operations, and offers strategies for achieving compliant bylaws as well as implementing "best practices." Sample bylaws provisions will be featured throughout.
Outline
- CMS/Joint Commission medical staff standards
- National Practitioner Guidebook impact on bylaws
- Best practices
Benefits
The panelist will review these and other key issues:
- What potential pitfalls could be encountered in amending and approving revised bylaws--and what strategies can hospitals and medical staffs employ to overcome them?
- How can bylaws improve Data Bank compliance?
- What protections against peer review abuses should be included in bylaws?
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