The Tennessee Medical Association notes that "the stake in quality for those of the staff and thus responsible for quality would be much different from the class beholden to the business side of hospital administration."
"The hospital medical staff is best suited and most qualified to determine provider privileges at their respective facilities," says Steve Campbell, who is identified only as being from South Carolina. "Allowing some providers to circumvent medical staff oversight will detrimentally impact patient safety and quality of care afforded to Medicare beneficiaries and all patients. In my 20 years of working in a hospital setting, I have seen cases where physicians were denied hospital staff privileges because their practices were unrelated to the mission of the hospital or their practice patterns did not meet the medical community standards. To legitimize these practices by giving them hospital status would be a disservice to the community."
The American Nurses Association would like to CMS to add language to ensure that all medical practitioners are granted clinical and medical staff privileges, including voting rights and full due process. The ANA would like advanced practice registered nurses to have admitting and discharge privileges, as well as the ability to serve on hospital committees. It supports efforts to allow hospitals to develop either a stand-alone nursing care plan or an overall interdisciplinary care plan as long as "it is recognized that nurses alone are responsible for development of the nursing care plan."