Hospital Medical Staff Membership/ Appointment (#2)

Question 1

CoPs on Hospital MS Membership/ Appt

Answer 1

• Bylaws must describe qualifications required & privileging process of a candidate
• Criteria to determine which privileges are granted; governing body’s decision must be consistent with criteria, State/ Federal laws & regulations
  Minimum criteria:
  a. Character
  b. Competence
  c. Training
  d. Experience
  e. Judgment

Question 2

TJC on Hospital MS Membership/ Appt

Answer 2

• Criteria to grant, limit or deny a requested privilege defined in bylaws
• Supplemental criteria allowed

Question 3

HFAP on Hospital MS Membership/ Appt

Answer 3

• Bylaws or credentialing manual must describe qualifications & criteria for appointment
• Determine which AHP disciplines will function:
  a. Without supervision
  b. With supervision

Question 4

DNV on Hospital MS Membership/ Appt

Answer 4

• Governing body determines which categories of practitioners are eligible candidates for appointment to medical staff