Horty Springer Modernizing Your Medical Staff Bylaws Documents (OSF HEALTCARE) 11.8.22
Target Audience
Nurse
Nurse Practitioner
Pharmacist
Pharmacy Technician
Physician
Physician Assistant
Psychologist
Learning Objectives
Upon completion of this program, participants should be able to:
Define the legal responsibilities of Medical Staff leaders and the legal protections available to them
Identify legal issues that affect credentialing
Define the benefits of having policies and procedures to address problem practitioners Identify common credentialing issues and develop best practices relating to initial appointment, reappointment, and clinical privileges
Additional Information
Modernizing Your Medical Staff Bylaws Documents – Virtual Presentation
Agenda
Time Topic
2:00 to 2:15 p.m. Introduction and Key Issues
Goals and objectives
Organization and structure of documents
Terminology
Advance Practice Providers
Compliance with state law
2:15 to 2:35 p.m. Bylaws
Staff categories
Qualifications for officers and nomination process
Structure and function of the MEC
Quorum requirements
Amendment process
Unified Medical Staff provision
2:35 to 2:55 p.m. Credentials Policy
Threshold eligibility criteria (and waivers)
Misstatements and omissions
Difficult privileging issues
Collegial efforts and progressive steps
Administrative relinquishment
Actions occurring in other OSF Hospitals
2:55 to 3:10 p.m. Organization Manual
Departments, divisions, and services lines
Committee structure (e.g., Credentials Committee, Leadership
Council, Peer Review Committee, etc.)
3:10 to 3:30 p.m. Medical Staff Policies & Rules and Regulations
Peer Review (including potential protections for Patient Safety
Work Product from PSO)
Professionalism
Practitioner Health
Rules and Regulations
3:30 to 3:50 p.m. Process for Revision of Medical Staff Bylaws Documents
Appointment of Bylaws Task Force
Development of discussion draft of template documents
Review of template documents by Bylaws Task Force
Drafting of executive summary of documents
Roll out each document to the MECs
Posting for Medical Staffs
Town hall meetings to review and answer questions
Vote and adoption
3:50 to 4:00 p.m. Q & A
Accreditation Statement:
In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and Horty Springer Seminars. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education(ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physicians:
The University of Pittsburgh School of Medicine designates this live activity for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other health care professionals:
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 2.00 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 2.00 Attendance