Bylaws, medical staff governance, & structure
Modernize governance documents to optimize effectiveness and efficiency
Reviewing and updating bylaws gives the medical staff the opportunity to improve physician engagement, effect meaningful change, and implement leading practices that are responsive to the current complex environment. Our diverse team includes physicians, advanced practice professionals, and legal experts with decades of experience providing comprehensive medical staff support.
Bylaws and rules & regulations redesign
Working with physicians, administrators, and legal counsel, we facilitate a collaborative session to redesign an organization’s approach to bylaws and/or rules & regulations in alignment with its unique culture. We focus on legal and regulatory requirements as well as best practice options where variability is allowed. We support medical staff leaders by documenting the rationale for changes, and can assist in socializing the changes to secure approval by the medical staff.
Bylaws and rules & regulations review
We work with clients to review medical staff governance documents, specifically assessing for regulatory compliance (and providing compliant language, as needed), and identifying opportunities to implement leading practices.
Medical staff alignment
Hospital mergers and acquisitions are the new norm in healthcare, and medical staff alignment is necessary for success. Working with physicians, administrators, and legal counsel from multiple hospitals with independent medical staffs, we facilitate review and alignment sessions to create medical staff governance documents and structures to meet the needs of the organization and medical staffs. There are numerous approaches to alignment, including complete medical staff unification, combining multiple medical staffs under one hospital license, designing standardized documents, or creating a model set of governing documents that capture core requirements but allow for customization when possible.
Clear guidance for compliance
Careful vetting of bylaws and thoughtful rewriting or reorganizing are only the first steps—recognizing and overcoming resistance to change are important steps to achieving alignment and a return on investment.
- Decrease unnecessary administrative burdens
- Improve physician satisfaction by standardizing cross-system processes
- Enhance autonomy and control through bylaws and rules & regulations
- Foster a collaborative and productive coexistence between hospital and medical staff
- Mitigate the potential for litigation
We now have uniform medical staff bylaws across our five hospitals. Aligning the medical staffs of each hospital was a significant lift and I cannot thank Chartis Clinical Quality enough for their help and expertise throughout the process.
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