Cal. Code Regs. tit. 22 § 97510.3

Current through Register 2024 Notice Reg. No. 43, October 25, 2024
Section 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.

Cal. Code Regs. Tit. 22, § 97510.3

1. New section filed 3-7-88 as an emergency; operative 3-7-88 (Register 88, No. 12). No Certificate of Compliance required pursuant to the provisions of Health and Safety Code section 1250.9(m).
2. Editorial correction of HISTORY No. 1 (Register 90, No. 21).

Note: Authority cited: Section 1250.9, Health and Safety Code. Reference: Section 1250.9, Health and Safety Code.

1. New section filed 3-7-88 as an emergency; operative 3-7-88 (Register 88, No. 12). No Certificate of Compliance required pursuant to the provisions of Health and Safety Code section 1250.9(m).
2. Editorial correction of HISTORY No. 1 (Register 90, No. 21).