Presentation Summary

Medical staff corrective action can be one of the most divisive, difficult events to occur in a hospital setting. This process is governed by the medical staff bylaws which may or may not specify a role for hospital administration. The practical realities of hospital administration guidance during a medical staff corrective action and fair hearing will be spelled out along with the potentially disastrous pitfalls. The importance or preserving immunity under the Health Care Quality Improvement Act and complying with the National Practitioner Data Bank regulations (while understanding their limits) cannot be overstated. The presenters will suggest an approach to manage the fallout from these events and perhaps even use these events to improve medical staff – hospital relations and involvement going forward.

Learning Objectives

1. Understand the laws governing medical staff corrective action and reporting requirements (both state and federal).
2. Understand the typical course of a significant medical staff corrective action/ fair hearing and subsequent appeal and potential reporting.
3. Understand the ways that these proceedings can go drastically wrong and how to avoid those pitfalls.
4. Discuss practical tips for understanding the scope of hospital administration’s role in medical staff proceedings and how to maximize the benefits for the good of hospital-medical staff relations.

Presenters

• Sarah E. Coyne, Partner, Quarles & Brady, LLP
  Sarah Coyne is a partner in the health law group at Quarles & Brady LLP. She has been the national chairperson of the group since 2011, and has an active practice advising hospitals and other providers on the full gamut of health law issues, with emphasis on health information, Medicare billing compliance, and medical staff issues. Sarah is named as one of the Best Lawyers In America and a SuperLawyer, was selected as the Health Law Attorney of the Year for 2011 by the Wisconsin Bar Association, was selected as a 2013 Leader in the Law by the Wisconsin Law Journal, was selected as the 2014 and 2016 Madison Health Lawyer Of The Year by Best Lawyers In America. Sarah has served on the Board of the HIPAA Collaborative of Wisconsin since 2004, and currently serves as corporate secretary to that organization, and also serves on the Board of Madison Ballet.
• Jon Kammerzelt, Associate, Quarles & Brady LLP
  Jon Kammerzelt is a lawyer in the health law group at Quarles & Brady LLP. He represents primarily hospitals and physicians in matters spanning the full range of health care law. He works extensively with rural providers and has a unique understanding of the interface between black letter law and the limited resources of critical access hospitals and other rural providers. He has significant expertise in managing difficult medical staff matters, structuring hospital-physician arrangements, and many other aspects of federal and state regulatory compliance.

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