California Code of Regulations › Title 22 - Social Security › Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies › Chapter 11 - Chemical Dependency Recovery Hospital Licensing Regulations › Article 5 - Administration › Section 79303 - Medical Staff

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a)
				  Each chemical dependency recovery hospital that has extended admission
				  privileges to five or more physicians and/or clinical psychologists, shall have
				  an organized medical staff responsible to the medical director and the
				  governing body for the fitness, adequacy and quality of the medical care
				  rendered to patients in the CDRH.
(b) For the purpose of these regulations, the
				  medical staff shall be composed of physicians and may include clinical
				  psychologists, dentists and podiatrists competent in their respective fields,
				  worthy in character and in professional ethics. No CDRH shall discriminate with
				  respect to employment, staff privileges or the provision of professional
				  services against a medical staff member on the basis of whether the medical
				  staff member holds a Doctor of Medicine, Doctor of Osteopathy, Doctor of
				  Podiatric Medicine, Doctor of Dental Science or a Doctor of Psychology
				  Degree.
(c) The medical staff, by
				  vote of the members and with the approval of the governing body, shall adopt
				  written bylaws which provide formal procedures for the evaluation of staff
				  applications and credentials, appointments, reappointments, assignment of
				  clinical privileges, appeals mechanisms and such other subjects or conditions
				  which the medical staff and governing body deem appropriate.
(d) The medical staff shall meet regularly.
				  Minutes of each meeting shall be retained and filed at the CDRH.
(e) The medical staff shall provide in its
				  bylaws, rules and regulations for the functions to be performed by the
				  following committees: executive, credentials, health records, utilization
				  review, pharmacy and therapeutics. In those CDRH's where appropriate, the above
				  functions may be performed by a committee of the whole or its equivalent. These
				  committees shall make reports of their activities and recommendations to the
				  governing body as frequently as necessary and at least quarterly.
(f) The medical staff shall provide in its
				  bylaws, rules and regulations for appropriate practices and procedures to be
				  observed in the CDRH. In this connection, the practice of division of fees,
				  under any guise whatsoever, shall be prohibited and any such division of fees
				  shall be cause for exclusion from the staff.
(g) The medical staff shall provide for
				  availability of a physician for emergencies in the event that attending
				  physicians or the medical director are not available.
(h) The medical staff shall participate in a
				  continuing program of professional education. A comprehensive quality assurance
				  program to evaluate clinical performance shall be used to determine continuing
				  education needs.
1. Editorial
					 correction of subsections (a), (b), (d)-(f) filed 12-15-82 (Register 82, No.
					 51).
Note: Authority cited: Sections
						208(a),
						1275
						and
						1275.2,
						Health and Safety Code. Reference: Sections
						1250.3,
						1275.2,
						1315,
						1316
						and
						1316.5,
						Health and Safety Code.