Tex. Health & Safety Code Section 311.063
Duties and Hospital Policies


(a)

A hospital that employs physicians under this subchapter shall:

(1)

appoint a chief medical officer, who may be a member of the hospital’s medical staff;

(2)

adopt, maintain, and enforce policies to ensure that a physician employed by the hospital exercises the physician’s independent medical judgment in providing care to patients at the hospital; and

(3)

designate the chief medical officer as the contact for the Texas Medical Board for all matters relating to complaints regarding interference or attempted interference with a physician’s independent medical judgment or any other matter under this section.

(b)

The person appointed as chief medical officer shall report the person’s appointment to the Texas Medical Board.

(c)

The policies adopted under this section must include:

(1)

policies relating to:

(A)

credentialing;

(B)

quality assurance;

(C)

utilization review;

(D)

peer review; and

(E)

medical decision-making; and

(2)

the implementation of a complaint mechanism to process and resolve complaints regarding interference or attempted interference with a physician’s independent medical judgment.

(d)

The policies adopted under this section must be approved by the chief medical officer.

(e)

In the event of a conflict between a policy approved by the chief medical officer and any other policy of the hospital, a conflict management process shall be jointly developed and implemented to resolve the conflict.

(f)

For all matters relating to the practice of medicine, each physician employed by a hospital under this subchapter shall ultimately report to the chief medical officer.

(g)

The chief medical officer shall immediately report to the Texas Medical Board any action or event that the chief medical officer reasonably and in good faith believes constitutes a compromise of the independent medical judgment of a physician in caring for a patient.
Added by Acts 2011, 82nd Leg., R.S., Ch. 901 (S.B. 761), Sec. 1, eff. June 17, 2011.

Source: Section 311.063 — Duties and Hospital Policies, https://statutes.­capitol.­texas.­gov/Docs/HS/htm/HS.­311.­htm#311.­063 (accessed May 4, 2024).

311.001
Special Hospital Requirements for Graduate of Foreign Medical School Prohibited
311.002
Itemized Statement of Billed Services
311.003
Reimbursement for Infant Transport to Hospital Neonatal Intensive Care Unit
311.004
Standardized Patient Risk Identification System
311.005
Water Wells for Use by Hospitals in Certain Counties in Event of Emergency or Natural Disaster
311.021
Definition
311.022
Discrimination Prohibited in Denial of Services
311.023
No Liability for Failure to Provide Emergency Services After Good Faith Effort
311.024
Payment for Services Required
311.0025
Audits of Billing
311.031
Definitions
311.032
Department Administration of Hospital Reporting and Collection System
311.033
Financial and Utilization Data Required
311.035
Use of Data
311.036
Data Verification
311.037
Confidential Data
311.039
Exemption
311.041
Policy Statement
311.042
Definitions
311.043
Duty of Nonprofit Hospitals to Provide Community Benefits
311.044
Community Benefits Planning by Nonprofit Hospitals
311.045
Community Benefits and Charity Care Requirements
311.046
Annual Report of Community Benefits Plan
311.047
Penalties
311.048
Rights and Remedies
311.061
Applicability of Subchapter
311.062
Employment of Physicians Permitted
311.063
Duties and Hospital Policies
311.064
Construction of Subchapter
311.081
Applicability and Construction of Subchapter
311.082
Employment of Physicians Permitted
311.083
Hospital Duties and Policies
311.0335
Mental Health and Chemical Dependency Data
311.0455
Annual Report by the Department
311.0456
Eligibility and Certification for Limited Liability
311.0461
Informational Manual

Accessed:
May 4, 2024

§ 311.063’s source at texas​.gov