US · guidance
CMS SOM App. A, Tag A-0356
[The bylaws must:]
§482.22(c)(3) - Describe the organization of the medical staff.
Interpretive Guidelines §482.22(c)(3)
The medical staff bylaws must describe the organizational structure of the medical staff, and lay
out the rules and regulations of the medical staff to make clear what are acceptable standards of
patient care for all diagnostic, medical, surgical, and rehabilitative services.
Survey Procedures §482.22(c)(3)
• Verify that the bylaws specify the organization and structure of the medical staff, and a
mechanism that delineates accountability to the governing body.
• Verify that the bylaws describe who is responsible for regularly scheduled review and
evaluation of the clinical work of the members of the medical staff and describe the
formation of medical staff leadership.
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
7fbb4bd9a05c819ba44aadbf617689012071179f814c0bbbc8e9036935f7d9db
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