Section 37609.1 Of Article 7. Hospitals Managed By Board Of Hospital Trustees From California Government Code >> Division 3. >> Title 4. >> Part 2. >> Chapter 5. >> Article 7.
37609.1
. (a) The rules of the hospital, established by the board of
trustees pursuant to this article, shall include all of the
following:
(1) Provision for the organization of physicians and surgeons,
podiatrists, and dentists licensed to practice in this state who are
permitted to practice in the hospital into a formal medical staff,
with appropriate officers and bylaws and with staff appointments on
an annual or biennial basis.
(2) Provision for a procedure for appointment and reappointment of
medical staff consistent with the standards of the Joint Commission
on Accreditation of Healthcare Organizations.
(3) Provisions that the medical staff shall be self-governing with
respect to the professional work performed in the hospital; that the
medical staff shall meet consistent with the minimum requirements of
the Joint Commission on Accreditation of Healthcare Organizations;
and that the medical records of the patients shall be the basis for
review and analysis.
(4) Provision that accurate and complete medical records be
prepared and maintained for all patients.
For purposes of this paragraph medical records include, but are
not limited to, identification data, personal and family history,
history of present illness, physical examination, special
examinations, professional or working diagnoses, treatment, gross and
microscopic pathological findings, progress notes, final diagnosis,
condition on discharge, and other matters as the medical staff shall
determine.
(b) The rules of the hospital, insofar as consistent with this
article, shall be in accord with and contain minimum standards not
less than the rules and standards of private or voluntary hospitals.
Unless specifically prohibited by law, the board of trustees may
adopt other rules which could be lawfully adopted by private or
voluntary hospitals.