Renown Regional Credentials Manual | Page 81

CONFLICT OF INTEREST GUIDELINES ( cont ’ d .) GUIDELINES FOR RECUSAL
STEP 1 Confirm the conflict of interest
STEP 2 Participation by the interested member 5 at the meeting
The committee chair should confirm the existence of a conflict of interest relevant to the matter under consideration .
The interested member may participate in any part of the meeting that does not involve the conflict of interest situation .
When the matter implicating the conflict of interest is ready for consideration , the committee chair will note that the interested member will be excused from the meeting prior to the group ’ s deliberation and decision-making .
Prior to being excused , the interested member may provide information and answer any questions regarding the following :
( i ) any factual information for which the interested member is the original source ;
( ii ) clinical expertise that is relevant to the matter under consideration ;
( iii ) any policies or procedures that are applicable to the committee or are relevant to the matter under consideration ;
( iv ) the interested member ’ s prior involvement in the review of the matter at hand ( for example , an investigating committee member may describe the investigating committee ’ s activities and present the investigating committee ’ s written report and recommendations to the Medical Executive Committee prior to being excused from the meeting ); and
STEP 3 The interested member is excused from the meeting
STEP 4 Record the recusal in the minutes
( v ) how the committee has , in the past , managed issues similar or identical to the matter under consideration .
The interested member will then be excused from the meeting ( i . e ., physically leave the meeting room and / or disconnect from any telephone or other electronic connection ) prior to the committee ’ s deliberation and decision-making .
The recusal should be documented in the minutes of the committee . The minutes should reflect that the interested member was excused from the meeting prior to deliberation and decision-making .
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“ Interested member ” refers to the individual with a potential conflict of interest .
4877-0873-6192 , v . 3 2