Polsinelli’s Health Care attorneys guide hospitals and health systems through the medical staff governance process including credentialing, peer review, bylaws and medical staff and governing body relationships. From practitioner credentialing to hearings and appeals, and defense of litigation, our attorneys are versed in the intricacies involved in the life cycle of hospital-medical staff relationships.
Polsinelli has handled almost every type of matter involving medical staff and mid-level practitioners and has advised client on compliance with accreditation standards, hospital licensing laws, peer review laws, and federal laws governing the conduct of medical staff fair hearings. Specifically, we have extensive experience counseling hospitals on medical staff bylaws and related rules, regulations, policies and procedures, and codes of conduct. We have been active helping clients in implementing processes for effectively managing disruptive and inappropriate behaviors and in developing processes for empowering the well-being committee and managing impaired and aging providers.
Our team has experience advising through the credentialing process, advising peer review committees, representing medical executive committees in hearings and appeals, and interfacing with government entities. We also have defended hospitals and surgical centers in lawsuits filed by affected practitioners, during and after peer review.
Polsinelli’s medical staff advising experience includes:
- Representing health care clients in complex cases involving antitrust, tort, and breach of conduct claims related to credentialing.
- Defending health care clients in lawsuits brought by physicians and practitioners in connection with the suspension or termination of their privilege.
- Advising medical staff committees on quality of care, conduct, and wellness issues including the development of aging practitioner policies.
- Advising nurse peer review committees.
- Representing the Medical Executive Committee or the Hearing Committee in administrative hearings regarding the removal of physicians’ privileges.
- Advising clients on exclusive arrangements and closed departments.
- Counseling health care entities regarding reports to the National Practitioner Data Bank and licensing boards.
- Advising health care entities about their bylaws, policies, and procedures.
- Conducting investigations for health care entities.
- Drafting medical staff bylaws, and advising hospitals and health care systems regarding medical staff development, credentialing, peer review, corrective action, antitrust, and other provider relationship matters.
- Representing large hospital systems involving medical staff privilege hearing and related declaratory judgment action.
- Successful litigation and disposition of multi-million dollar damages claims for improper medical staff credentialing and privileging allegations relating to orthopedic surgeons performing complex spine surgery.
- Advising and assisting on potential compliance issues involving unnecessary and worthless procedures.
- Providing regular education to medical staff and hospital leadership regarding roles and responsibilities.