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View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
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View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
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Learn MoreEvery hospital is governed by medical staff bylaws specific to their organization. These bylaws dictate a variety of things, like how a medical staff structure is organized and categorized and how credentialing committees function. Read on for a deeper understanding of how it all works.
Medical staff bylaws exist to guide organizations in their journey of providing quality patient care. Bylaws are required by every regulatory agency—like the CMS—and they outline how a medical staff organization is run. Hospitals abide by these laws because it’s how they get access to government funding and receive reimbursement for treating Medicare/Medicaid patients. Bylaws also help hospitals keep up with individual state regulations which is important because these regulations can impact the issuing of medical licenses and malpractice coverage.
Providers need to meet certain requirements stated in the medical staff bylaws to be granted certain privileges. When a provider is on staff they can have membership, membership and privileges, or just privileges. Physicians have membership in a medical staff when they are appointed by a governing body, and to receive said membership they have to meet certain requirements listed in the bylaws, like having a current license or being board-certified.
Providers with membership can fall into various categories. Medical staff categories are dictated by medical staff bylaws and determine what voting rights each member has in medical staff meetings and credentialing committees. Categories vary by organization and are defined by the number and type of patients a provider sees within a certain amount of time. Some categories include:
Hospital bylaws also determine medical staff and leadership structures, which impact credentialing committees and processes.
In a small, rural hospital setting with only a few beds, the structure is very simple. Usually they have one department, the Medical Staff Department, which is made up of all providers, with perhaps one chief of staff or chief medical officer.
A slightly larger hospital setting may have two departments, medicine and surgery. Providers will be divided into two departments and each department will have a leader. These leaders will be overseen by a Chief of Staff.
In an even larger setting, there may be a department for medicine and another for surgery, and within those large departments there may be separate sections with certain specialties. Each individual department will likely have a leader and these leaders will be overseen by a Chief of Staff.
The larger the hospital setting, the more complicated it’s structure can be. The organizational structure and how it impacts credentialing and privileging will be defined in the hospital bylaws.
Within each structure, each member of the medical staff will have set roles and responsibilities. Medical staff bylaws outline those roles and responsibilities. They may look as follows:
This is but a sampling of what medical staff bylaws dictate per hospital setting. As you can well imagine, all of these criteria have an impact on how an organization privileges and credentials their providers. Not only does granting privileges require each application to go through the committee structure, but any revisions or changes too. And as we know, timing is everything in the medical services field. Privileging a physician can take months, and if there isn’t a proper system in place to facilitate the process, it could take even longer.
CredentialStream® was created to ensure your organization can meet all medical staff bylaw requirements, from initial applications through final approval. If you're ready for improved workflows and reporting for critical tasks like initial credentialing and recredentialing and privileging, then it may be time to take a look at CredentialStream. Sign up for a demo today!
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsStandardize policy and procedure management with an automated, customized, and centralized system.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementStreamline the revenue cycle management process and protect your bottom line with expert-backed education.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
View All ProductsComprehensive, industry-leading provider onboarding and credentialing software that validate health outcomes and support provider assessment.
View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
View All ProductsIntegrate with Epic to validate and add new providers directly to your provider master file.
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