Renown - Credentials Privileging Manual 8-5-25 Clean BOD 8-21-25 | Page 56

( b) An investigation will commence only after a determination by the MEC.
( c) The MEC will inform the individual that an investigation has begun. The notification shall include:
( 1) the date the investigation was commenced;
( 2) the composition of the committee that will be conducting the investigation, if already identified;
( 3) a statement that the individual will be given an opportunity to meet with the committee conducting the investigation before the investigation concludes; and
( 4) a copy of this Section of the Policy, which outlines the process for investigations.
( d) Notification may be delayed if, in the judgment of the MEC, informing the individual immediately might compromise the investigation or disrupt the operation of the Hospital or Medical Staff.
( e) The Board may also determine to commence an investigation and may delegate the investigation to the MEC, a subcommittee of the Board, or an ad hoc committee.
6. F. 3. Appointment of Investigating Committee:
( a) Once a determination has been made to begin an investigation, the MEC will decide whether to investigate the matter itself, request that the Quality, Professional Practice, and Peer Review Committee( QPRC) conduct the investigation, or appoint an ad hoc committee to conduct the investigation keeping in mind the conflict of interest guidelines outlined in Article 9.
( b) The investigating committee may include individuals not on the Medical Staff or the Advanced Practice Provider Staff. The investigating committee will not include any individual who:
( 1) is in direct economic competition with the individual being investigated;( 2) is a relative of the individual being investigated;
( 3) has an actual bias, prejudice, or conflict of interest that would prevent the individual from fairly and impartially considering the matter.
( c) Medical Staff members, without significant conflicts of interest per Article 9 or those stated above, who have reviewed or voted on the matter as part of their
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