Medical Staff Bylaws - Arkansas Children's Hospital

More documents

Recommendations

Info

ARTICLE 1: NAMEThe name of this organization shall be the Arkansas Children's Hospital Medical Staff.The purposes of this organization are:ARTICLE 2: PURPOSES2.1 to ensure that all patients admitted to or treated in any of the facilities, departments, or services ofthe Hospital shall receive quality care;2.2 to provide a mechanism to ensure a uniform standard of quality patient care, treatment, andservices,2.3 to insure a high level of professional performance of all practitioners authorized to practice in thehospital through the appropriate delineation of the clinical privileges that each practitioner may exercisein the hospital and through ongoing review and evaluation of each practitioner's performance in thehospital;2.4 to provide an appropriate educational setting that will maintain scientific standards and that willlead to continuous advancement in professional knowledge and skill;2.5 to develop, adopt and amend Medical Staff Bylaws to be approved by the Board of Directors andto develop and maintain rules, regulations and policies for self-governance of the Medical Staff; and2.6 to create a system of rights and responsibilities between the organized Medical Staff and theBoard of Directors, and between the organized Medical Staff and its members, and2.7 to provide a means by which issues concerning the Medical Staff and the hospital may bediscussed by the Medical Staff with the Board of Directors and the Chief Executive Officer/President.2.8 to enforce the Medical Staff Bylaws, Rules, Regulations, and policies by recommending action tothe Board of Directors.1
3.1 Nature of Medical Staff MembershipARTICLE 3: MEDICAL STAFF MEMBERSHIP3.1.1 Only Physicians and Dentists licensed to practice in the State of Arkansas, who candocument their background, experience, training and demonstrated competence, their adherence to theethics of their profession, their good reputation, their ability to work with others, and who attest that theyare physically and mentally qualified to carry out their required professional duties, with sufficientadequacy to assure the Medical Staff and the Board of Directors that any patient treated by them in theHospital will be given a high quality of medical care, shall be qualified for membership on the MedicalStaff.3.1.2 No Physician or Dentist shall be entitled to membership on the Medical Staff or to theexercise of clinical privileges in the Hospital merely by virtue of the fact that he/she is duly licensed topractice medicine or dentistry in this or any other state, or that he/she is a member of any professionalorganization, or that he/she had in the past, or presently has, such privileges at another hospital.3.1.3 Qualified professionals may apply for membership in the Affiliated Health ProfessionalStaff, as described in these Bylaws.3.2 Conditions of Membership3.2.1 Acceptance of membership on the Medical Staff shall constitute the staff member'sagreement that he/she will strictly abide by the general principles of medical and/or dental ethics and theCode of Conduct of Arkansas Children’s Hospital, and will conduct professional Medical Staff servicesin a manner that complies with all relevant governmental statutes, rules and regulations.3.2.2 Every application for staff membership shall be signed by the Applicant and shall containthe Applicant's specific acknowledgment of each Medical Staff member's obligations to providecontinuous care and supervision of his/her patients, to abide by the Bylaws, Rules andRegulations/policies and procedures of Arkansas Children's Hospital and its Medical Staff, to acceptcommittee assignments and to accept consultation assignments.3.2.3 As a condition of Medical Staff membership and/or the exercising of clinical privileges,staff members agree to cooperate with for cause drug testing and evaluation for mood-alteringsubstances, if so requested by an officer of the Medical Staff and/or representative of the Medical StaffHealth Committee, and with random drug screening as designed by the Medical Staff Health Committeeand approved by the MSEC. Further, as a condition of Medical Staff membership, Applicants will agreeto abide by the recommendations/contracts set forth by the MSHC.3.2.4 Practitioners, who do not participate in the teaching program, are not subject to denial ofMedical Staff membership or limitation of clinical privileges for this reason alone.2
Page 2: Approved: August 2011
Page 6 and 7: 10.13 Release .....................
Page 8: PREAMBLEWHEREAS, Arkansas Children'
Page 13 and 14: ARTICLE 4: CATEGORIES OF THE MEDICA
Page 15 and 16: 4.2.6.4 If the H&P has been written
Page 17 and 18: ARTICLE 5. HOUSE STAFF AND MEDICAL
Page 19 and 20: ARTICLE 6: AFFILIATED HEALTH PROFES
Page 21 and 22: 7.1 General ConditionsARTICLE 7: AP
Page 23 and 24: A. To abide by the Bylaws, Rules an
Page 25 and 26: 7.4 Reapplication After Adverse Dec
Page 27 and 28: and for the granting of clinical pr
Page 29 and 30: ARTICLE 8: CLINICAL PRIVILEGES8.1 C
Page 31 and 32: date such action becomes effective
Page 33 and 34: E. Ability to perform the privilege
Page 35 and 36: A. if no other physician currently
Page 37 and 38: B. A current license to practice.C.
Page 39 and 40: 9.2.2.1 In conducting such evaluati
Page 41 and 42: 9.3.2 Whenever the corrective actio
Page 43 and 44: 9.4.3 A summary suspension becomes
Page 45 and 46: 9.6 Temporary Suspension9.6.1 A tem
Page 47 and 48: D. automatic suspensions;E. a suspe
Page 49 and 50: B. A hearing occasioned by an adver
Page 51 and 52: 10.6.6 Utilization of Attorneys. At
Page 53 and 54: D. Upon conclusion of the affected
Page 55 and 56: 10.5.3(a) involving actions other t
Page 57 and 58: C. Whether or not the hearing commi
Page 59 and 60:
10.14 Exceptions To Hearing And App
Page 61 and 62:
ARTICLE 11: OFFICERS11.1 Officers o
Page 63 and 64:
11.6.1.8 Receive and interpret the
Page 65 and 66:
ARTICLE 12: SERVICES12.1 Organizati
Page 67 and 68:
D. Determining the qualifications a
Page 69 and 70:
13.3 Notice of Meetings13.3.1 Writt
Page 71 and 72:
written notification of any further
Page 73 and 74:
K. Make recommendations regarding t
Page 75 and 76:
G. Provide for development of medic
Page 77 and 78:
13.9.5.1 Composition: The Patient C
Page 80 and 81:
ACH commitment to patient care qual
Page 82 and 83:
14.5 Removal of Delegated Authority
Page 84 and 85:
16.1 Confidentiality of Information
Page 86 and 87:
ARTICLE 17: RULES AND REGULATIONS17
Page 88 and 89:
ARTICLE 19: POLICIESWhen the MSEC a
Page 90 and 91:
DEFINITIONSAdmitting Physician - Th
Page 92 and 93:
REVISIONS TO MEDICAL STAFF BYLAWSAD
Page 94 and 95:
functions of the ACH clinical enter
Page 96 and 97:
per year.3. Meetings: The Quality a
Page 98:
6.5 Violations of AppointmentAny vi
show all

Medical Staff Bylaws - Arkansas Children's Hospital

Create successful ePaper yourself

Delete template?

Save as template?