Medical Staff Bylaws: How To Identify Mistakes & Fix Them

Product Id : HE62
Instructor : Elizabeth A. (Libby) Snelson
Mar 27, 2019 12:00 PM ET | 11:00 AM CT | 09:00 AM PT | 90 Minutes

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Hospitals and affiliated entities are participants in one of the most heavily regulated industries in the country: healthcare. Just a few of the major regulatory standards that apply to medical staff include Medicare, Medicaid CoPs, Hospital Licensing Act, Medical Practice Act, Nurse Practice Act, Patient Safety and Quality Improvement Act, HIPAA, Joint Commission, ADA, Title VII, EMTALA; and the list goes on. 

It’s not just a long list but a tall order. The consequences of not complying with the standards are significant, including restriction/ loss of license or accreditation, professional liability claims, loss of Medicare eligibility, False Claims Act liability, loss of job, and civil and criminal penalties among others.

It’s also important to understand that a single set of bylaws cannot ensure compliance with all relevant requirements. Therefore, evidence of compliance needs to be proven by various corporate and medical staff governance documents such as corporate bylaws, medical staff bylaws, as well as accompanying rules, regulations and policies. Governance documents must also include code of conduct, appointment applications, peer review policies, credentialing manual and medical staff development plan among others.

This session by expert speaker Elizabeth “Libby” Snelson will give you a detailed overview of what medical staff bylaws should contain and how you can ensure compliance with the innumerable standards that entails healthcare services. 

Session Highlights

  • Detailed overview of what Medical Staff Bylaws should contain
  • How to ensure current Medicare Conditions of Participation compliance
  • Ensuring current Joint Commission standards compliance 
  • Current Health Care Quality Improvement Act compliance
  • Current National Practitioner Data Bank regulation compliance

Who Will Benefit

  • Medical staff leaders
  • Hospital administrators
  • Compliance officers
  • Medical staff office managers
  • Chief medical officers
  • Healthcare attorneys
Speaker Profile:

Elizabeth A. ("Libby") Snelson represents medical staffs across the country, focusing on medical staff bylaws, and works for medical societies on medical staff issues.    She handles issues such as "disruptive practitioner" procedures, emergency call coverage and National Practitioner Data Bank reporting, to name only a few. A frequent speaker on medical staff legal issues, Libby presents at medical staff leadership retreats, and in programs sponsored by  medical societies, NAMSS and state medical staff services associations, and other organizations.  Libby is Past President of the American Society of Medical Association Counsel and past Vice President of the ABA Physician Issues Interest Group.  She was a member of the Joint Commission’s MS 01.01.01 Task Force. She is the author of model medical staff bylaws published by state medical socieites, and of The Physicians’ Guide to Medical Staff Organization Bylaws, published by AMA.

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