The medical staff of the Ambulatory Surgical Facility must be accountable to the governing body.
Members of the medical staff must be legally and professionally qualified for the positions to which they are appointed and for the performance of privileges granted. The Ambulatory Surgical Facility grants privileges in accordance with recommendations from qualified medical personnel.
Medical staff privileges must be periodically reappraised by the Ambulatory Surgical Facility. The scope of procedures performed in the Ambulatory Surgical Facility must be periodically reviewed and amended as appropriate.
If the Ambulatory Surgical Facility assigns patient care responsibilities to practitioners other than physicians, it must have established policies and procedures, approved by the governing body, for overseeing and evaluating their clinical activities.
10-144 C.M.R. ch. 125, § 4.G