Medical staff governing documents

Worked closely with in-house counsel and medical staff leadership of individual hospitals and multi-hospital systems to conduct reviews of medical staff governing bylaws, policies and procedures for compliance with Medicare conditions of participation and applicable law and private accreditation standards (i.e., TJC, HFAP, DNV/NIAHO) making recommendations for standardization and industry best practices. Additionally, the team assisted with the implementation of new policies and evaluated peer review policies for effective processes, making recommendations for updates and revisions.