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Organized Medical Staff Section

The Organized Medical Staff Section is the Section of the AMA that is the advocate, voice and resource for physicians who are members of the medical staffs and other organizations.

Subscribe to the OMSS email list to receive weekly updates on issues of interest to medical staff members.

AMA guidance on new Medicare Conditions of Participation

Download the resource.

In May 2014, the Centers for Medicare and & Medicaid Services (CMS) published a final rule revising the Conditions of Participation (CoPs) for hospitals. The final rule, which became effective July 11, 2014, makes significant changes to the hospital governance structure and has significant implications for the relationship between the medical staff and the hospital governing body and for the relationship between the medical staff and its individual members:

  • The final rule permits a multi-hospital health system to have a unified, system-wide medical staff, rather than a separate medical staff at each hospital, provided that the medical staff at each hospital votes to accept a unified staff structure.
  • The final rule also eliminates a requirement that the hospital governing body include a member of the medical staff. The governing body must now consult at least two times per year with the medical staff.

The AMA, through its Organized Medical Staff Section, has developed resources to guide medical staffs through the process of implementing the new regulations. These resources, which will be included in a forthcoming edition of the AMA's "Physician's Guide to Medical Staff Organization Bylaws," include:

  • A discussion guide outlining issues medical staffs should consider when considering whether to accept a unified medical staff structure; and
  • Sample medical staff bylaws language to assist medical staffs in implementing the new regulations while preserving self-governance and the medical staff’s ability to ensure the delivery of safe, high-quality patient care.

Please contact the AMA-OMSS (keith.voogd@ama-assn.org, 312-464-4539) with any questions or comments about these resources. Medical staffs are also encouraged to contact the AMA-OMSS to report and seek assistance on any problems that arise as a result of the new regulations.

2015 AMA-OMSS Annual Meeting
The 2015 AMA-OMSS Annual Meeting will be held June 4-6 in Chicago. Visit the Annual Meeting webpage to learn more and to register.