Automatic suspensions
Medical Staff Leader Connection, May 23, 2006
Want to receive articles like this one in your inbox? Subscribe to Medical Staff Leader Connection!
In your bylaws you should have a section that describes "automatic suspensions." An automatic suspension is an administrative action (time out) that is triggered by a member's failure to abide by previously stated requirements or rules. They require no thought or work by the medical executive committee (MEC) or medical staff leadership. Rather, they occur automatically whenever a member fails to meet his/her obligation and should not trigger the fair hearing and appeal due process.
Whenever a member fails to meet the requirements, he/she is automatically suspended (timed-out) from the medical staff until the situation is resolved to the satisfaction of the MEC and the Board. The member is not entitled to the fair hearing and appeal due process. The following are examples of what actions should trigger an automatic suspension:
Licensure - whenever a member's medical license is revoked or suspended
DEA certificate - whenever a member's DEA certificate is revoked or suspended
Medicare, Medicaid, Tricare, or other Federal programs - whenever a member is sanctioned or barred from these programs
Professional liability insurance - whenever a member fails to maintain insurance in the amount required by the Board and/or state regulations
Dues - if these exist, whenever a member fails to promptly pay medical staff dues
Medical records completion - whenever a member fails to satisfy the requirements delineated in the medical staff rules and regulations or policies and procedures
Consider stating that the member would be re-instated immediately upon proving that the reason for the suspension has been resolved. Ultimately, the MEC should decide if the issue has been satisfactorily resolved. The MEC may decide that a re-application for staff membership and privileges is necessary, if a lengthy time period has transpired since suspension (e.g., 6 months).
Want to receive articles like this one in your inbox? Subscribe to Medical Staff Leader Connection!
Related Products
Most Popular
- Articles
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Topic: CMS, OESS post new security compliance review information, checklist
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Answering service messages
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- What does case-mix index mean to you?
- QA:Coding multiple initial infusions
- OB services: Coding inside and outside of the package
- State medical board will hear unprofessional charges against OB-GYN
- The debate continues: Nurses who reported physician to the Texas Medical Board file federal appeal
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Are your workforce members texting PHI?
- Don't let these sentinel events trigger falsely
- Arkansas woman convicted for HIPAA violation
- Q/A: Coding infusions to correct low potassium levels
- Q&A: Coding for protein malnutrition
- Q&A tackles coding questions about injections and infusions
- Joint Commission Center announces handoff communication solutions
- Inside best practice: Reduce patient falls with a stoplight
- Identify modifiable risk factors to prevent patient falls
- Searched
