regulations, will result in automatic relinquishment of all clinical privileges, until such time as all delinquent records have been completed.
7. A. 2. Failure to Satisfy Threshold Eligibility Criteria:
Failure of an individual to continuously evidence satisfaction of any of the threshold eligibility criteria set forth in this Manual will result in automatic relinquishment of appointment and clinical privileges unless a waiver is granted pursuant to Section 2. A. 2 of this Manual. a. Examples of failing to satisfy eligibility criteria, not covered by a waiver would include the renewal of a state license necessary to practice medicine.
b. Examples where a waiver may prevent an automatic administrative suspension, whether in part or in whole, include, but are not necessarily limited to, a DEA certificate, state pharmacy certificate, board certification and a life-saving certificate that is required per a delineation of privileges.
c. These administrative suspensions remain in effect until such time as the Medical Staff Office is able to verify that the item in question is now compliant.
7. A. 3. Criminal Activity:
The occurrence of specific criminal actions will result in the automatic relinquishment of appointment and clinical privileges. Specifically, an arrest, charge, indictment, conviction, plea of guilty or plea of no contest pertaining to any felony, or to any misdemeanor involving the following will result in an automatic relinquishment:( a) Medicare, Medicaid, or other federal or state governmental or private third-party payer fraud or program abuse;( b) controlled substances;( c) illegal drugs;( d) violent act;( e) sexual misconduct;( f) moral turpitude; or( g) child or elder abuse.
7. A. 4. Failure to Provide Information:
( a) Failure of an individual to notify the Medical Staff Office of any change in any information provided on an application for initial appointment or reappointment may result in the automatic relinquishment of appointment and clinical privileges as determined by the CMO / VPMA, Credentials Committee Chair, and Chief of Staff.
( b) Failure of an individual to provide information pertaining to an individual’ s qualifications for appointment or clinical privileges, or to execute a general or specific release pertaining to the same, in response to a written request from an authorized Medical Staff committee or the CMO / VPMA will result in the automatic relinquishment of appointment and clinical privileges until the information is provided to the satisfaction of the requesting party.
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