Hospitals' viewpoint: staff privileges--the substantive issues.
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Biomedical subjects
Publications and source records attributed to W T Berriman.
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Approval for hospital expansion plans rests on how much they conform to the state health plan, the health state plan, the health systems plan, and the annual implementation plan. A hospital's planning process must start with a detailed analysis of these plans.
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With the federal law requiring state certificate of need laws for expensive medical equipment up for renewal, the 95th Congress debated whether or not to extend the law to cover equipment used in noninstitutional settings. The AHA contended that the exemption for physicians' offices was a loophole that had to be filled; the AMA argued that each state should make its own choice; and Congress couldn't reach a decision. This controversial issue is likely to come up in the 96th Congress.
Recent legislative enactments whose goal is control of hospital decision making are diminishing the governing board's traditional responsibility for the hospital's future. Trustees can resist this erosion of their authority by working with government to ensure that the health planning system is as effective as possible. This new political function could well become the trustee's most important role.
Since the time of its formation, the American Society of Hospital Attorneys has provided focus and leadership in the field of health law. It was, for example, the principal force in moving the American Bar Association in 1974 to recognize "health care and hospital law" as a field of law that can be listed in legal directories such as Martindale-Hubbell. It membership includes most of the leaders in the field of health law, including the elected and administrative heads of most other health law groups. Because it had a dedicated and active leadership, an extensive and diverse membership, and a unique relationship with the American Hospital Association, the Society with continue to play a major role in the development and exposition of "health care and hospital" law. In so doing, it will always attempt to hew to its original purpose: service to the attorneys representing the nation's hospitals, to enable them to better represent their client institutions.
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