42 CFR 482.22 — Condition of participation: Medical staff
The condition addresses organized medical staff accountability, examination of credentials, recommendations on appointment, and periodic appraisal, within the complete regulatory and interpretive framework.
What the authority record establishes
The condition addresses organized medical staff accountability, examination of credentials, recommendations on appointment, and periodic appraisal, within the complete regulatory and interpretive framework.
Binding federal condition of participation for affected hospitals
The exact official title, issuing body, jurisdiction, version or application record, and linked source define the scope of this page. Readers should not transfer the authority's status to a commercial product or infer transaction-, patient-, system-, site-, or organization-specific applicability from this summary.
Why it matters to this market
Buyers need systems that preserve evidence, recommendations, appraisal, and governance without turning administrative completion into an implied clinical-scope decision.
Affected operating stages
- Credential Review
- Appointment Recommendation
- Periodic Appraisal
- Reappointment
- Medical Staff Governance
Capabilities to examine
Credentialing And Recredentialing Workflow
Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for credentialing and recredentialing workflow.
Medical Staff Appointment And Committee Workflow
Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for medical staff appointment and committee workflow.
Clinical Privileging And Privilege Libraries
Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for clinical privileging and privilege libraries.
Audit Trail, Source Provenance, And Committee Evidence
Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for audit trail, source provenance, and committee evidence.
OPPE, FPPE, And Peer-Review Linkage
Ask how the system or service identifies the controlling source and version, applies customer-specific interpretation, handles exceptions, preserves human judgment, and retains evidence for OPPE, FPPE, and peer-review linkage.
Affected buyer audiences
- medical staff leaders
- credentialing professionals
- hospital executives and governing bodies
- survey readiness teams
- credentialing technology and service organizations
Implementation questions
- Which entities, products, populations, transactions, systems, sites, or jurisdictions are actually within scope?
- What is binding, what is guidance, and what is a technical or consensus standard?
- Which publication, adoption, effective, application, transition, and enforcement dates differ?
- Who owns legal, clinical, quality, regulatory, policy, or operational interpretation?
- How will a source revision affect open work and historical decisions?
Interpretation boundary
The regulation must be read with current CMS guidance, accreditation pathways, state law, medical staff bylaws, and organization policy.