The structure of the medical staff office (MSO) depends on the defined responsibilities and functions of the department and the number of full time employees. Define the tasks related to each function and the time required to complete each task. Based on the defined tasks and time, develop a detailed master calendar of each function. The calendar should include tasks that your office must carry out annually and monthly.

A healthcare organization’s culture is what drives behavior, which in turn drives outcomes. If the organization as a whole has embraced a culture that encourages adverse-event reporting without punitive consequences, while at the same time requiring the assumption of responsibility when an adverse event has occurred, the end result is what is known as a “just culture.”