Section 5 .
Medical Staff Organization 5.1 Organization of the Medical Staff
5.1.1 The Medical Staff shall be organized into departments . The Medical Staff may create clinical sections within a department in order to facilitate Medical Staff activities . A list of departments organized by the Medical Staff and formally recognized by the MEC is listed in the Rules & Regulations .
The MEC , with approval of the Board , may designate new Medical Staff departments or clinical sections or dissolve current departments or clinical sections as it determines will best promote the Medical Staff needs for promoting performance improvement , patient safety , and effective credentialing and privileging .
5.2 Qualifications , Selection , Term , and Removal of Department Chairs and Section Chiefs
5.2.1 Each Department Chair and Section Chief shall serve a term of two ( 2 ) years commencing on January 1 of even numbered years . Department Chairs and Section Chiefs may be appointed to serve successive terms . All Chairs and Chiefs must be members of the Active Medical Staff have relevant clinical privileges and be certified by an appropriate specialty board or have affirmatively established comparable competence through the credentialing process . Department Chairs and Section Chiefs may not simultaneously hold a leadership position on another hospital ’ s Medical Staff in an unaffiliated facility . Noncompliance with this requirement will result in the Chair / Chief being automatically removed from office .
5.2.2 Department Chairs and Section Chiefs shall be appointed by the Chief of Staff based upon a recommendation of the Department or Section and in consultation with the MEC . Each Department and Section shall establish procedures for identifying and electing candidates and these procedures must be ratified by the MEC . If the post of Chair of a Department is vacated , the Chief of Staff shall appoint a new Chair who will preside through the remainder of the term .
5.2.3 Any Department Chair or Section Chief shall be automatically removed for failure to meet those responsibilities assigned within these Bylaws , failure to comply with policies and procedures of the Medical Staff , for conduct or statements that damage the hospital , its goals , or programs , or an automatic or precautionary ( summary ) suspension of clinical privileges . Any Department Chair or Section Chief can be removed by the Chief of Staff based on the recommendation of a majority of the Active Members of the Department or Section . If any Department Chair or Section Chief fails to promptly fulfill assigned responsibilities , the MEC may take action to fulfill the responsibilities , or the MEC may temporarily delegate the responsibilities to another Medical Staff Member .
5.3 Responsibilities of Department Chair a . to oversee all clinically-related activities of the Department ;
4883-4555-0786 , v . 3 22