care entities , residency training director , and others who may have knowledge about the applicant ’ s education , training , experience , and ability to work with others . The National Practitioner Data Bank will be queried , the Office of Inspector General ’ s List of Excluded Individuals / Entities will be checked , and a criminal background check will be obtained .
( b ) Interview ( s ) with the applicant are encouraged , especially for applicants seeking clinical privileges . The purpose of the interview is to discuss and review any aspect of the applicant ’ s application , qualifications , and requested clinical privileges . This interview may be conducted by any of the following : department chair , section chief , Credentials Committee , MEC , Chief of Staff , CMO / VPMA , or CEO . The applicant will be notified if an interview is requested . Failure of the applicant to appear for a scheduled interview will be deemed a withdrawal of the application .
( c ) The Medical Staff Office will notify the relevant department chair / section chief that the application and supporting materials are available for review .
3 . B . 4 . Department Chair / Section Chief Procedure :
( a ) The department chair / section chief will prepare a report regarding whether the applicant has satisfied the qualifications for appointment and the clinical privileges requested . This will address any circumstances which require monitoring and evaluation of clinical performance after the initial grant of clinical privileges and any comments to support these recommendations . The report will be on a form provided by the Medical Staff Office .
( b ) The department chair / section chief will also make a recommendation as to whether the application should be acted on as Category 1 ( Streamlined ) or Category 2 ( Traditional ). The criteria for Category 2 applications are outlined in Appendix B .
3 . B . 5 . Credentials Committee Procedure :
( a ) If the application is designated Category 1 ( Streamlined ), it is presented to the Credentials Committee Chair for review and recommendation . The Credentials Committee Chair will review the application to determine that the applicant fulfills the threshold criteria for appointment and privileges and will also determine whether the application is forwarded as a Category 1 ( Streamlined ) or may change the designation to Category 2 ( Traditional ).
( b ) If the Credentials Committee Chair determines to keep the designation as Category 1 ( Streamlined ), the Chair acts on behalf of the Credentials Committee and the application is forwarded to the MEC for review and recommendation . If the designation is Category 2 ( Traditional ), the Credentials Committee will review and act on the application .
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