( f) This meeting is not a hearing, and none of the procedural rules for hearings will apply. Lawyers will not be present when the MEC is meeting with the individual.
( g) There is no right to a hearing based on the imposition or continuation of a precautionary suspension. The procedures outlined above are deemed to be fair under the circumstances.
6. F. INVESTIGATIONS 6. F. 1. Initial Review:
( a) Whenever a serious question has been raised, or where collegial efforts have not resolved an issue, the matter may be referred to the Chief of Staff, department chair, CMO / VPMA, CEO, or the Chair of the Board.
( b) Issues or questions that may be subject to further review include those related to the following:
( 1) clinical competence or clinical practice, including patient care, treatment or management;
( 2) the safety or proper care being provided to patients;
( 3) the known or suspected violation of ethical standards, the medical staff governance documents or any policy of the System or Hospital; or
( 4) conduct that is considered lower than the standards of the Hospital, undermines the Hospital’ s culture of safety, or is disruptive to the orderly operation of the Hospital, its Medical Staff or Advanced Practice Provider Staff, including the inability of the member to work harmoniously with others or commonly accepted standards of their professional society.
( c) The person to whom the question is referred will make a sufficient inquiry to determine whether the question is credible and, if so, will forward it to the MEC. If the question pertains to a member of the Advanced Practice Provider Staff the supervising physician may also be notified.
( d) No action taken pursuant to this Section will constitute an investigation. 6. F. 2. Initiation of Investigation:
( a) The MEC will review the matter in question, may discuss the matter with the individual, and will determine whether to conduct an investigation( either directly or indirectly through an ad-hoc investigation committee) or direct that the matter be handled pursuant to another policy.
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