According to CMS, a hospital, “must have an effective governing body legally responsible for the conduct of the hospital as an institution. If a hospital does not have an organized governing body, the persons legally responsible for the conduct of the hospital must carry out the functions...
When addressing disruptive physician behavior, organizations must understand an often confusing phrase: zero tolerance. Many medical staffs are adopting a zero-tolerance policy with regard to disruptive behavior, but some hospitals are confused about what exactly zero tolerance entails. This...
A healthcare organization’s culture is what drives behavior, which in turn drives outcomes. If the organization as a whole has embraced a culture that encourages adverse-event reporting without punitive consequences, while at the same time requiring the assumption of responsibility when an...
The process of a hearing following the medical executive committee’s (MEC) recommendation is an important right that must be spelled out in the bylaws. The hearing process will be explored in depth in four separate installments. This month, we will examine the initiation and notice of a fair...
