Texas Register, Volume 4, Number 92, Pages 4455-4526, December 11, 1979 Page: 4,502
4455-4526 p. ; 28 cm.View a full description of this periodical.
Extracted Text
The following text was automatically extracted from the image on this page using optical character recognition software:
(b) Maintaining high standards of medical care will de-
pend upon the character of the staff and the effectiveness of
its organization to carry out the following duties:
(1) selection of persons recommended for staff ap-
pointments and hospital privileges;
(2) constant analysis and review of the clinical work
done in the private mental hospital through its various com-
mittees;
(3) support of medical staff and hospital policies;
(4) maintenance of adequate medical records;
(5) procurement of autopsies.
(c) Attending physicians are responsible for requesting
consultations when indicated. It is the duty of the private
mental hospital staff through its medical director and chiefs
of services and executive committee to make certain that
members of the staff do not fail the matter of calling consul-
tants as needed.
.022. Medical Staff.- Programs; Plans; Policies; Profes-
sional Personnel Meetings.
(a) Each medical staff member must be able to show
evidence of participation in continuing medical education as
recommended by his or her discipline designed to keep them
informed of new developments and new skills in medicine.
(b) In each private mental hospital where electrocon-
vulsive therapy is utilized, a written plan of administration
and recovery care shall be developed by the medical staff
with the consultation and approval of an anesthesiologist
(M.D.) consultant.
Ic) Each private mental hospital must have a written
procedure whereby an ill or injured person can be assessed
and either treated or referred to an appropriate facility as in-
dicated. This service will also be provided for any ill or in-
jured person who is present at the private mental hospital.
d ' T'here should be regular multidisciplinary meetings
including physicians, social workers, psychologists, occupa-
tional therapists. and nurses who can plan and implement
treatment goals for psychiatric patients.
.023. Medical Staff- Membership; Appointment Procedure;
Qualifications; Privileges; Active Staff; Other Categories of the
Staff .
(a) Medical staff appointments for a private mental
hospital shall be made by the active staff and approved by the
governing body prior to being admitted to the staff. The pre-
vailing custom is fora term of one year, with reappointments
continued so long as qualifications remain satisfactory.
(b) Members of the medical staff of a private mental
hospital must be licensed and be qualified professionally and
ethically for the positions to which they are appointed.
(c) The privileges of each member of the medical staff
of a private mental hospital shall be determined on the basis
of professional qualifications and demonstrated ability.
(d) Regardless of any other categories of staff who have
privileges in the private mental hospital, there shall be an ac-
tive staff, properly organized, which shall perform all the
organizational duties pertaining to the medical staff. The
organizational duties of the active staff shall include:
(1) maintenance of high quality in all medi-
cal/psychiatric care and treatment in the hospital;
(2) organization of the medical staff, including adop-
tion of rules and regulations which must be approved by the
governing body of the private mental hospital, for its govern-
m,,it, election of its officers, and recommendations to thegoverning body upon all appointments to the medical staff
and grants of hospital privileges;
(3) other recommendations to the governing body of
the private mental hospital upon matters within the purview
of the medical staff.
(e) In larger private mental hospitals and in some
smaller private mental hospitals. the medical staff may in-
clude one or more of the following categories in addition to
the active staff, but this in no way modifies the duties and
responsibilities of the active staff:
(1) "Honorary staff." The honorary staff shall be
former active staff, retiree or emeritus, and other physicians
of reputation whom it is desired to honor.
(2) "Consulting staff." The consulting staff shall be
recognized specialists willing to serve in such capacity. A
member of the consulting staff may also be a member of the
active staff, but only if the two appointments are made.
(3) "Courtesy staff." The courtesy staff shall be
members who use the hospital infrequently or less ex-
perienced members undergoing a period of probation before
being considered for appointment to the active staff.
.024, Medical Staff Organization; Officers; Bylaws; Com-
mittees.
(a) The medical staff of each private mental hospital
shall have such officers as may be necessary for the govern-
ment of the medical staff. Officers shall be members of the
active staff and shall be elected by the active staff.
(b) Medical staff bylaws to govern and enable the medi-
cal staff to carry out its responsibilities in accordance with
these rules shall be adopted.
(c) The complexity of committee organization of the
medical staff depends upon the size and composition of the
medical staff of the individual private mental hospital. A
small medical staff may wish to function as a committee of
the whole. Others may wish to combine committee functions
in two or three committees. The structure of committee
organization is a decision to be made by the medical staff so
long as the following required committee functions are car-
ried out:
(1) The executive committee shall coordinate the ac-
tivities and general policies of the various departments; act
for the medical staff as a whole under such limitations as
may be imposed by the medical staff, and receive and act
upon the reports of the medical records and such other com-
mittees as the medical staff may designate. The executive
committee shall meet at least once a month and shall main-
tain a permanent record of its proceedings and actions.
(2) The credentials committee shall review applica-
tions for appointment and reappointment to all categories of
the medical staff. The credentials committee shall delineate
the privileges to be extended to the applicant and make ap-
propriate recommendations according to the procedure out-
lined in the private mental hospital's medical staff bylaws.
(3) The joint conference committee shall be a
medico-administrative advisory committee and the official
means of liaison among the medical staff, the governing
body, and the administrator. In the absence of a joint con-
ference committee, a formal means of liaison between the
governing board and the medical staff must be established.
(4) The medical records committee shall supervise
the maintenance of medical records at the required standard
of completeness. On the basis of documented evidence, the
medical records committee shall also review and evaluate the
quality of medical care given the patient. The medicalVolume 4, Number 92, December 11, 1979
Upcoming Pages
Here’s what’s next.
Search Inside
This issue can be searched. Note: Results may vary based on the legibility of text within the document.
Tools / Downloads
Get a copy of this page or view the extracted text.
Citing and Sharing
Basic information for referencing this web page. We also provide extended guidance on usage rights, references, copying or embedding.
Reference the current page of this Periodical.
Texas. Secretary of State. Texas Register, Volume 4, Number 92, Pages 4455-4526, December 11, 1979, periodical, December 11, 1979; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth244860/m1/48/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.