What Every Hospital Board Member Should Know: Medical Staff Matters — Part II of IV

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A four-part webinar series.

Start Time:12:00 AM
End Time:12:00 AM
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Provided by MHA Health Institute
Health Institute

Dates & Time

Registration for all four webinars — $700 (discounted rate)
Registration for the series remains open until Thursday, Dec. 5. 
If viewing after the event, a recording will be available.

Part I — Honoring Responsibilities While Avoiding Micromanagement
Recording is now available. Register to access the recording.

Part II — Medical Staff Matters
Recording is now available. Register to access the recording.

Part III — Conflicts of Interest

Tuesday, Sept. 24
1 - 2 p.m.
Registration for Part III only — $225

Part IV — Medicare Fraud and Abuse
Tuesday, Dec. 10
1 - 2 p.m.
Registration for Part IV only — $225

Registration for the series remains open until Thursday, Dec. 5. 
If viewing after the event, a recording will be available.

Each webinar registration fee is for one phone line connection. Each additional phone line connection will be charged a registration fee. Get more value by inviting colleagues to join you on the one connection.

This webinar is being offered at a reduced registration fee to MHA-member hospitals thanks to a generous contribution from the MHA Management Services Corporation.


This webinar series is designed for hospital and health system governing boards, CEOs and senior executives, physicians and other leaders with governance responsibilities.

The following program content was provided by the speaker.

Webinar Series Overview

Trustees play a significant role in the transformation of health care and must demonstrate strong leadership to navigate through the challenges, that confront their organizations. The future of health care still is largely unknown, and the range of board responsibilities is broad. Hospitals and health systems need dedicated and knowledgeable individuals who are willing to commit their time, expertise, experience and leadership to the hospital, its mission and the community.

This webinar series will provide participants with the tools to become more effective in their board service. Participants will receive guidance related to governance obligations, legal risks, fiduciary responsibilies, privacy and patient security risks, civil rights responsibilities, and health care fraud and waste. Attorney Barbara Person with Baird Holm LLP will provide valuable expertise on the legal aspects of board responsibilities.

Part II Overview

State and federal laws require hospital board members to take responsibility for the quality of care provided by the hospital and its staff. For board members with no clinical training, that’s a tall order. Board members will receive reports of quality data, but strong medical staff initiative is important, too. What can a board member do to ensure their participation in medical staff processes is meaningful and not a rubber-stamp? What are the appropriate questions to ask? How can the board encourage and support medical staff leadership? This webinar will review the board’s authority over the hospital medical staff and how it is designed to ensure quality of care.


  • identify medical staff processes subject to board review
  • describe the process a hospital should take when it identifies an “unqualified” medical staff member
  • outline the credentialing process, including what underlies the summary report provided to the board
  • list the federal laws that create risk for hospitals' financial relationships with physicians
  • point to the processes intended to apprise board members of compliance efforts and results


Barbara E. Person primarily represents health care clients, concentrating on corporate compliance, Medicare and Medicaid reimbursement, Medicare fraud and abuse, EMTALA, physician practice and other health business acquisition, medical staff issues, tax exemption, practitioner licensure and sanctions, physician contracts, pharmacy, and nonprofit corporations. Person is a frequent lecturer to many organizations, including the American Academy of Healthcare Attorneys, the Nebraska Hospital Association, the Iowa Hospital Association, the Healthcare Financial Management Association, the Nebraska Mental Health Association, the Nebraska Association of Medical Staff Services and Nebraska Continuing Legal Education, Inc., on such topics.