Pennsylvania Code › Title 28 - HEALTH AND SAFETY › Part IV - Health Facilities › Subpart B - General and Special Hospitals › Chapter 107 - MEDICAL STAFF › GENERAL PROVISIONS › Section 107.4 - Medical staff status

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Every
					 hospital shall have an active medical staff to deliver the preponderance of
					 medical services within the hospital. The active medical staff shall be
					 responsible for its own organization and administration and should perform all
					 significant duties pertaining thereto. Every member of the active medical staff
					 shall be eligible to vote at staff meetings and to hold office.
(b) In addition to the active medical staff,
					 the hospital may provide for additional kinds of medical staff privileges as
					 delineated in subsection (c). The existence of additional staff categories
					 shall in no way modify the privileges, duties, and responsibilities of the
					 active medical staff.
(c)
					 Additional staff categories may include the following:
(1)
Associate medical staff.
There may be an associate medical staff consisting of individuals who are being
					 considered for advancement to the medical staff. Members of the associate
					 medical staff shall be appointed and assigned to departments or services in the
					 same manner as are members of the active medical staff. Although they may not
					 hold office, they may serve on some medical staff hospital committees. The
					 active medical staff should determine the extent of voting privileges to be
					 granted to members of the associate medical staff.
(2)
Courtesy medical staff.
There may be a courtesy medical staff consisting of those medical practitioners
					 eligible for staff membership who are given privileges to admit an occasional
					 patient to the hospital. Courtesy staff members may neither vote nor hold
					 office. Because admission of patients to the hospital is an exercise of a
					 privilege and, therefore, is accompanied by a responsibility, admission of more
					 than an occasional patient should require the practitioner to seek membership
					 on the active medical staff.
(3)
Temporary medical staff privileges.
Temporary clinical
					 privileges at the time of emergency or
locum tenens
may be
					 granted to a medical practitioner for a limited and stated period on the
					 recommendation of the chief of the applicable department/service or the
					 president of the staff and with the concurrence of the chief executive
					 officer.
(4)
Consulting
					 medical staff.
There may be a consulting medical staff consisting of
					 medical practitioners of recognized professional ability who are not members of
					 another category of the medical staff and who have signified willingness to
					 accept appointment to the consulting staff. Members of the consulting staff may
					 neither vote nor hold office.
(5)
Honorary medical staff.
There may be an honorary medical staff
					 consisting of former staff members, retired or
emeritus,
and
					 of other practitioners of outstanding reputation whom the medical staff desires
					 to honor. Those who are members of the honorary medical staff exclusively may
					 neither vote nor hold office.