Or. Admin. Code § 333-076-0120

Current through Register Vol. 63, No. 12, December 1, 2024

Section 333-076-0120 - ASC Medical Staff

(1) The physicians and dentists organized into a medical staff pursuant to OAR 333-076-0119 shall propose medical staff bylaws to govern the medical staff. The bylaws shall include, but not be limited to the following:

(a) Procedures for physicians and dentists admitted to practice in the facility to organize into a medical staff;

(b) Procedures for ensuring that physicians and dentists admitted to practice in the facility are granted privileges consistent with their individual training, experience and other qualifications;

(c) Provisions establishing a framework for the medical staff to nominate, elect, appoint or remove officers and other persons to carry out medical staff activities with accountability to the governing body;

(d) Procedures for ensuring that physicians and dentists admitted to practice in the facility are currently licensed by the Oregon Medical Board or the Oregon Board of Dentistry;

(e) Procedures for ensuring that the facility's procedures for granting, restricting and terminating privileges are followed and that such procedures are regularly reviewed to assure their conformity to applicable law; and

(f) Procedures for ensuring that physicians and dentists provide services within the scope of the privileges granted by the governing body.

(2) Amendments to medical staff bylaws shall be accomplished through a cooperative process involving both the medical staff and the governing body. Medical staff bylaws shall be adopted, repealed or amended when approved by the medical staff and the governing body. Approval shall not be unreasonably withheld by either. Neither the medical staff nor the governing body shall withhold approval if such repeal, amendment or adoption is mandated by law, statute or regulation or is necessary to obtain or maintain accreditation or to comply with fiduciary responsibilities or if the failure to approve would subvert the stated moral or ethical purposes of this institution.

Or. Admin. Code § 333-076-0120

HD 3-1990, f. 1-8-90, cert. ef. 1-15-90; PH 1-2019, amend filed 01/07/2019, effective 1/7/2019

Statutory/Other Authority: ORS 441.025

Statutes/Other Implemented: ORS 441.055