Medical Staff Bylaws — Session 5 Hearings, Appeals and Litigation

May 2, 2017 - 1:00 pm to 2:00 pm (ET)

FACULTY:  Susan Lapenta  and Charlie Chulack

Join us:  A key to excellent leadership is excellent learning!

Designed to be informative for any Medical Staff member, 2017’s Grand Rounds should be particularly helpful for Medical Staff Leadership:  Medical Staff Officers, members of the Medical Executive Committee, Department Chairs, Chairs of the Credentials and Peer Review Committees, and the Chairs of other key Medical Staff committees. 

If you have new members in any of these important positions, this is a not-to-be-missed opportunity for direct education that we guarantee will be helpful to them in their new roles.

It’s important to know when you have (and haven’t) crossed the threshold of an adverse professional review action that entitles a member of the Medical Staff to a hearing.

The Medical Staff Bylaws should clearly identify which actions trigger a right to a hearing and which actions do not.  The Bylaws should also define a fair, balanced hearing process that keeps the burden on the physician to demonstrate that he or she has met the standards for appointment and clinical privileges.  Bylaws should provide for a pre-hearing process in which the parties can address and resolve procedural issues.

Medical Staff hearings are administrative proceedings; however, sometimes they spiral out of control.  This doesn’t need to be the case.  Carefully drafted Bylaws language on the roles of attorneys in the proceedings, time limits for the presentation of evidence, and other procedural issues will result in a fair proceeding for the physician while keeping the hearing from morphing into a full-scale trial.

Listen live on May 2, 2017.  Or, purchase the recording (mp3 or CD) of this audio conference to share with Medical Staff members at an upcoming meeting or throughout the year.

Audio conference registration (includes MP3): $250/line

(Additional lines are $50 extra, limit 2 additional lines. Please call us to set up additional lines.)

Audio CD or MP3 only: $250

Click here for a registration form to print and fax to us at 412.687.7692.

This audio conference is part of our Grand Rounds series. Order the entire series and receive a discounted rate.


  • What is an “adverse” action?
  • Actions that give rise to a hearing
  • Actions that do not give rise to a hearing
  • Composition of hearing panels
  • Voir dire and objections
  • Attorney participation in hearings
  • Time limits and procedural rules for hearings
  • Standard of review at hearings and appeals
  • Immunity and release language

Learning Objectives

Upon completion of this audio conference, participants should be able to:

  1. describe the details of a medical staff hearing and appeal process that is fair to the subject physician;
  2. identify the components of a medical staff hearing and appeal process that preserves immunity under federal and state law; and
  3. identify the medical staff actions which should and should not give rise to medical staff hearing and appeal rights.

Education Credit

Instructions on how to obtain your Continuing Education certificate for audio conferences will be e-mailed to the contact person for your organization at the conclusion of each audio conference.

Category 1 CME

Joint Provider Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Pittsburgh School of Medicine and HortySpringer Seminars.  The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.

CEUs Credit

Other health care professionals are awarded 0.1 continuing education units (CEUs), which is equal to 1 contact hour.

NAMSS Continuing Education Credit

This course has been approved for National Association of Medical Staff Services (NAMSS) continuing education credit and NAMSS hereby awards 1.0 NAMSS continuing education credits for participation in this activity.  Accreditation of this educational content in no way implies endorsement or sponsorship by NAMSS.


Mix and Match:  $250 for each individual Grand Rounds audio conference.

Audio Conference Registration:   $1,850/line for all twelve 2017 monthly Grand Rounds (includes BONUS Session entitled Guide to Drafting and Adopting Medical Staff Bylaws, Policies and Rules & Regulations, recorded on December 13, 2016).

Audio Conference & MP3:     $1,850 for all 2017 monthly Grand Rounds (Participation and MP3).

CD Only:     $1,850 for all 2017 monthly Grand Round recordings.

MP3 Only:    $1,850 for all 2017 monthly Grand Round recordings.