f . Utilization review and improvement activities ; g . Claims reviews ; h . i .
Risk management and liability prevention activities ; and
Other Hospital , committee , Department , or staff activities related to monitoring and maintaining quality and efficient patient care and appropriate professional conduct .
3.4 Releases
When requested by the Chief of Staff , each practitioner shall execute general and specific releases . Failure to execute such releases shall result in an application for appointment , reappointment , or clinical privileges being deemed voluntarily withdrawn and not processed further .
3.5 Conflict of Interest
A member of the medical staff requested to perform a board designated medical staff responsibility ( such as credentialing , peer review or corrective action ) may have a conflict of interest if they may not be able to render an unbiased opinion . An absolute conflict of interest would result if the physician is the practitioner , his / her spouse , or his / her first degree relative ( parent , sibling , or child ) is the one under review . Potential conflicts of interest are either due to a provider ’ s involvement in the patient ’ s care not related to the issues under review or because of a relationship with the physician involved as a direct competitor , partner , or key referral source . It is the obligation of the individual physician to disclose to the affected committee the potential conflict . It is the responsibility of the committee to determine on a case-by-case basis if a potential conflict is substantial enough to prevent the individual from participating . When a potential conflict is identified , the committee chair will be informed in advance and make the determination if a substantial conflict exists . When either an absolute or substantial potential conflict is determined to exist , the individual may not participate or be present during the discussions or decisions other than to provide specific information requested .
Section 4 . Secure Communication
All members of the medical staff will have and use HIPAA compliant and Renown approved email and texting applications to communicate electronically HIPAA protected patient information or information related to quality improvement programs and / or peer review .
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