( d ) If the recommendation of the MEC would entitle the applicant to request a hearing as set forth in this Manual , the MEC will forward its recommendation to the CEO , who will promptly send special notice to the applicant . The CEO will then hold the application until after the applicant has completed or waived a hearing and appeal .
3 . B . 7 . Board Action :
( a ) If the application is designated by the MEC as Category 1 ( Streamlined ), it is presented to the Board or an appropriate subcommittee of at least two members where the application is reviewed and action is taken on appointment , reappointment , and clinical privileges . Any decision reached by the Board Committee to appoint will be effective immediately and will be forwarded to the Board for consideration at its next meeting .
( b ) When there has been no delegation to the Board Committee , upon receipt of a recommendation that the applicant be granted appointment and clinical privileges , the Board may :
( 1 ) grant appointment and clinical privileges as recommended ; or
( 2 ) refer the matter back to the Credentials Committee or MEC or to another source for additional research or information ; or
( 3 ) modify the recommendation .
( c ) If the Board disagrees with a favorable recommendation , it should first discuss the matter with the Chair of the Credentials Committee and the Chair of the MEC . If the Board ’ s determination remains unfavorable , the CEO will promptly send special notice that the applicant is entitled to request a hearing .
( d ) A decision by the Board to grant appointment will be for a period not to exceed three years .
( e ) Any final decision by the Board to grant , deny , modify , or revoke appointment or clinical privileges will be disseminated to appropriate individuals and , as required , reported to appropriate entities .
3 . B . 8 . Time Periods for Processing :
Once an application is deemed complete , it is expected to be processed within 180 days , unless it becomes incomplete . This time period is intended to be a guideline only and will not create any right for the applicant to have the application processed within this precise time period .
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