Florida Statute 395.0191 | Lawyer Caselaw & Research

The 2024 Florida Statutes

Title XXIX
PUBLIC HEALTH

Chapter 395
HOSPITAL LICENSING AND REGULATION

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F.S. 395.0191

395.0191 Staff membership and clinical privileges.—

(1) No licensed facility, in considering and acting upon an application for staff membership or clinical privileges, shall deny the application of a qualified doctor of medicine licensed under chapter 458, a doctor of osteopathic medicine licensed under chapter 459, a doctor of dentistry licensed under chapter 466, a doctor of podiatric medicine licensed under chapter 461, or a psychologist licensed under chapter 490 for such staff membership or clinical privileges within the scope of his or her respective licensure solely because the applicant is licensed under any of such chapters.

(2)(a) Each licensed facility shall establish rules and procedures for consideration of an application for clinical privileges submitted by an advanced practice registered nurse licensed under part I of chapter 464, in accordance with the provisions of this section. No licensed facility shall deny such application solely because the applicant is licensed under part I of chapter 464 or because the applicant is not a participant in the Florida Birth-Related Neurological Injury Compensation Plan.

(b) An advanced practice registered nurse who is certified as a registered nurse anesthetist licensed under part I of chapter 464 shall administer anesthesia under the onsite medical direction of a professional licensed under chapter 458, chapter 459, or chapter 466, and in accordance with an established protocol approved by the medical staff. The medical direction shall specifically address the needs of the individual patient.

(c) Each licensed facility shall establish rules and procedures for consideration of an application for clinical privileges submitted by a physician assistant licensed pursuant to s. 458.347 or s. 459.022. Clinical privileges granted to a physician assistant pursuant to this subsection shall automatically terminate upon termination of staff membership of the physician assistant’s supervising physician.

(d) Each hospital shall meet the requirements of the Medicare and Medicaid Conditions of Participation for Hospitals under 42 C.F.R. s. 482.51(a)(3) as they apply to registered nurses performing circulating duties in the operating room and as provided in the interpretive guidelines provided by the United States Department of Health and Human Services. A circulating nurse shall be present in the operating room for the duration of a surgical procedure.

(3) When a licensed facility requires, as a precondition to obtaining staff membership or clinical privileges, the completion of, eligibility in, or graduation from any program or society established by or relating to the American Medical Association or the Liaison Committee on Graduate Medical Education, the licensed facility shall also make available such membership or privileges to physicians who have attained completion of, eligibility in, or graduation from any equivalent program established by or relating to the American Osteopathic Association.

(4) Nothing herein shall restrict in any way the authority of the medical staff of a licensed facility to review for approval or disapproval all applications for appointment and reappointment to all categories of staff and to make recommendations on each applicant to the governing board, including the delineation of privileges to be granted in each case. In making such recommendations and in the delineation of privileges, each applicant shall be considered individually pursuant to criteria for a doctor licensed under chapter 458, chapter 459, chapter 461, or chapter 466, or for an advanced practice registered nurse licensed under part I of chapter 464, or for a psychologist licensed under chapter 490, as applicable. The applicant’s eligibility for staff membership or clinical privileges shall be determined by the applicant’s background, experience, health, training, and demonstrated competency; the applicant’s adherence to applicable professional ethics; the applicant’s reputation; and the applicant’s ability to work with others and by such other elements as determined by the governing board, consistent with this part.

(5) The governing board of each licensed facility shall set standards and procedures to be applied by the licensed facility and its medical staff in considering and acting upon applications for staff membership or clinical privileges. These standards and procedures shall be available for public inspection.

(6) Upon the written request of the applicant, any licensed facility that has denied staff membership or clinical privileges to any applicant specified in subsection (1) or subsection (2) shall, within 30 days of such request, provide the applicant with the reasons for such denial in writing. A denial of staff membership or clinical privileges to any applicant shall be submitted, in writing, to the applicant’s respective licensing board.

(7) There shall be no monetary liability on the part of, and no cause of action for injunctive relief or damages shall arise against, any licensed facility, its governing board or governing board members, medical staff, or disciplinary board or against its agents, investigators, witnesses, or employees, or against any other person, for any action arising out of or related to carrying out the provisions of this section, absent intentional fraud.

(8) The investigations, proceedings, and records of the board, or agent thereof with whom there is a specific written contract for the purposes of this section, as described in this section shall not be subject to discovery or introduction into evidence in any civil action against a provider of professional health services arising out of matters which are the subject of evaluation and review by such board, and no person who was in attendance at a meeting of such board or its agent shall be permitted or required to testify in any such civil action as to any evidence or other matters produced or presented during the proceedings of such board or its agent or as to any findings, recommendations, evaluations, opinions, or other actions of such board or its agent or any members thereof. However, information, documents, or records otherwise available from original sources are not to be construed as immune from discovery or use in any such civil action merely because they were presented during proceedings of such board; nor should any person who testifies before such board or who is a member of such board be prevented from testifying as to matters within his or her knowledge, but such witness cannot be asked about his or her testimony before such a board or opinions formed by him or her as a result of such board hearings.

