The Centers for Medicare and Medicaid Services (CMS) hospital CoPs has a section on the medical staff. It includes information on credentialing and privileging requirements, implementing Medical Staff (MS) bylaws and rules and regulations, hospitals in systems. This webinar will also cover the Joint Commission standard for medical staff, plus telemedicine and the federal regulations under CMS associated with telemedicine.Areas CoveredAppointment of individuals to the MSMS by-laws and rules and regulationsMS accountability for the quality of careCredentialing and privileging frequencySeparate medical staff or unified shared integrated medical staffThe Medical Staff compositionMedical staff duties in credentialing all eligible candidates for medical staff membership and make recommendations to the boardH&P revised rulesCare of patientsEmergency servicesAutopsies and changes in 2020TJC Standards for Medical Staff Telemedicine requirementsCMS deficiencies in telemedicine for hospitalsDefinitions of distant site telemedicine entity (DTSE)Requirement for and in the written agreement for TelemedicineTelemedicine privileges based on medical staff recommendationsCredentialing by proxyAgreements with Medicare-certified hospitalsAgreements with DTSEEffect on Joint Commission hospitalsReliance on the C&P decisions of the distant sitePeer review issuesAdverse events and notification Periodic appraisalsComplaints received about the distant site physician Third-party verification organizationCourse Level - IntermediateWho Should AttendChief Medical OfficerMedical Staff leaderCredentialing and Privileging ProfessionalsPhysiciansMedical staff office staff and coordinator Teleradiology ProfessionalsChief Nursing OfficerChief Operating OfficerDirector of RadiologyDirector of PharmacyHospital legal counselRisk managerCompliance officer – CMS and/or TJC/DNVJoint Commission directorAccreditation DirectorDirector of Regulatory Affairs Telemedicine directorAnyone involved or in contracting for telemedicine services Health information management officerWhy Should You AttendChanges to CMS regulations affecting medical staff. Changes also reflected by Joint Commission. CMS issued over 2,180 deficiencies and/citations related to the Medical Staff section. All hospitals that accept Medicare/Medicaid payments must comply with all sections of the CMS State Operations Manual which includes Medical Staff.