Quality Management >   Services >   Consultants >   Publications >    Quality Management Services: Medical Staff Restructuring GOAL: Restructuring of the medical staff for efficiency, compliance and simplicity. During this period of rapid paced change, health care facilities and their medical staffs may recognize the need to restructure the flow and processing of information. QMCG's focus is on simplifying systems, improving efficiency, effectuating communication and enhancing survey compliance. QMCG will facilitate not only the structural changes, but also facilitate change within the system. WHEN NEEDED: When current medical staff structure is inefficient or ineffective. DESCRIPTION: Create a peer review process in compliance with new revised JCAHO standards Assess the climate and perceptions of the medical staff Streamline medical staff bylaws, rules and regulations (simplify) Reduce number of departments Reduce number of committees and attendance requirements Enhance compliance with JCAHO standards (particularly in medical staff and Leadership sections) Redesign medical staff organization for efficiency and simplicity QMCG STAFF RESPONSIBILITIES: Explore mission, vision and guiding principles and the relationships of the medical staff. Take the "perception pulse" of the medical staff before, during and after system change Facilitate discussion of participants (constant) Give options and choices for streamline momentum Review current system, goals and develop strategies for achievement Facilitate practitioner education on restructuring and issue resolution Develop an action plan and time-line based on identified processes of value Revise bylaws, rules and regulations and staff/contractual structure Restructure medical executive committee function, membership and communication flow Discontinue committees, attendance, and quorum requirements as appropriate Assist in the re-fashioning of the medical staff organization into one which is effective, direct and reflective of its mission, vision and guiding principles Develop meaningful processes and establish an implementation plan Support as needed DURATION: QMCG can assess the current organization of the medical staff and present an overview plan consistent with the participant's needs.

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