10A N.C. Admin. Code 13B.3706

Current through Register Vol. 39, No. 9, November 1, 2024

Section 13B .3706 - ORGANIZATION AND RESPONSIBILITIES OF THE MEDICAL STAFF

(a) The medical staff shall be organized to accomplish its required functions as established by the governing body and medical staff bylaws, rules, and regulations and provide for the election or appointment of its own officers.

(b) There shall be an executive committee, or its equivalent, which represents the medical staff, that has responsibility for the effectiveness of all medical activities of the staff, and that acts for the medical staff.

(c) The following functions shall be performed by the medical staff:

(1) credentialing review;

(2) medical records review;

(3) drug utilization review;

(4) radiation safety review;

(5) blood usage review;

(6) bylaws review;

(7) medical review;

(8) peer review; and

(9) recommendations for discipline or corrective action of medical staff members.

(d) The medical staff shall ensure that minutes are prepared for each medical staff, departmental, and committee meeting.

10A N.C. Admin. Code 13B .3706

Authority G.S. 131E-79;
Eff. January 1, 1996;
Readopted Eff. July 1, 2020.

Authority G.S. 131E-79;
Eff. January 1, 1996.

Readopted by North Carolina Register Volume 35, Issue 03, August 3, 2020 effective 7/1/2020.