In this Presentation:

*How did we get here?

*Erosion of “the club”

*Why an “organized” medical staff?

*Why bylaws?

*Bylaws components

*Commonly encountered bylaws weaknesses:

*Conflict of interest

*Member’s rights

*Medical staff prerogatives/rights

*Mission/purpose statement

*Membership

*Membership requirements

*Medical staff categories

*Medical staff officers

*Leadership development

*Credentialing and privileging

*Pre-application letter

*Special issues

*Overall committee structure

*Medical staff departments vs. clinical services

*MEC

*Investigations (clear-line definition)

*Corrective actions/fair hearing

*Criteria for peer review: bylaws or procedure manual

*Precautionary suspensions

*Avoid unnecessary triggers for fair hearings

*Hearings

*Appellate review by board

*Peer review (OPPE) manual

*Quorum/attendance/meetings

*Amendment process

*Operational issues

*Corporate negligence

*Critical principle

*Communication of change strategy