Hospital Administrators Amending Bylaws On Their Own


I am more and more disgusted with the way hospitals are trying to remove doctors from any decision making processes.  Take this story in the American Medical News called Calming A Culture Clash.  The article tries to shows how two parties can play nice.  In this fairy tale, a two year dispute between Memorial Hermann Memorial City Medical Center and its medical staff was finally fixed.  It arose because the hospital center’s administration wanted to enact some bylaws but the medical staff refused and instead recommended a separate set of bylaws.  Finally, through some hard negotiations, it was all put to bed and a compromise was made.   Hooray.  Whatever.  First of all, why is this a culture clash?  What are administrators doing even meddling in bylaws?   I will tell you why.  It is called control. The rest of the article shows how this dangerous trend is becoming more and more common.

  • A cardiologist in California is suing a hospital that terminated his privileges and allegedly took over the medical staff’s control of a subsequent peer review process.
  • In Minnesota, medical staff leaders are suing a hospital they claim unilaterally changed their bylaws without the medical staff’s input.
  • A former medical staff president in Illinois recently settled with a medical center he accused of putting profits ahead of patient care after an admissions dispute in which he was threatened with termination.

There are so many more examples of the above around the country that if the article referenced them it would fill up many large books.   Doctors need to stop being pussies and fight back at every turn when these power grabs occur.  Don’t let them wear you down.  That is their plan and they usually win.   Don’t let them.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for “Hospital Administrators Amending Bylaws On Their Own

  1. mamadoc
    June 13, 2013 at 10:45 pm

    This is happening everywhere. It was attempted in our hospital but they were caught at it.

  2. Ron
    June 8, 2013 at 6:02 pm

    I wouldn’t paint the brush too broadly on hospital administrators. Most medical staff bylaws comply with accreditation standards such as Joint Commission which now protect the voice of the medical staff before bylaws changes can be adopted. Your point of unilateral change is absolutely right, I just hope those days are diminishing.

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