Primer on the Medicare Hospital Conditions of Participations (CoPs): Medical staff leadership in hospital matters
The Hospital Medicare Conditions of Participations (CoPs) define the minimum requirements of hospitals to participate in the Medicare and Medicaid programs. More specifically, the CoPs codify Medicare’s expectations of hospital governance and the medical staff. On May 10, 2012, the Centers for Medicare & Medicaid Services (CMS) published its final rule on revisions to the Medicare CoPs. As a direct result of AMA advocacy, the final rule, which took effect July 16, 2012, made a number of improvements over the draft rule proposed in October 2011, which include: the proposed concept of a single medical staff for a multi-hospital system has been removed; the proposed concept of the privileging of physicians without appointment to the medical staff has been removed; the proposed concept of credentialing for medical staff membership in accordance with hospital policies and procedures has been removed. The final rule defers to state law and medical staff bylaws, rules and regulations. The final rule also required that a hospital’s governing body include at least one medical staff member; however, CMS has postponed the enforcement of this rule until it can further review a number of legal challenges raised by other organizations after the publication of the final rule. This program will provide specific information on the CoPs requirements regarding governance, medical staff and leadership. Participants will also gain knowledge on how physician influence and medical staff involvement can improve patient safety and quality of care. Should you have technical questions, please contact the AMA Unified Service Center at 800-621-8335. Should you have any questions regarding the content, please contact Katie Pajak at firstname.lastname@example.org or 1-312-464-5450.
Type: Internet Activity (Enduring Material)
AMA PRA Category 1 Credit™
Certificate of Participation for Non-Physicians