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Bylaws, Policies, Rules and Regulations

Medical Staff Bylaws

Medical staff bylaws provide the framework for the medical staff organization to discharge its responsibilities involving quality of medical care and the performance of its members. Bylaws provide the legal structure for medical staff operations, rights and obligations of staff membership, and relationships including that between the Medical staff and Board of Directors.

Download the Medical Staff Bylaws. (PDF)

General Rules and Regulations

Information pertaining to the responsibilities of practitioners who care for patients on the Banner – University Medical Center Phoenix campus.

Download Rules and Regulations for Physicians. (PDF)

Credentialing Procedures Manual

Banner – University Medical Center Phoenix requires all providers to be credentialed according to medical staff approved procedures as provided in the Credentialing Procedures Manual (PDF). 

Medical Department Rules & Regulations 

Important policies specific by department that enable Banner – University Medical Center Phoenix providers to work on campus:

Fair Hearing Plan

Any practitioner whose membership and/or privileges are denied, revoked, suspended, reduced or otherwise limited shall be entitled to a hearing upon timely and proper request unless such limitations constitutes non-reviewable action as defined in the Bylaws. Review the Fair Hearing Plan for physicians at Banner – University Medical Center Phoenix.

Bioethics Consultation

Physicians may contact Case Management at (602) 839-6989 for bioethics consultation requests from 8 a.m. to 4:30 p.m., Monday through Friday. 

For requests that arise on weekends and after normal business hours, page the House Supervisor at (602) 201-3915. Case Management or the House Supervisor will contact Medical Staff Services or appropriate Bioethics member on call to arrange for consultation to occur within 24 hours (or as soon as possible) of the consultation request.

Joint Commission

Banner – University Medical Center Phoenix, as a provider of healthcare and a participant in the Joint Commission accreditation process, supports an atmosphere of mutual care and concern regarding patient safety and quality of care.

Any employee or medical staff member who has concerns about the safety or quality of care provided by Banner – University Medical Center Phoenix may report those concerns directly to the Joint Commission. The hospital will take no disciplinary or retaliatory action, and, when made aware of any safety or quality of care concerns, will act immediately to address and correct those issues.

You may contact the Joint Commission directly at or toll-free at (877) 223-6866 or Medical Staff Services at (602) 839-4262.