Horty Springer Modernizing Your Medical Staff Bylaws Documents (OSF HEALTCARE) 11.8.22

November 8, 2022

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

Course summary
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
Course opens: 
11/07/2022
Course expires: 
12/30/2022
Event starts: 
11/08/2022 - 2:00pm EST
Event ends: 
11/08/2022 - 4:00pm EST

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

Virtual
United States

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
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