Model Medical Staff Bylaws & Rules 2011
Coming Soon

Note: CHA’s Model Medical Staff Bylaws & Rules is currently not available. Check back soon to order the 2011 edition. CHA members will be able to download the manual for free!

This publication sets the framework for the working relationship of the medical staff, hospital administration and governing body, and assures legal protections are in place. The manual stresses quality-of-care responsibilities and accountability. System-wide credentialing and allied health professionals also are addressed.

The manual is consistent with California and federal law, and the applicable The Joint Commission standards. There are optional provisions and alternative selections throughout the Bylaws that providers can use to prepare Bylaws to meet their needs and practices.

The 2011 edition includes annotated bylaws and rules that show exactly where revisions were made compared to the previous edition. A free CD, containing Microsoft Word and Adobe Acrobat PDF files, is also included and can be used as a template for customizing and creating your own unique documents. The CD includes both the annotated and non-annotated versions of the Bylaws and Rules, and a side-by-side comparison of CHA’s Model Medical Staff Bylaws and Rules to the California Medical Association Model Bylaws.


  • Bylaws
    • Preamble
    • Definitions
    • Name and Purposes
    • Medical Staff Membership
    • Categories of the Medical Staff
    • Procedures for Appointment and Reappointment
    • Privileges
    • Allied Health Professionals
    • Performance Evaluation and Monitoring
    • Medical Staff Officers and Medical Director
    • Committees
    • Departments and Sections
    • Meetings
    • Confidentiality, Immunity, Releases and Indemnification
    • Performance Improvement and Corrective Action
    • Hearings and Appellate Reviews
    • General Provisions
    • Adoption and Amendment of Bylaws
  • Rules
    • Categories of Membership
    • Appointment and Reappointment
    • Standards of Conduct
    • Committees
    • Departments
    • Allied Health Professionals

302 pages (9th edition, 2011)

Written By

Ann H. O’Connell, Esq.

ann.gifAnn O’Connell is a partner in the Sacramento office of Nossaman LLP, and a 1977 graduate of McGeorge Law School. For the past three years, her practice has focused exclusively on health care law. Her 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.

Ms. O’Connell frequently serves as a hearing officer in medical staff hearings; has served as Vice-Chair and Chair of American Health Lawyers Association’s Medical Staff, Credentialing, and Peer Review Practice Group; and is a Past-President of the California Society for Healthcare Attorneys. In addition to editing CHA’s Model Medical Staff Bylaws and Rules for many years, she has co-authored and edited the American Health Lawyers’ Association’s Peer Review Hearing Guidebook (2008). From 2008 – 2010, Ms. O’Connell served on The Joint Commission’s MS.1.20 (MS.01.01.01) Task Force, representing CHA.