e.
f.
Upon review of any data, conduct further studies, perform education or refer the data to medical staff peer review committees for their review and action; and
Develop, with the aid of legal counsel, policies to guide the director of utilization management, medical staff, and administration in matters of privileged communication and legal release of information.
Section 2. General Language Governing Committees
The following shall be the standing committees of the medical staff:
• Medical Executive Committee,
• Credentials Committee,
• Medical Staff Quality Improvement Committee,
• Quality, Professional Practice, and Peer Review Committee( QPRC),
• Bylaws Committee,
• Nominating Committee, and
• Residents, Fellows and Students Committee.
A committee shall meet as often as necessary to fulfill its responsibilities. It shall maintain a permanent record of its proceedings and actions and shall report its findings and recommendations to the MEC. The Chief of Staff may appoint additional ad hoc committees for specific purposes. Ad hoc committees will cease to meet when they have accomplished their appointed purpose or on a date set by the Chief of Staff when establishing the committee. The Chief of Staff, CMO / VPMA, and the CEO are ex officio members of all standing and ad hoc committees.
Committee members may be removed from the committee by the Chief of Staff, or by action of the MEC, for failure to remain a member of the medical staff in good standing or for failure to adequately participate in the activities of the committee. Any vacancy in any committee shall be filled for the remaining portion of the term in the same manner in which the original appointment was made.
Medical staff members may be appointed to Hospital committees. Actions taken by Hospital committees that affect the practice of practitioners with privileges must have those actions approved by the MEC prior to going into effect.
2.1 MEC
The composition, duties, and meeting requirements of the MEC are set forth in Article 6 of the Medical Staff Bylaws.
2.2 Credentials Committee a.
Composition: The Credentials Committee will consist of at least five( 5) Active Staff Members, appointed by the Chief of Staff, in consultation with the
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