Education event

Medical Staff Bylaws and Rules Seminar
Updated CHA Model Medical Staff Bylaws and Rules, provider conduct guidelines, significant court cases

November 16, Sacramento
November 18, Glendale


A hospital’s relationship with the medical staff is complex and, at times, delicate. Both parties rely on the medical staff bylaws to define the relationship and responsibilities. And, as the laws, regulations and standards governing the medical staff change, so must the medical staff bylaws.

CHA’s Model Medical Staff Bylaws and Rules has been updated to incorporate several important changes to the laws and accreditation standards governing the hospital and medical staff relationship. The Joint Commission’s long-awaited revision to standard MS.01.01.01 (formerly MS 1.20) will become effective March 31, 2011. MS.01.01.01 revises, in subtle but important ways, the relationship and responsibilities of the medical staff, the medical executive committee and the governing body.

New SB 700 requirements for peer review bodies and changes to the CMS’ Conditions of Participation will be reviewed in detail. Plus, practical approaches to implementation will also be discussed.

Comparing Two Models
A side-by-side comparison of recent changes to the CHA and CMA model medical staff bylaws and rules will be presented. Learn about the key differences between the two documents and the effects each may have on hospital operations and the medical staff.

Emerging Medical Staff Issues
Significant court cases will be examined, including those that address a hearing officer’s authority, hearing rights after administrative suspension, and the governing body’s authority to overturn a hearing decision.

Practitioner conduct guidelines and the benefits of the recently-developed hearing officer training and selection programs will also be discussed.

All attendees will receive CHA’s 2011 Model Medical Staff Bylaws and Rules which includes a comprehensive side-by-side comparison of the CHA and CMA model staff medical bylaws and rules.

This program fills up quickly, register today!

Recommended for:

Chief executive officers, chief operating officers, administrators, vice president of medical affairs, medical staff directors, chiefs of staff, legal counsel and compliance officers.


8:00 – 9:00 a.m. Check-in/Registration

9:00 a.m. – 12:00 p.m.

2010 legislative update on peer review

  • Review of key bills, where we stand now

Important litigation impacting medical staff relations

  • Hearing officer authority to terminate hearing
  • Overturning a medical executive committee decision
  • Information sharing between hospitals on disciplinary action
  • Hearing rights associated with administrative suspension

CHA’s updated Model Medical Staff Bylaws and Rules

  • Revisions to The Joint Commission’s MS.01.01.01
  • CMS requirements, changes to the Conditions of Participation
  • Recent legislative changes – new SB 700 peer review requirements
  • Recent litigation and impact on the bylaws

12:00 – 1:00 p.m. Hosted Luncheon

1:00 – 4:00 p.m.

CHA’s updated Model Medical Staff Bylaws and Rules (cont.)

  • Other new/revised provisions
  • CHA and CMA side-by-side analysis

Practitioner conduct guidelines

  • Bylaws and policies
  • Best practices discussion

Hearing officer training and selection programs

  • Bylaws and best practices
  • How to find knowledgeable hearing officers


Ann O’Connell is a partner in the Sacramento office of Nossaman LLP where she focuses her practice exclusively on health care law. Ms. O’Connell’s areas of expertise include medical staff bylaws; credentialing of physicians and allied health professionals; peer review and disciplinary proceedings; as well as a variety of contracting, regulatory, and general health care legal issues. In addition, she frequently serves as a hearing officer in medical staff hearings. Ms O’Connell is also the editor of CHA’s Model Medical Staff Bylaws and Rules.

Mary Powers Antoine is a partner in the Sacramento office of Nossaman LLP. In her practice Ms. Antoine focuses on health care law and represents managed care plans, hospitals and health facilities as well as physicians’ groups on a wide range of regulatory, contracting, and licensing issues. She advises medical staffs on peer review investigations, hearings and other disciplinary actions, bylaws, rules and regulations, Joint Commission compliance and compliance with state and federal laws, and patient care issues. Ms. Antoine is a registered nurse.

Robert Sullivan is a partner in the Sacramento office of Nossaman LLP where his practice is focused on administrative, governmental, labor, and health care law. A senior litigator, Mr. Sullivan has represented and counseled a variety of health care providers, including individual physicians, medical groups, ambulance companies, hospitals, and mental health clinics before state and federal agencies in the areas of malpractice suits, employment disputes, medical staff credentialing, licensing, and regulatory disputes.


Nov. 16
Hilton Sacramento Arden West
2200 Harvard Street
Sacramento, CA 95815
(916) 922-4700
Driving directions

Nov. 18
Hilton Los Angeles North/Glendale
100 West Glenoaks Boulevard
Glendale, CA 91202
(818) 956-5466
Driving directions



$325 Member
$525 Nonmember

Tuition includes CEUs, lunch, course materials and CHA’s 2011 Model Medical Staff Bylaws and Rules.

Confirmations: A confirmation will be sent to all registrants who register at least one week in advance. Directions and parking information will be included.

Cancellation Policy/Late Payment: A $50 non-refundable processing fee will be retained for each cancellation made in writing seven or more business days prior to the scheduled session and faxed to (916) 552-7506. No refunds will be made after these dates. Substitutions are encouraged. Please note: payment is due one day prior to the program. Payments not received by the seminar date will be subject to a 10% late fee.

Special Accommodations or Questions: If you require special accommodations pursuant to the American’s with Disabilities Act, or have other questions, please call (916) 552-7637.


Full attendance at the educational session is a prerequisite for receiving professional continuing education credit. Attendees must sign in at the seminar and, when required, include their state bar or professional license number. CEU certificates will be e-mailed.

Compliance—This program has been approved for 6.6 Compliance Certification Board (CCB) Continuing Education Units in Compliance Training and Education, and Auditing and Monitoring for Compliance. Granting of prior approval in no way constitutes endorsement by CCB of the program content or the program sponsor. CCB program code CAHA 025. (Note: CEU recipients for compliance are responsible to send/report a completed version of their certificate to HCCB to obtain CEU credit.)

Health Care Executives—CHA is authorized to award 5.5 hours of pre-approved Category II (non-ACHE) continuing education credit for this program toward advancement, recertification or reappointment in the American College of Healthcare Executives.

Legal—CHA is a State Bar of California approved MCLE provider. This activity has been approved for 5.5 hours of MCLE credit.

Medical Staff Coordinators—This program has been approved by the National Association Medical Staff Services (NAMSS) for up to 6.5 continuing education credits.


Click here to view the attendees from Sacramento.

Click here to view the attendees from Glendale.


CHA-Mod-MED-cover08_2.gifAll attendees will receive CHA’s 2011 Model Medical Staff Bylaws and Rules which includes a comprehensive side-by-side comparison of the CHA and CMA model staff medical bylaws and rules.

Available for Immediate Download

CHA Members can download the 2011 Interim Edition of the Model Medical Staff Bylaws and Rules which addresses the changes necessitated by the new MS.01.01.01 Standard and the CMS Conditions of Participation. This Interim Edition only includes the Bylaws; the Rules are not included in this Advance Notice because they were not affected by the changes made to TJC Standard MS.01.01.01. Further changes to address recent legal developments, including changes from the 2010 Legislative session, will be distributed at the seminar.