Title: MS.1.20�Status and Impact on Hospitals and Medical Staffs
As most of you are aware, The Joint Commission created a Task Force composed of hospital and physician industry representatives to address its controversial and evolving standard on medical staff bylaws and medical staff governance. A June 2007 "final" rule generated a strong negative reaction from hospitals because it would have required the consolidation of most substantive governance, credentialing, and hearing requirements into the bylaws rather than allow the common practice of utilizing separate policies, manuals, and rules and regulations to reflect these procedures. The rule also dramatically changed the relationship between the organized medical staff and the Medical Executive Committee.
After almost two years since the rule was issued, the Task Force has developed a "consensus" draft which now has been circulated to various industry constituencies for their reaction. The goal is for this draft to be submitted to The Joint Commission Board of Trustees in October 2009 for review and approval before sending out for field review. The effect of this new standard, in whatever final form, will likely require an exploration of how each hospital will address the medical staff governance principles reflected in the recommended revisions, as well as a revision of most hospitals' medical staff bylaws to fully effectuate these principles.
We are fortunate to have as the Medical Staff, Credentialing, and Peer Review (MSCPR) Practice Group Annual Luncheon speaker on Wednesday, July 1, Ann O'Connell. Ann is a partner with Nossaman LLP, is former Chair of the MSCPR Practice Group and was a member of The Joint Commission Task Force representing the California Hospital Association. She will share her insights regarding the process which led up to this proposed standard and, more importantly, will be discussing the proposed standard as part of a side-by-side comparison with the existing rule so that the attendees will have a clear understanding as to how the standard would affect their hospitals and medical staffs. We hope you can join us for this important, timely, and what will prove to be an engaging discussion.