e .
f .
Upon review of any data , conduct further studies , perform education or refer the data to medical staff peer review committees for their review and action ; and
Develop , with the aid of legal counsel , policies to guide the director of utilization management , medical staff , and administration in matters of privileged communication and legal release of information .
Section 2 . General Language Governing Committees
The following shall be the standing committees of the medical staff :
• Medical Executive Committee ,
• Credentials Committee ,
• Medical Staff Quality Improvement Committee ,
• Quality , Professional Practice , and Peer Review Committee ( QPRC ),
• Bylaws Committee ,
• Nominating Committee , and
• Residents , Fellows and Students Committee .
A committee shall meet as often as necessary to fulfill its responsibilities . It shall maintain a permanent record of its proceedings and actions and shall report its findings and recommendations to the MEC . The Chief of Staff may appoint additional ad hoc committees for specific purposes . Ad hoc committees will cease to meet when they have accomplished their appointed purpose or on a date set by the Chief of Staff when establishing the committee . The Chief of Staff , CMO / VPMA , and the CEO are ex officio members of all standing and ad hoc committees .
Committee members may be removed from the committee by the Chief of Staff , or by action of the MEC , for failure to remain a member of the medical staff in good standing or for failure to adequately participate in the activities of the committee . Any vacancy in any committee shall be filled for the remaining portion of the term in the same manner in which the original appointment was made .
Medical staff members may be appointed to Hospital committees . Actions taken by Hospital committees that affect the practice of practitioners with privileges must have those actions approved by the MEC prior to going into effect .
2.1 MEC
The composition , duties , and meeting requirements of the MEC are set forth in Article 6 of the Medical Staff Bylaws .
2.2 Credentials Committee a .
Composition : The Credentials Committee will consist of at least five ( 5 ) Active Staff Members , appointed by the Chief of Staff , in consultation with the
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