(9)(a) If the defendant prevails in an action brought by an applicant against any person or entity that initiated, participated in, was a witness in, or conducted any review as authorized by this section, the court shall award reasonable attorney’s fees and costs to the defendant.

(b) As a condition of any applicant bringing any action against any person or entity that initiated, participated in, was a witness in, or conducted any review as authorized by this section and before any responsive pleading is due, the applicant shall post a bond or other security, as set by the court having jurisdiction of the action, in an amount sufficient to pay the costs and attorney’s fees.

History.—ss. 26, 30, ch. 82-182; s. 48, ch. 83-218; s. 1, ch. 85-99; s. 2, ch. 85-175; s. 1, ch. 86-26; s. 1, ch. 86-287; s. 42, ch. 87-92; s. 2, ch. 88-361; s. 18, ch. 90-263; s. 5, ch. 91-22; ss. 11, 98, ch. 92-289; s. 725, ch. 95-148; s. 38, ch. 97-264; s. 5, ch. 98-49; s. 181, ch. 98-166; s. 93, ch. 2000-318; s. 3, ch. 2003-416; s. 1, ch. 2006-133; s. 23, ch. 2018-106; s. 1, ch. 2019-136.

Note.—Former s. 395.011.

F.S. 395.0191 on Google Scholar

F.S. 395.0191 on Casetext

Amendments to 395.0191

Arrestable Offenses / Crimes under Fla. Stat. 395.0191

Level: Degree
Misdemeanor/Felony: First/Second/Third

Current data shows no reason an arrest or criminal charge should have occurred directly under Florida Statute 395.0191.

Annotations, Discussions, Cases:

Cases Citing Statute 395.0191

Total Results: 20

Philip Regala, M.D., Philip Regala, M.D. P.L., F/K/A Philip Regala, M.D., P.A. and v. Michael McDonald

Court: Fla. Dist. Ct. App. | Date Filed: 2024-09-06T00:00:00-07:00

Snippet: production of documents privileged under section 395.0191 that do not relate to an adverse medical…and thus would largely be protected by sections 395.0191(8), 395.0193(8), and 766.101(5), Florida Statutes… 6 §§ 395.0191(8), 766.101(5), Fla. Stat. (2001)).5 The privilege…presented during proceedings of such board.” § 395.0191(8). In other words, a document that “a party …the parameters of sections 766.101(5) and 395.0191(8), we conclude that Amendment 7 nonetheless

JOSEPH CASTELLANO, M. D. v. DAVID HALPERN, M. D.

Court: Fla. Dist. Ct. App. | Date Filed: 2023-12-29T00:00:00-08:00

Snippet: was privileged and confidential under sections 395.0191(8), 395.0193(8), and 766.101(5),1 Florida Statutes…provisions" of the various statutes. See § 395.0191(7); see also § 766.101(8). In Halpern v. Castellano…States, 346 So. 3d 594, 598 (Fla. 2022). Section 395.0191, titled "Staff membership and clinical privileges…staff membership or clinical privileges. Section 395.0191(8) prohibits the discovery of "investigations… of the statute. The plain language of section 395.0191(8) expressly limits the privilege to "any

JOSEPH CASTELLANO, M. D. v. DAVID HALPERN, M. D.

Court: Fla. Dist. Ct. App. | Date Filed: 2023-12-29T00:00:00-08:00

JOSEPH CASTELLANO, M. D. v. DAVID HALPERN, M. D. AND WEST FLORIDA-MHT, LLC D/ B/ A HCA FLORIDA SOUTH TAMPA HOSPITAL

Court: Fla. Dist. Ct. App. | Date Filed: 2023-12-29T00:00:00-08:00

SOUTH BROWARD HOSPITAL DISTRICT d/b/a MEMORIAL HEALTHCARE SYSTEM v. DAVID M. FELDBAUM, M.D.

Court: Fla. Dist. Ct. App. | Date Filed: 2021-06-02T00:53:00-07:00

Snippet: 2020) (emphasis added). Sections 395.0193(8) and 395.0191(8) provide a nearly identical discovery immunity…privileges,” the immunity provided by sections 395.0191(8) and 395.0193(8) is not waived when protected…on the discovery immunity provided by sections 395.0191(8) and 395.0193(8). Respondent argues that…for staff membership or clinical privileges.” § 395.0191(5), Fla. Stat. (2020). As noted above, the credentialing

Hakki v. Galencare, Inc.

