4. E. 2. Oversight of Disaster Privileges:
( a) Safeguards must be in place to verify that volunteers are competent to provide safe and adequate care.
( b) The Medical Staff will oversee the care provided by volunteer licensed independent practitioners. This oversight will be conducted through direct observation, mentoring, clinical record review, or other appropriate mechanism developed by the Medical Staff and Renown Health.
( c) Within seventy-two( 72) hours from the time the volunteer begins to provide service at the Hospital, based on the above monitoring, a decision is made whether the disaster privileges should continue.
4. F. CONTRACTS FOR SERVICES AND EMPLOYED MEDICAL STAFF MEMBERS
( 1) From time to time, the Hospital may enter into contracts with practitioners or groups of practitioners for the performance of clinical and administrative services at the Hospital. All individuals providing clinical services pursuant to such contracts will obtain and maintain clinical privileges at the Hospital, in accordance with the terms of this Manual.
( 2) To the extent that:
( a) any such contract confers the exclusive right to perform specified services to one or more practitioners or groups of practitioners, or
( b) the Board by resolution limits the practitioners who may exercise clinical privileges in any clinical specialty to employees of the Hospital or its affiliates,
no other practitioners except those authorized by or pursuant to the contract or resolution may exercise clinical privileges to perform the specified services while the contract or resolution is in effect. This means that only authorized practitioners are eligible to apply for appointment or reappointment to the Medical Staff and for the clinical privileges in question. No other applications will be processed.
( 3) Any request to consider an exclusive arrangement must be submitted to and considered by Administration as outlined in this Section.
( 4) Prior to the Hospital signing any exclusive contract or passing any Board resolution in a specialty service or area that has not previously been subject to a contract or resolution, the Administration will request the MEC to review the matter. The MEC( or a subcommittee of its members appointed by the Chief of Staff) will review the quality of care and service implications of the proposed exclusive
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