ARTICLE 1 GENERAL
1 . A . DEFINITIONS
Unless otherwise specified , the definitions of terms used in this Manual are outlined in the Medical Staff Bylaws .
( 1 ) “ ADVANCED PRACTICE PROVIDER STAFF ” consists of individuals other than members of the Medical Staff who are authorized by law and by the Hospital to provide patient care services . A listing of the categories of professionals who are practicing at the Hospital as members of the Advanced Practice Provider Staff is included in Appendix A . The Advanced Practice Provider Staff may include Category I and Category II practitioners as defined in the Bylaws .
( 2 ) “ BOARD CERTIFICATION ” is the designation conferred by one of the affiliated specialties of the American Board of Medical Specialties , the American Osteopathic Association , National Board of Physicians and Surgeons , the American Board of Oral and Maxillofacial Surgery , the American Board of Foot and Ankle Surgery , American Board of Podiatric Medicine . For advanced practice providers , the certifying body approved by the Hospital will be included in the delineation of clinical privileges .
( 3 ) “ INVESTIGATION ” means the process initiated by a resolution of the Medical Executive Committee , or the Board , to evaluate the validity of questions or concerns pertaining to the clinical competence or professional conduct about a member . An investigation is concluded after final action has been taken in accordance with the process as set forth in this Manual . A routine or general review of cases or any evaluation prior to the commencement of an investigation by the Medical Executive Committee , or the Board , is not considered an investigation .
( 4 ) “ MEDICAL STAFF GOVERNANCE DOCUMENTS ” means the Medical Staff Bylaws , Credentialing & Privileging Manual , Organization Manual , Medical Staff Rules and Regulations , and Medical Staff policies and procedures .
( 5 ) “ PROFESSIONAL PRACTICE EVALUATION ” refers to the Hospital ’ s routine and ongoing peer review , performance improvement , and professional practice evaluation processes . These processes include , but are not limited to , the review and assessment of an individual ’ s clinical performance , professionalism , and ability to exercise clinical privileges safely and competently .
( 6 ) “ PROFESSIONAL REVIEW ACTION ” and “ PROFESSIONAL REVIEW ACTIVITY ” have the meanings defined in the Health Care Quality Improvement Act of 1986 (“ HCQIA ”).
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