The hospital has an organized medical staff that is accountable to the governing body.

(1)

The hospital has an organized medical staff that is accountable to the governing body for the quality of care provided to patients.

(2)

The governing body approves the structure of the organized medical staff.

(3)

For hospitals that use Joint Commission accreditation for deemed status purposes: A doctor of medicine or osteopathy or, if permitted by state law, a doctor of dental surgery or dental medicine, or a doctor of podiatric medicine is responsible for the organization and conduct of the medical staff.