Renown South Meadows Credentials Manual | Page 52

( c )
The MEC will inform the individual that an investigation has begun .
The
notification shall include :
( 1 ) the date the investigation was commenced ;
( 2 ) the composition of the committee that will be conducting the investigation , if already identified ;
( 3 ) a statement that the individual will be given an opportunity to meet with the committee conducting the investigation before the investigation concludes ; and
( 4 ) a copy of this Section of the Policy , which outlines the process for investigations .
( d ) Notification may be delayed if , in the judgment of the MEC , informing the individual immediately might compromise the investigation or disrupt the operation of the Hospital or Medical Staff .
( e ) The Board may also determine to commence an investigation and may delegate the investigation to the MEC , a subcommittee of the Board , or an ad hoc committee .
6 . F . 3 . Appointment of Investigating Committee :
( a ) Once a determination has been made to begin an investigation , the MEC will decide whether to investigate the matter itself or appoint a group of individuals or committee (“ investigating committee ”) to do so .
( b ) The investigating committee may include individuals not on the Medical Staff or the Advanced Practice Provider Staff . The investigating committee will not include any individual who :
( 1 ) is in direct economic competition with the individual being investigated ; ( 2 ) is a relative of the individual being investigated ;
( 3 ) has an actual bias , prejudice , or conflict of interest that would prevent the individual from fairly and impartially considering the matter ; or
( 4 ) actively participated in the matter at any previous level , with the exception of the Quality , Professional Practice , and Peer Review Committee ( QPRC ) or it ’ s individual members .
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