Medical Staff Bylaws

 
Although the governance volume is located in the Policy and 
Procedure manual, documentation that surrounds Governance 
should be in its own 3 ring binder.
 
The Governance Volume was created to as a double check to 
assure that the organization is completing all of its tasks 
surrounding Governance.  
 
The Governance Manual Table Of Contents in the Governance 
section of the forms repository has directions for setting up 
tabs for the documents which prove you are a business entity; 
i.e., articles of incorporation, partnership agreement, etc. 
This table of contents on the forms repository is meant for 
your separate binder titled Governance.
 
You can use this area and the following areas (GE.1 through 
GE.16) within this volume to indicate to staff and the 
surveyor where those documents are filed; i.e., Corporate 
Records Book stored in Administrative file, Governance 
Binder, Minutes Binder, Drills Binder etc.  
 
 
This page can be modified without the need of the 
consultant's approval.

 

Approved By Governing Board    
GE.2    
Control #91.1
GUPTA GASTRO