( b ) the Board by resolution limits the practitioners who may exercise clinical privileges in any clinical specialty to employees of the Hospital or its affiliates ,
no other practitioners except those authorized by or pursuant to the contract or resolution may exercise clinical privileges to perform the specified services while the contract or resolution is in effect . This means that only authorized practitioners are eligible to apply for appointment or reappointment to the Medical Staff and for the clinical privileges in question . No other applications will be processed .
( 3 ) Prior to the Hospital signing any exclusive contract or passing any Board resolution in a specialty service or area that has not previously been subject to a contract or resolution , the Board will request the MEC to review the matter . The MEC ( or a subcommittee of its members appointed by the Chief of Staff ) will review the quality of care and service implications of the proposed exclusive contract or resolution and provide a report of its findings and recommendations to the Board within 30 days of the Board ’ s request .
( 4 ) As part of its review , the MEC ( or subcommittee ) may obtain relevant information concerning quality of care and service matters from ( a ) members of the applicable specialty involved , ( b ) members of other specialties who directly utilize or rely on the specialty in question , and ( c ) Administration . However , the actual terms of any such exclusive arrangement or employment contract , and any financial information related to them , including but not limited to the remuneration , will neither be disclosed to the MEC nor discussed as part of the MEC ’ s review .
( 5 ) After receiving the MEC ’ s report , the Board will determine whether to proceed with the exclusive contract or resolution . If the Board determines to do so , and if that determination would have the effect of preventing an existing member from exercising clinical privileges that had previously been granted , the affected member is entitled to the following notice and review procedures ( Note : If more than one practitioner in a relevant specialty area will be affected by the determination of the Board , the following procedures will be coordinated to address all requested meetings in a combined and consolidated manner ):
( a ) The affected member will be given at least 30 days ’ advance notice of the anticipated effective date of the exclusive contract or resolution and will have the right to meet with the Board or a committee designated by the Board to discuss the matter prior to the contract in question being signed or the resolution becoming effective . Any such meeting must be requested by the affected member and held within 30 days of the notice , unless this time frame is extended by mutual agreement .
( b ) At the meeting , the affected member will be entitled to present any information that they deem relevant to the Board ’ s initial determination .
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