Understanding Compliance and the Medical Staff

Learning Objectives

• Identify the different types of medical staff, and the types of relationships a hospital or health system may have with medical staff.
• Understand the purpose, applicability, and correlation of the Medical Staff Bylaws, Rules & Regulations and hospital policies.
• Ask the right questions to the right people when there is a compliance investigation involving a medical staff member.
• Avoid common compliance investigation obstacles and pitfalls.
• Understand corrective action options, the “fair hearing” process, and how the peer review privilege might apply.  
• Recognize and respond to common medical staff compliance issues.