Willow Creek will have an open medical staff
-- many physicians will perform only some of their procedures at the hospital.
Among the factors comprising this standard are (1) a governing board comprised of "prominent civic leaders," rather than hospital administrators and physicians, (2) an open medical staff
admission policy, consistent with size and operations; (3) operation of a full-time emergency room available to all, regardless of ability to pay, and (4) provision of nonemergency care to those able to pay, including Medicare and Medicaid recipients.
Hospital exempt status can be grounded in as little as an open emergency department or an open medical staff
In addition to Fallon Clinic physicians, Saint Vincent's open medical staff
includes solo practitioners; hospital-based, full-time faculty; and a 30-person group practice, PrimaryCare Physicians (PCP), distributed in small offices around Worcester.
The question of how to motivate physicians, particularly those on open medical staffs
in community hospitals, is one that challenges physician executives, hospital administrators, and medical staff leaders around the country.