Medical Staff Bylaws - Arkansas Children's Hospital

More documents

Recommendations

Info

5.4.2 The Medical Director or his/her designee will communicate to the Medical Staff and theBoard of Directors about the patient care, treatment, and services provided by, and the relatededucational and supervisory needs of, its participants in the professional graduate education programs.5.4.3 The Medical Director shall communicate information to the GMEC about the quality ofcare, treatment, and services and educational needs of the house staff.5.5 Medical Students5.5.1 UAMS medical students or students visiting from other LCME accredited Colleges ofMedicine taking part in student electives are allowed to provide supervised care at Arkansas Children’sHospital under the direction of active members of the ACH Medical Staff.5.5.2 Students must be appropriately certified as having completed training inpatientconfidentiality issues, such as HIPAA.5.5.3 Students are allowed to perform history and physical examinations, take part in thegeneral care of the patients, and perform procedures commensurate with their level of training as judgedappropriate by their supervisor.5.5.4 Students may make notes in official patient records. Orders must be cosigned by amember of the Medical Staff or house staff as specified in the Rules and Regulations of the MedicalStaff.9
ARTICLE 6: AFFILIATED HEALTH PROFESSIONAL STAFF6.1 Nature of Affiliated Health Professional Staff6.1.1 Affiliated Health Professional Staff are non-Physicians who hold advanced degrees andprovide patient services independently.6.1.2 This non-Physician category includes, but is not limited to: Advanced Practice Nurses,Physician’s Assistants, and Licensed Clinical Psychologists, Doctoral Pharmacologists and Optometrists.6.1.3 Affiliated Health Personnel may render patient services within the confines of ACH andits clinics in accordance with the clinical privileges they have been granted. While carrying out activitiesat ACH, Affiliated Health Personnel will follow the Bylaws/Rules and Regulations of the Medical Staffand policies and procedures of the hospital.6.2 Conditions of Appointment6.2.1 Conditions of appointment and membership for the Affiliated Health Professional Staffshall be as outlined in Bylaws of the Medical Staff.6.2.2 Appointments to the Affiliated Health Professional staff confer on the appointee onlysuch clinical privileges as have been granted by the Board of Directors. Members of the AffiliatedHealth Professional Staff do not have admitting privileges, cannot serve as clinical attending forinpatients, nor can they be granted privileges outside the scope of their license.6.2.3 Affiliated Staff may practice independently in clinic settings consistent with theirprivileges and within the scope of their licenses. A member of the medical staff is required to beavailable (although not required to be physically present in the clinic). Documentation of clinic notesand orders do not require co-signature.6.2.4 Acceptance of membership in the Affiliated Health Professional Staff shall constitute thestaff member’s agreement that he/she will abide by the Medical Staff Bylaws, Rules and Regulations, theapplicable policies and procedures of Arkansas Children's Hospital, and the Code of Conduct ofArkansas Children's Hospital.6.2.5 Members of the Affiliated Health Professional Staff may attend meetings of the generalMedical Staff, but without vote.6.2.6 The member may be appointed by the Chief of Staff to serve on committees of theMedical Staff. Such appointment by the Chief of Staff confers the right to vote on such matterspresented to that committee.10
Page 2: Approved: August 2011
Page 6 and 7: 10.13 Release .....................
Page 8: PREAMBLEWHEREAS, Arkansas Children'
Page 11 and 12: 3.1 Nature of Medical Staff Members
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: ARTICLE 5. HOUSE STAFF AND MEDICAL
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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?