( f ) This meeting is not a hearing , and none of the procedural rules for hearings will apply . Lawyers will not be present when the MEC is meeting with the individual .
( g ) There is no right to a hearing based on the imposition or continuation of a precautionary suspension . The procedures outlined above are deemed to be fair under the circumstances .
6 . F . INVESTIGATIONS 6 . F . 1 . Initial Review :
( a ) Whenever a serious question has been raised , or where collegial efforts have not resolved an issue , the matter may be referred to the Chief of Staff , department chair , CMO / VPMA , CEO , or the Chair of the Board .
( b ) Issues or questions that may be subject to further review include those related to the following :
( 1 ) clinical competence or clinical practice , including patient care , treatment or management ;
( 2 ) the safety or proper care being provided to patients ;
( 3 ) the known or suspected violation of ethical standards , the medical staff governance documents or any policy of the System or Hospital ; or
( 4 ) conduct that is considered lower than the standards of the Hospital , undermines the Hospital ’ s culture of safety , or is disruptive to the orderly operation of the Hospital , its Medical Staff or Advanced Practice Provider Staff , including the inability of the member to work harmoniously with others .
( c ) The person to whom the question is referred will make a sufficient inquiry to determine whether the question is credible and , if so , will forward it to the MEC . If the question pertains to a member of the Advanced Practice Provider Staff the supervising physician may also be notified .
( d ) No action taken pursuant to this Section will constitute an investigation . 6 . F . 2 . Initiation of Investigation :
( a ) The MEC will review the matter in question , may discuss the matter with the individual , and will determine whether to conduct an investigation or direct that the matter be handled pursuant to another policy .
( b ) An investigation will commence only after a determination by the MEC .
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