Quick, concise standard explanations for medical staff chapter leaders
The Chapter Leader's Guide to Medical Staff breaks down the Joint Commission's medical staff requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader.
Plus, to make staff training easy, this guide includes two downloadable PowerPoint® presentations highlighting key compliance takeaways.
Benefits of The Chapter Leader's Guide to Medical Staff:
- Empower your medical staff chapter leaders to successfully navigate the survey process
- Communicate the impact the medical staff chapter has on leadership, management, and caregivers
- Create a culture of accountability by delegating survey-related responsibilities to staff members
- Go beyond standard numbers and understand the true meaning of The Joint Commission's medical staff requirements
- Get everyone in your facility on board with compliance
- Save time training medical staff chapter leaders with the customizable PowerPoint presentations
What's inside:
- Keys to understanding The Joint Commission's stance on medical staff bylaws (MS.01.01.01)
- Explanation of the role of the MEC
- How the medical staff plays into graduate education programs and performance improvement
- Accreditation's role in credentialing and privileging
- What the standards say about physician behavior
- The latest updates to telemedicine requirements
Table of Contents
Part I: Organization & Accountabilities
Medical Staff and the Organization
Impact on Leadership/Administration
Determining Ownership
The Medical Services Professional (MSP)
Hospital Medical Staff (MS) Standards and Key Players Outline
Part II: Communications & Culture
Communication and its Impact on Staff and Physicians
Hospital Staff
Credentials Committee
Department Chairman
Medical Staff
Part III: Operations & Performance Improvement
Patient Care's Relationship to the Standards
Successfully Maintaining Processes
Impact on Activities, Requirements, Policies, and Procedures
Part IV: Breakdown of the Medical Staff Standards
MS.01.01.01: Organized Medical Staff Structure, Accountability, and Bylaws
MS.01.01.03: Bylaws Amendments
MS.02.01.01: Medical Executive Committee
MS.03.01.01: Oversight of Practitioners
MS.03.01.03: Management and Oversight of Patient Care
MS.04.01.01: Graduate Medical Education Programs
MS.05.01.01: Medical Staff Performance Improvement
MS.05.01.03: Medical Staff Participation in Organizational Performance Improvement
MS.06.01.01: Determining Organizational Resource Availability
MS.06.01.03: Credentialing
MS.06.01.05: Privileging
MS.07.01.03: Peer Recommendations
MS.06.01.07: Analysis and Use of Information Received
MS.06.01.11: Expedited Credentialing
MS.06.01.09: Privilege Decision Notification
MS.06.01.13: Temporary Privileges
MS.07.01.01: Medical Staff Appointment
MS.08.01.01: Focused Practitioner Evaluation
MS.08.01.03: Ongoing Professional Practice Evaluation
Who will benefit?
Accreditation coordinator, accreditation specialist, survey coordinator, Joint Commission survey coordinator, medical staff chapter leader, medical staff coordinator, medical staff professional