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Horty Springer February 2021 Audio Conference: Forming A Unified Medical Staff – Process to Follow and Key Factors to Consider
In 2012, the Centers for Medicare & Medicaid Services (“CMS”) took the position that while it was permissible for a multi-hospital system to have a single Governing Board, each hospital that was separately certified by Medicare had to have its own Medical Staff. Fortunately, in 2014, CMS reversed its position and revised the Medicare Conditions of Participation to allow hospitals that are part of the same system and have the same Governing Board, to have a “unified and integrated” Medical Staff. CMS has a number of procedural requirements that must be followed when establishing a unified medical staff as well as some ongoing requirements which must be satisfied once a unified medical staff has been established. There are also a number of practical and operational issues that must be considered when structuring a unified medical staff such as:
- How Medical Staff Officers are elected and whether there will be campus Medical Staff Officers as well.
- Will departments be system-wide or will there be campus departments, or a mix of both.
- Composition and duties of the System Medical Executive Committee.
- Whether there will be campus Medical Executive Committees and how they will function.
- Who has voting rights for campus issues and system issues.
- Where Medical Staff members will fulfill their Medical Staff responsibilities such as on-call obligations.
Join Susan Lapenta and Lauren Massucci for this segment of HortySpringer’s 2021 Grand Rounds Audio Conference series in which they will walk you through CMS’ requirements for establishing and maintaining a unified Medical Staff and several of the key practical and operational issues that you need to consider when structuring a unified Medical Staff.
SPECIAL NOTE:
There is no educational content to this course. This course is designed to supplement training that has already occurred. This course is designed to only collect CME evaluations.
Target Audience
This course was designed for hospital administrators, physicians and clinicians who need to be better informed about how to manage and possibly improve their overall performance.
Suggested Additional Reading:
- Interpretive Guideline Sec482.12(a)(10)
- Interpretive Guidelines Sec482.22(b)
Learning Objectives
Upon successful completion of this program, the participant should be able to:
- Describe CMS’ requirements for establishing and maintaining a unified Medical Staff.
- Define the key practical and operational issues that should be considered when structuring a unified Medical Staff.
Susan Lapenta, JD — Partner with the law firm of Horty, Springer & Mattern, P.C.
No relationships with industry relevant to the content of this educational activity have been disclosed.
Lauren M. Massucci, JD — Partner with the law firm of Horty, Springer & Mattern, P.C.
No relationships with industry relevant to the content of this educational activity have been disclosed.
All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above. No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.
In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and the Pennsylvania Chapter American Academy of Pediatrics. 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.
The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity.
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
- 1.00 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.
- 1.00 Attendance