Court: Fla. Dist. Ct. App. | Date Filed: 2018-01-31T00:00:00-08:00

Citation: 237 So. 3d 440

Snippet: was immune from the suit pursuant to sections 395.0191(7) and 395.0193(5), Florida Statutes (2010), because…protected by 42 U.S.C. § 11137(c) (2006), not sections 395.0191(7) and 395.0193(5), and even if the immunities…with the hospital that the immunity in section 395.0191(7) barred Dr. Hakki's suit because his allegations…reappointment process such that the immunity in section 395.0191(7) applies, the trial court nevertheless erred…particularity in order to avoid the immunity under section 395.0191(7). See Dhaduvai v. Belsito, 663 So.2d 1356, 1357

Desai v. Lawnwood Medical Center, Inc.

Court: Fla. Dist. Ct. App. | Date Filed: 2017-05-31T00:00:00-07:00

Citation: 219 So. 3d 869, 2017 WL 2350138, 2017 Fla. App. LEXIS 7831

Snippet: appointment or reappointment of staff under section 395.0191(4), Florida Statutes (2009). Lawnwood Med. Ctr

Bartow HMA, LLC v. Kirkland

Court: Fla. Dist. Ct. App. | Date Filed: 2015-07-31T00:00:00-07:00

Citation: 171 So. 3d 783, 2015 Fla. App. LEXIS 11561, 2015 WL 4621323

Snippet: statutory discovery protections set forth in sections 395.0191, 395.0193, 395.0197, and 766.101 [.(Florida Statutes…protections set forth in sections 381.028(6)(b), 395.0191(8), 395.0193(8), and 766.101(5), Florida Statutes

Bartow HMA, LLC v. Edwards

Court: Fla. Dist. Ct. App. | Date Filed: 2015-07-10T00:00:00-07:00

Citation: 175 So. 3d 820, 2015 Fla. App. LEXIS 10493, 2015 WL 4154180

Snippet: licensed hospital facilities. See §§ 395.0191(8), 395.0193(8), 766.101(5), Fla. Stat. (2010)

Bartow HMA, LLC v. Kirkland

Court: Fla. Dist. Ct. App. | Date Filed: 2013-11-15T00:00:00-08:00

Citation: 126 So. 3d 1247, 2013 WL 6050895, 2013 Fla. App. LEXIS 18154

Snippet: assurance discovery limitations under sections 395.0191, 395.0198, 395.0197, 766.101, Florida Statutes…statutory discovery protections set forth in sections 395.0191, 395.0193, 395.0197, and 766.101 to the extent

West Florida Regional Medical Center, Inc. v. See

Court: Fla. | Date Filed: 2012-01-12T00:00:00-08:00

Citation: 79 So. 3d 1, 37 Fla. L. Weekly Supp. 22, 2012 Fla. LEXIS 55, 2012 WL 87282

Snippet: Under Sections 766.101(5) and 395.0191(8) Sections 766.101 and 395.0191 are applicable to the peer review…and credentialing materials embodied in sections 395.0191, 395.0193, 395.0197, 766.101, and 766.1016, Florida… the statutory privileges provided in sections 395.0191, 395.0193, and 766.101, Florida Statutes. In an…protections provided by sections 766.101(5) and 395.0191(8), Florida Statutes (2006), which are similar… within the purview of sections 766.101(5) and 395.0191(8), Amendment 7 requires its disclosure. This

Acevedo v. Doctors Hospital, Inc.

Court: Fla. Dist. Ct. App. | Date Filed: 2011-08-17T00:00:00-07:00

Citation: 68 So. 3d 949, 2011 Fla. App. LEXIS 12900, 2011 WL 3586185

Snippet: in a civil or administrative proceeding. See §§ 395.0191(8), .0193(8); § 766.101(5), Fla. Stat. (2007).

Lawnwood Medical Center, Inc. v. Desai

Court: Fla. Dist. Ct. App. | Date Filed: 2011-01-26T00:00:00-08:00

Citation: 54 So. 3d 1027, 2011 Fla. App. LEXIS 553, 2011 WL 222228

Snippet: provided by section 395.0191(7). A simple reading of the statute explains why. Section 395.0191(4) explicitly…because it is immune from liability under section 395.0191, Florida Statutes (2009).1 We agree and reverse…elements as determined by the governing board.” § 395.0191(4), Fla. Stat. (2009). In September 2009, the …review is de novo. The hospital argues that section 395.0191, Florida Statutes (2009) provides the hospital… the statute. The doctor responds that section 395.0191 is inapplicable to his claim because it is limited

