The Chapter Leader's Guide to the Medical Staff: Practical Insight on Joint Commission Standards

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