In This Presentation:

- Hospital Governing Board

- Do physicians have to serve on boards?

- How must board consult with the organized medical staff if physicians are not on the board?

- Hospital Medical Staff – Membership

- What practitioners can be appointed as members of the medical staff?

- Must membership be expanded if permitted under state law?

- Hospital Medical Staff – Separate or Unified?

- Overview of options to create a single, unified and integrated medical staff in a multi-hospital system.

– How must the Board interact with staff at each hospital?

- What is the medical staff voting process and who can vote?

- Must members in a unified medical staff have the option to create a separate medical staff?

- What impact on bylaws?

- What if the staffs serve different patient populations and have other unique circumstances?

- Ordering Hospital Outpatient Services

- Who can order?

- Excerpt from Hospital Governing Board:

- Background

- On May 16, 2012, CMS published a final rule that allowed one governing board to oversee multiple hospitals in a multi-hospital system.

- If there is one board but there are separately certified hospitals,each must demonstrate compliance with the Medicare CoPs.

- Rule also required that a medical staff member or members from at least one of the hospitals be included on the board.

- Many hospitals responded that the rule created complications, especially for public hospitals where local rules or state statutes required board members to be publicly elected or appointed by a government official.