Document Citation: 22 CCR 97510.3

Header:
CALIFORNIA CODE OF REGULATIONS
TITLE 22. SOCIAL SECURITY
DIVISION 7. HEALTH PLANNING AND FACILITY CONSTRUCTION
CHAPTER 12. POSTSURGICAL RECOVERY CARE DEMONSTRATION PROJECT
ARTICLE 2. REQUIRED SERVICES

Date:
08/31/2009

Document:
22 CCR 97510.3 (2011)

§ 97510.3. Medical Staff

(a) Each facility shall have a medical staff, chaired by the Medical Director, responsible to the governing body for the adequacy and quality of the medical care rendered to patients. The medical staff shall be composed of the Medical Director and all physicians, podiatrists and dentists who have admitting privileges at the facility.

(b) Physicians, podiatrists or dentists shall only be eligible for admitting privileges at the facility if they have admitting privileges at a participating surgery program and have admitting privileges at a general acute care hospital for the identical surgical procedures to be performed on the patient.

(c) The medical staff, with the approval of the governing body, shall adopt written by-laws which provide written procedures for the evaluation of staff applications and credentials, appointments, assignment of privileges, appeals mechanisms, and such other subjects or conditions which the medical staff and governing body deem appropriate. The by-laws shall include a provision for the formal organization of the medical staff. The medical staff shall abide by and establish a means of enforcement of its by-laws.

(d) The medical staff shall meet regularly, at least quarterly. Minutes of each meeting shall be retained and filed at the facility.

(e) The medical staff shall provide in its by-laws, rules and regulations for appropriate practices and procedures to be observed in the facility.

(f) The medical staff shall provide for the availability of a staff physician for emergencies in the event that the attending surgeon or, if applicable, his/her alternate, is not available.