10A NCAC 13B .3706      ORGANIZATION AND RESPONSIBILITIES OF THE MEDICAL STAFF

(a)  The medical staff shall be organized to accomplish its required functions as established by the governing body and medical staff bylaws, rules, and regulations and provide for the election or appointment of its own officers.

(b)  There shall be an executive committee, or its equivalent, which represents the medical staff, that has responsibility for the effectiveness of all medical activities of the staff, and that acts for the medical staff.

(c)  The following functions shall be performed by the medical staff:

(1)           credentialing review;

(2)           medical records review;

(3)           drug utilization review;

(4)           radiation safety review;

(5)           blood usage review;

(6)           bylaws review;

(7)           medical review;

(8)           peer review; and

(9)           recommendations for discipline or corrective action of medical staff members.

(d)  The medical staff shall ensure that minutes are prepared for each medical staff, departmental, and committee meeting.

History Note:        Authority G.S. 131E-79;

Eff. January 1, 1996;

Readopted Eff. July 1, 2020.