Lakeland Health Care

Bylaws

LAKELAND MEDICAL STAFF BYLAWS

April, 2008

Table of Contents

DEFINITIONS

ARTICLE I. PURPOSE

1.1 Lakeland

1.2 Lakeland Medical Staff Organization

1.3 Bylaws

 

ARTICLE II. STRUCTURE (MS.1.20; EP 9)

 

ARTICLE III. MEDICAL STAFF MEMBERSHIP

3.1 Medical Staff Appointment

3.2 Qualifications for Appointment (MS.1.20; EP 11)

3.3 Appointment to Membership (MS.1.20; EP 27)

3.4 Nondiscrimination

3.5 Conditions and Duration of Appointment

3.6 Staff Dues and Application Fee

3.7 Clinical Privileges (MS.1.20; EP10 and 26)

3.8 Medical Staff Member Rights (MS.1.20: EP 4 and EP 18)

3.9 Responsibilities of Membership

 

ARTICLE IV. SUSPENSION AND REVOCATION.

4.1 General Provisions

4.2 Disciplinary Suspension

4.3 Precautionary (Summary) Suspension (MS1.20: EP 13 & 30)

4.4 Permanent Suspension of Privileges (MS.1.20: EP 14 & 31)

4.5 Automatic Suspension and Revocation (MS1.20: EP 12 & 29)

4.6 Procedural Rights

 

ARTICLE V. CATEGORIES OF THE MEDICAL STAFF

5.1 Active - Admitting Staff

5.2 Active - Non-Admitting Staff

5.3 Courtesy Staff

5.4 Locum Tenens Staff

5.5 Telemedicine Staff

5.6 Education Staff

5.7 Provisional Staff

5.8 Emeritus / Honorary Medical Staff

 

ARTICLE VI. CLINICAL PRIVILEGES

6.1 Exercise of Privileges

6.2 Delineation of Privileges, in General

6.3 Specific Privilege Requests (MS1.20 EP 17)

6.4 Special Conditions for Dental Privileges.

6.5 Special Conditions for Podiatric Privileges.

6.6 Allied Health Practitioners.

6.7 Temporary Privileges.

6.8 Leave of Absence.

 

ARTICLE VII. OFFICERS

7.1 Offices

7.2 Term and Term Limits

7.3 Qualifications

7.4 Nomination and Selection (MS.1.20; EP 28)

7.5 Vacancies

7.6 Removal

7.7 Duties of Officers

 

ARTICLE VIII. GENERAL MEDICAL STAFF

8.1 General Provisions for Committees and Meetings.

8.2 General Medical Staff (GMS) Meetings.

8.3 Special General Medical Staff Meetings.

8.4 Order of Business and Agenda.

 

ARTICLE IX. DIVISIONS

9.1 Classification

9.2 Assignment to Divisions

9.3 Officers

9.4 Division Chief (MS1.20; EP 33)

9.5 Meetings, Members and Quorum

9.6 Divisional Mortality and Morbidity Conference

 

ARTICLE X. COMMITTEES

10.1 Classification

10.2 General Provisions (MS1.20; EP 20)

10.3 Medical Executive Committee (MEC) (MS.1.20; EP 6, 20, 21 & 22)

10.4 Quality Committee of the Medical Staff (QCMS)

10.5 Bylaws / Credentials Committee (BCC)

10.6 Professional Conduct Committee (PCC)

10.7 Joint Conference Committee (JCC)

10.8 Primary Care Summit

10.9 Cancer Care

10.10 Critical Care

10.11 Infection Control

10.12 Stroke Care

10.13 Cardiovascular Care

10.14 Pharmacy, Nutrition, and Therapeutics (PNT)

10.15 Division Quality

 

ARTICLE XI. FAIR HEARING PROCESS

11.1 Special Definitions

11.2 Practitioner Rights

11.3 Hearing Process Overview

11.4 Initiation of Hearing

11.5 Hearing Prerequisites

11.6 Hearing Committee Procedures

11.7 Hearing Committee Report and Additional Action

11.8 Initiation of an Appellate Committee Review

11.9 Appellate Review Process

11.10 General Provisions

11.11 Allied Health Practitioners (AHP) Corrective Action

 

ARTICLE XII. CONFIDENTIALITY, IMMUNITY AND RELEASE

12.1 Special Definitions

12.2 Authorizations and Conditions

12.3 Confidentiality of Information

12.4 Immunity from Liability

12.5 Activities and Information Covered

12.6 Releases

12.7 Cumulative Effect

 

ARTICLE XIII. RELATED MANUALS, PROTOCOLS AND FORMS

13.1 Medical Staff Manuals

13.2 Division Rules and Regulations

13.3 Forms

13.4 Transmittal of Reports

 

ARTICLE XIV. ADOPTION AND AMENDMENT OF BYLAWS

14.1 Responsibility and Authority (MS.1.20; 24)

14.2 Approval by the Medical Staff

14.3 Approval by the Board of Directors

 

ARTICLE XV. ADOPTION AND AMENDMENT OF MEDICAL STAFF MANUALS

15.1 Responsibility and Authority (MS.1.20; EP 25)

15.2 Medical Staff Rights

 

ARTICLE XVI. MISCELLANEOUS PROVISIONS

16.1 Right of Designation

16.2 References 

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