Lawnwood Medical Center Inc. v. Sadow

Court: Fla. Dist. Ct. App. | Date Filed: 2010-03-24T00:00:00-07:00

Citation: 43 So. 3d 710, 2010 Fla. App. LEXIS 3813, 2010 WL 1066833

Snippet: Lawnwood’s claim of immunity is founded on § 395.0191(7).11 It argues that the statute must be construed… beyond its plain meaning. The provisions of § 395.0191 lay down general rules for hospitals in setting…membership and clinical privileges. The immunity of § 395.0191(7) is not a broad, general grant immunizing every…on the law which I have instructed you.” . § 395.0191(7), Fla. Stat. (2009) ("There shall be no

West Florida Regional Medical Center, Inc. v. See

Court: Fla. Dist. Ct. App. | Date Filed: 2009-09-25T00:00:00-07:00

Citation: 18 So. 3d 676, 2009 Fla. App. LEXIS 14400, 2009 WL 3047396

Snippet: discovery in civil litigation, including sections 395.0191(8), 395.0193(8), and 766.101(5). Petitioner'…x27;s credentialing files arise under sections 395.0191(8) and 766.101(5), Florida Statutes, which were…enacted prior to the passing of Amendment 7. Section 395.0191(8) provides, in pertinent part, as follows: The…subject of evaluation and review by such board.... § 395.0191(8), Fla. Stat. (2006). Section 766.101(5) contains…those documents are obtained from other sources. § 395.0191(8); § 766.101(8); see Fla. Hosp. Waterman, Inc

Columbia Hospital Corp. of South Broward v. Fain

Court: Fla. Dist. Ct. App. | Date Filed: 2009-08-19T00:00:00-07:00

Citation: 16 So. 3d 236, 2009 Fla. App. LEXIS 11600, 2009 WL 2516917

Snippet: proceedings, were expressly not preempted. See §§ 395.0191(8), 395.0193(8), and 766.101(5), Fla. Stat. (2008

Lakeland Regional Medical Center v. Neely

Court: Fla. Dist. Ct. App. | Date Filed: 2009-05-08T00:00:00-07:00

Citation: 8 So. 3d 1268, 2009 Fla. App. LEXIS 4254, 2009 WL 1260017

Snippet: review of its staff members and physicians. See §§ 395.0191(8), .0193(8), 766.101(5), Fla. Stat. (2007). The…existing medical records protected under sections 395.0191(8), 395.0193(8), and 766.101(5), as referenced… and SILBERMAN, JJ., Concur. NOTES [1] See §§ 395.0191, .0193, 766.101, .1016, Florida Statutes (2007

Baptist Hosp. of Miami, Inc. v. Garcia

Court: Fla. Dist. Ct. App. | Date Filed: 2008-10-22T00:00:00-07:00

Citation: 994 So. 2d 390, 2008 WL 4643345

Snippet: under sections 395.0191(8) and 766.101(5). Such a result would violate sections 395.0191(8) and 766.101…claims are not discoverable pursuant to sections 395.0191(8)[1] and 766.101(5),[2] Florida Statutes (2007…Rodriguez, 960 So.2d 794 (Fla. 3d DCA 2007). Section 395.0191(8), Florida Statutes (2007), provides that the…documents not discoverable pursuant to sections 395.0191(8) and 766.101(5), and by ordering the compilation…granted. Order quashed without prejudice. NOTES [1] 395.0191 Staff membership and clinical privileges. . .

Florida Hosp. Waterman, Inc. v. Buster

Court: Fla. | Date Filed: 2008-03-06T00:00:00-08:00

Citation: 984 So. 2d 478

Snippet: committee or organization's inquiry. See §§ 395.0191(8), 395.0193(8), 766.101(5), Fla. Stat. (2005)…about the medical incident in question. See §§ 395.0191(8), 395.0193(8), 766.101(5), 766.1016(2), Fla.…including, but not limited to, those contained in ss. 395.0191, 395.0193, 395.0197, 766.101, and 766.1016, or…provided by law, including, but not limited to, ss. 395.0191, 395.0193, 766.101, and 766.1016. (b) Except as…records and statements in peer review are sections 395.0191(8), 395.0193(8), 766.101(5), 766.1016(2), and

Horowitz v. PLANTATION GENERAL HOSP. LTD.

Court: Fla. | Date Filed: 2007-05-24T00:53:00-07:00

Citation: 959 So. 2d 176

Snippet: requirements of section 458.320. First, section 395.0191, Florida Statutes (2006), which outlines the rules…election under section 458.320(5)(g). [10] Section 395.0191 was originally enacted as section 395.011, Florida