( e ) The Credentials Committee will forward its recommendations to the MEC , which will review the matter and forward its recommendations to the Board for final action .
( f ) If the Board determines to offer the new procedure , it will adopt threshold qualifications that an individual must demonstrate to be eligible to request the clinical privileges in question .
( g ) Once the above steps have been completed , specific requests from eligible individuals may be processed .
4 . A . 6 . Clinical Privileges That Cross Specialty Lines :
( a ) Requests for clinical privileges that previously , at the Hospital , have been exercised only by members in another specialty will not be processed until the steps outlined in this Section have been completed and a determination has been made regarding the member ’ s eligibility to request the clinical privilege ( s ) in question .
( b ) As an initial step in the process , the individual seeking the privilege will submit a report to the Credentials Committee that specifies the qualifications needed to perform the procedure safely and competently , whether the individual ’ s specialty is performing the clinical privilege at other similar hospitals , and the experiences of those other hospitals in terms of patient care outcomes and quality of care .
( c ) The Credentials Committee may conduct additional research and consult with experts , as necessary , including individuals on the Medical Staff ( e . g ., department chairs , individuals on the Medical Staff with special interest and / or expertise ) and individuals outside the Hospital ( e . g ., other hospitals , residency training programs , specialty societies ).
( d ) If the Credentials Committee recommends that individuals from different specialties be permitted to request clinical privileges , the Credentials Committee will develop recommendations regarding :
( 1 ) the appropriate education , training , and experience necessary to perform the clinical privileges in question ;
( 2 ) the clinical indications for when the procedure is appropriate to be performed by individuals in a different clinical specialty ;
( 3 ) the manner of addressing the most common complications that arise , which may be outside of the scope of the clinical privileges that have been granted to the requesting individual ;
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