The critical relationship between medical staff and governing board

To address burnout, physicians and nurses prefer actions to boost nurse staffing, increase clinician control over workload, and improve work environments rather than wellness programs and resilience training, a new research article found.

The governing board of a hospital is fiscally responsible for the financial well being of the organization. They also are ultimately responsible for the credentialing and privileging of all practitioners in the organization and for monitoring the quality of care these practitioners provide. Because the board lacks the expertise to credential and privilege and monitor the quality of care, they delegate these tasks to the organized medical staff. Unfortunately, some medical staffs and boards do not have a good working relationship.

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Establish an incident response team to handle decisions about high-risk pregnancy cases that may present dilemmas in your hospital’s emergency department (ED) as states continue to pass more restrictive abortion laws. If your facility already has such a team, make sure each member understands the hospital’s emergency maternal care policies as well as obligations under the federal Emergency Medical Treatment & Labor Act (EMTALA).

In May, J. Corey Feist, JD, MBA, co-founder and president of the Dr. Lorna Breen Heroes’ Foundation, and John Howard, MD, director of the National Institute for Occupational Safety and Health at the Centers for Disease Control and Prevention, issued a statement calling for the removal of intrusive mental health questions from hospital credentialing applications. They aren’t the only ones lobbying for the removal of these types of questions.