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Discussion Questions 1. Who has ultimate responsibility for decisions about medical staff membership, and why? How should this responsibility be fulfilled? 2. What differences are there, if any, between the due process standards that apply to public hospitals and those that apply to private hospitals? 3. What categories of professionals are permitted membership on the 4. What issues of confidentiality and liability does the hospital's peer review function present? 5. Explain how the HCQIA establishes an "objective reasonableness" requirement rather than a subjective “good faith standard” for peer medical staff? review committees 6. What are the medical staff privileges of contract physicians and CAM and integrative healthcare providers? 7. Research the status of economic credentialing in your state and the effects of the Baptist Health case and similar decisions. 8. Explain the concept of the ACO and its role in the 2010 health reform legislation.