ARTICLE 1 GENERAL
1. A. DEFINITIONS
Unless otherwise specified, the definitions of terms used in this Manual are outlined in the Medical Staff Bylaws.
( 1)“ ADVANCED PRACTICE PROVIDER( APP) STAFF” consists of individuals other than members of the Medical Staff who are authorized by law and by the Hospital to provide patient care services. A listing of the categories of professionals who are practicing at the Hospital as members of the Advanced Practice Provider Staff is included in Appendix A. The Advanced Practice Provider Staff may include Category I and Category II practitioners as defined in the Bylaws.
( 2)“ BOARD CERTIFICATION” is the designation conferred by one of the affiliated specialties of the American Board of Medical Specialties, the American Osteopathic Association, National Board of Physicians and Surgeons, the American Board of Oral and Maxillofacial Surgery, the American Board of Foot and Ankle Surgery, American Board of Podiatric Medicine. For advanced practice providers, the certifying body approved by the Hospital will be included in the delineation of clinical privileges.
( 3)“ INVESTIGATION” means the process initiated by a resolution of the Medical Executive Committee, or the Board, to evaluate the validity of questions or concerns pertaining to the clinical competence or professional conduct about a member. An investigation is concluded after final action has been taken in accordance with the process as set forth in this Manual. A routine or general review of cases or any evaluation prior to the commencement of an investigation by the Medical Executive Committee, or the Board, is not considered an investigation.
( 4)“ MEDICAL STAFF GOVERNANCE DOCUMENTS” means the Medical Staff Bylaws, Credentialing & Privileging Manual, Organization Manual, Medical Staff Rules and Regulations, and Medical Staff policies and procedures.
( 5)“ PEER” means someone other than an associate, relative, prospective associate or training director with equivalent licensure and, ideally same specialty,( MD, DO, DDS, DMD, etc.) who has, within the immediate past three( 3) years, had personal knowledge of an applicant’ s clinical abilities, ethical character and ability to work with others. Note: for an Advanced Practice Provider, this may include physicians and / or other Advanced Practice Providers.
( 5)“ PROFESSIONAL PRACTICE EVALUATION” refers to the Hospital’ s routine and ongoing peer review, performance improvement, and professional practice
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