10A NCAC 13B .3704. STATUS

(a)  Every facility shall have an active medical staff to deliver medical services within the facility.  The active medical staff shall be responsible for the organization and administration of the medical staff.  Every member of the active medical staff shall be eligible to vote at medical staff meetings and to hold office.

(b)  The active medical staff may establish other categories for membership in the medical staff.  These categories for membership shall be identified and defined in the medical staff bylaws, rules or regulations adopted by the active medical staff.  Examples of these other categories for membership are:

(1)           associate medical staff;

(2)           courtesy medical staff;

(3)           temporary medical staff;

(4)           consulting medical staff;

(5)           honorary medical staff; or

(6)           other staff classifications.

The medical staff bylaws, rules or regulations may grant limited or full voting rights to any one or more of these other membership categories.

(c)  Medical staff appointments shall be reviewed at least once every two years by the governing board.

(d)  The facility shall maintain an individual file for each medical staff member.  Representatives of the Department shall have access to these files in accordance with G.S. 131E-80.

(e)  Minutes of all actions taken by the medical staff and the governing board concerning clinical privileges shall be maintained by the medical staff and the governing board, respectively.

 

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

Eff. January 1, 1996.