Course Curriculum

The Centers for Medicare and Medicaid Services (CMS) hospital CoPs has sections on both board and medical staff and includes information on credentialing and privileging requirements; implementing Medical Staff (MS) bylaws and rules and regulations; hospitals in systems; board responsibility for quality and safety; sharing a board in hospital systems; policy development; and history and physicals.

Many changes were made April of 2015 and some hospitals are still struggling to ensure compliance. Therefore, the board and medical staff sections will be discussed in detail.  CMS allows a hospital system to share a medical staff; CMS refers to this as a unified and integrated medical staff.  Boards must directly consult with an individual who is responsible for the conduct of the medical staff at least twice a year. The medical staff can credential the dietician to order diet and the registered dietician can be a member of the medical staff or just credentialing and privileging without being a member of the medical staff. Attendees will learn more about these and other changes and updates for boards and medical staff.

Speaker: 
Sue Dill Calloway
President, Patient Safety and Health Care Education and Consulting
 

Sue Dill Calloway has been a nurse attorney and consultant for more than 30 years. Currently, she is president of Patient Safety and Healthcare Education & Consulting. She was previously the chief learning officer for the Emergency Medicine Patient Safety Foundation.

The speaker has no real or perceived conflicts of interest that relate to this presentation.

Learning Objectives

At the conclusion of this session, participants will be able to:

1.     Discuss the CMS CoPs section related to the Board and medical staff.

2.     Describe how hospitals can have a separate medical staff or a unified and shared integrated medical staff.

3.     Explain how CMS will allow the medical staff to credential qualified dieticians to order the patient’s diet.