Synergy - January/February 2013 - 14
industry feature
Evaluating the Effectiveness
of Medical Staff Meetings
By Kathy Matzka, CPMSM, CPCS
How the Medical Staff Is
Organized
The “organized” medical staff organization
got its start in 1917 with a listing of hospital
standards published by the American
College of Surgeons, which required
physicians and surgeons practicing in
a hospital to organize as a group and
adopt rules and regulations governing the
professional work of the hospital .
The medical staff structure typically
reflects the size of the medical staff and
the functions and services provided by the
hospital . Medical staffs have elected officers .
Most hospital medical staffs are separated
into departments reflecting physician
specialties or subspecialties, each having
its own meetings and elected or appointed
officers . These officers may either be paid or
voluntary . The department directors assume
various administrative responsibilities in
addition to their patient care responsibilities .
14
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SYNERGY J anuary/F ebr uary 2013
In addition, departments may be broken
down into individual specialties, again, each
having their own officers and meetings .
A hospital with a small medical staff may not
have departments; rather, the medical staff as
a whole carries out the governance functions .
This is known as a “committee of the whole .”
Departmentalized medical staffs typically
have monthly or quarterly departmental
meetings . The medical staff as a whole
meets less frequently, typically once or twice
a year . Most of the business- and patientrelated activity relevant to that department
takes place within the department meetings,
and those issues encompassing the entire
medical staff, such as changes in bylaws, are
taken up at the medical staff meetings .
Nondepartmentalized hospitals are likely to
have more frequent meetings of the entire
medical staff where all issues are discussed
and decided .
Why Meetings Are Important
It is difficult and inefficient for a large body
of people to perform routine functions in a
meeting-type environment, so many of the
required functions of the medical staff are
carried out by committees . These committees
make recommendations to a larger body,
usually the medical staff executive committee .
Committees carry out many functions required
by accrediting and regulatory agencies and
the medical staff’s policies, rules, regulations
and bylaws, including credentialing and
recredentialing, risk management, peer
review and quality assessment . Committees
often are utilized to evaluate and make
recommendations regarding critical processes
related to patient care and organizational
functions of various departments and the
medical staff as a whole .
It is important that the bylaws or other
governance documents include each
medical staff department and committee’s
Synergy - January/February 2013
Table of Contents for the Digital Edition of Synergy - January/February 2013
Synergy - January/February 2013
Contents
Editor’s Column
President’s Column
Mobile Devices and Their Use in Healthcare: Medical Staff Policies and Procedures to Avoid Pitfalls
Evaluating the Effectiveness of Medical Staff Meetings
Credentialing with the Lights Out
NAMSS PASS Is Now Available
Industry Partners Respond to NAMSS PASS
Member Experiences
NAMSS Dashboard 2012 Year in Review
NAMSS News
Happenings
Consultants Directory
Synergy - January/February 2013 - Intro
Synergy - January/February 2013 - Synergy - January/February 2013
Synergy - January/February 2013 - Cover2
Synergy - January/February 2013 - 1
Synergy - January/February 2013 - Contents
Synergy - January/February 2013 - 3
Synergy - January/February 2013 - 4
Synergy - January/February 2013 - 5
Synergy - January/February 2013 - Editor’s Column
Synergy - January/February 2013 - 7
Synergy - January/February 2013 - President’s Column
Synergy - January/February 2013 - 9
Synergy - January/February 2013 - Mobile Devices and Their Use in Healthcare: Medical Staff Policies and Procedures to Avoid Pitfalls
Synergy - January/February 2013 - 11
Synergy - January/February 2013 - 12
Synergy - January/February 2013 - 13
Synergy - January/February 2013 - Evaluating the Effectiveness of Medical Staff Meetings
Synergy - January/February 2013 - 15
Synergy - January/February 2013 - 16
Synergy - January/February 2013 - 17
Synergy - January/February 2013 - Credentialing with the Lights Out
Synergy - January/February 2013 - 19
Synergy - January/February 2013 - NAMSS PASS Is Now Available
Synergy - January/February 2013 - 21
Synergy - January/February 2013 - Industry Partners Respond to NAMSS PASS
Synergy - January/February 2013 - 23
Synergy - January/February 2013 - Member Experiences
Synergy - January/February 2013 - 25
Synergy - January/February 2013 - NAMSS Dashboard 2012 Year in Review
Synergy - January/February 2013 - 27
Synergy - January/February 2013 - NAMSS News
Synergy - January/February 2013 - 29
Synergy - January/February 2013 - 30
Synergy - January/February 2013 - Happenings
Synergy - January/February 2013 - Consultants Directory
Synergy - January/February 2013 - Cover3
Synergy - January/February 2013 - Cover4
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