Henry ford west bloomfield hospital medical staff bylaws



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HENRY FORD WEST BLOOMFIELD HOSPITAL

MEDICAL STAFF BYLAWS




Review and Approvals:

Medical Executive Committee: June 16, 2011

Board of Trustees: July 29, 2011



DEFINITIONS
1.AFFILIATED HEALTH CARE ORGANIZATION means an organization that has a relationship with Henry Ford Health System either by a significant contract arrangement or corporate structure and is designated an affiliate by the Board of Trustees.
2.BIOSCIENTIFIC PERSON means a professional person, other than a physician or dentist, who has attained a doctorate or equivalent academic status in a scientific discipline and who is either: (1) recognized by state law as an independent practitioner able to function in an unsupervised fashion such as a clinical psychologist, clinical chemist, exercise physiologist, audiologist, veterinarian, optometrist, or podiatrist, or (2) a doctoral level scientist who is a full-time researcher. The Board of Trustees has recognized as exceptions to the above cited requirements masters level prepared speech pathologists, audiologists and medical physicists. Other professional persons may be recognized as bioscientific persons by the Board of Trustees based upon the dictates of quality of care and Hospital needs.
3.BOARD OF GOVERNORS means the governing body of the Henry Ford Medical Group acting on its own or through its designated committee.
4.BOARD OF TRUSTEES means the Board of Trustees of Henry Ford Health System acting on its own or through its designated committee.
5.BYLAWS means these Bylaws of the Medical Staff of Henry Ford West Bloomfield Hospital, as amended, including any addenda attached hereto, unless specifically provided otherwise herein.
6.CHIEF EXECUTIVE OFFICER means the person appointed by the Board of Trustees to act on its behalf in the overall management of the System or his/her authorized representative.
7.CHIEF MEDICAL OFFICER means the individual appointed in accordance with Article III of these Bylaws and granted overall responsibility for oversight of medical services at Henry Ford West Bloomfield Hospital or his/her authorized representative.
8.CLINICAL PRIVILEGES or PRIVILEGES means the permission granted to a Medical Staff member to render specified diagnostic, therapeutic, medical, dental, or surgical services at the Hospital.
9.DENTIST means those individuals who have been awarded the degree of doctor of dentistry or doctor of dental medicine.
10.DEPARTMENT CHAIR means an individual appointed to head a clinical department of the Henry Ford Medical Group or his/her authorized representative.
11.DIVISION CHIEF means an individual appointed to head a clinical division of the Henry Ford Medical Group or his/her authorized representative.
12.HENRY FORD HEALTH SYSTEM (or SYSTEM) means the Corporate entity, including all of its operating divisions.
13.HENRY FORD HOSPITAL means the hospital facility licensed and operated as “Henry Ford Hospital,” which is an operating division of Henry Ford Health System.
14.HENRY FORD MEDICAL GROUP (or HFMG), which is an operating division of Henry Ford Health System, means those physicians, dentists and bioscientific persons who are (a) members of the Senior or Bioscientific staff category at Henry Ford Hospital and, in some cases, also at Henry Ford West Bloomfield Hospital, (b) employed by the System, and (c) collectively compose a multispecialty group practice to which the primary responsibility for the delivery of patient care and the conducting of educational and research activities within Henry Ford Health System has been delegated by the Board of Trustees.
15.HOSPITAL means Henry Ford West Bloomfield Hospital, a hospital facility that is an operating division of Henry Ford Health System.
16.MANAGEMENT means individuals on the administrative and corporate staffs of Henry Ford Health System.
17.MEDICAL EXECUTIVE COMMITTEE means the Medical Executive Committee of the Henry Ford West Bloomfield Hospital, established and operated in accordance with Article III of these Bylaws.
18.MEDICAL STAFF or STAFF means the formal organization of all licensed doctors of medicine, doctors of osteopathy, dentists, and bioscientific persons with a doctorate or equivalent academic status who are privileged by appointment to attend to patients’ needs at Henry Ford West Bloomfield Hospital. This designation includes selected members of the Henry Ford Medical Group. The specific categories of the Medical Staff are set forth in Article VI of these Bylaws.
19.PHYSICIAN means an individual with a doctor of medicine or doctor of osteopathy degree who is licensed to practice medicine.
20.POLICIES means all promulgations or statements of policy that apply at Henry Ford West Bloomfield Hospital, including rules, regulations, guidelines, policies, procedures, memoranda, and protocols issued or approved by the Hospital or System or their authorized representatives.
21.SPECIAL EQUIPMENT OR FACILITIES means facilities and equipment operated by the Hospital and designated by the Board of Trustees for access by Adjunct Medical Staff members.
22.SPECIAL NOTICE means written notice that is (a) delivered personally, (b) sent by registered or certified mail, return receipt requested, or (c) sent by overnight delivery service, to the person to whom the notice is sent.
23.SERVICE CHIEF means an individual appointed in accordance with Article V of these Bylaws to be responsible for the medical operations of a Service of the Medical Staff or his/her authorized representative.
24.WEST BLOOMFIELD CHIEF EXECUTIVE OFFICER means the person appointed by the Board of Trustees to act on its behalf in the overall management of Henry Ford West Bloomfield Hospital or his/her authorized representative.



table of contents

Page No.

ARTICLE II

MEDICAL STAFF DESIGNATION 6

ARTICLE III

PURPOSES AND RESPONSIBILITIES 6

ARTICLE IV

MEDICAL STAFF GOVERNANCE:


MEDICAL EXECUTIVE COMMITTEE AND CHIEF MEDICAL OFFICER 7

ARTICLE V

MEDICAL STAFF GOVERNANCE: COMMITTEES 13

ARTICLE VI

MEDICAL STAFF STRUCTURE: SERVICES AND SECTIONS: 15

ARTICLE VII

MEDICAL STAFF CATEGORIES: 19

ARTICLE VIII

MEDICAL STAFF MEMBERSHIP: 23

ARTICLE IX

APPOINTMENT TO THE MEDICAL STAFF: 29

ARTICLE X

CLINICAL PRIVILEGES: 37

ARTICLE XI

REAPPOINTMENT TO THE MEDICAL STAFF AND
REDELINEATION OF CLINICAL PRIVILEGES: 41

ARTICLE XII

MEETINGS: 45

ARTICLE XIII

CONFIDENTIALITY AND PROFESSIONAL PRACTICE REVIEW FUNCTIONS: 46

ARTICLE XIV

CORRECTIVE ACTION, SUMMARY ACTION
AND TERMINATION OF MEDICAL STAFF APPOINTMENT: 48

ARTICLE XV

HEARINGS AND APPELLATE REVIEW: 56

ARTICLE XVI

GENERAL PROVISIONS: 64

ARTICLE XVII

AMENDMENT OF BYLAWS: 65

ARTICLE XVIII

ADOPTION OF BYLAWS: 66






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