b . to oversee all administratively-related activities of the Department , unless otherwise provided by the hospital ;
c . to provide ongoing surveillance of the performance of all individuals in the Medical Staff . Department who has been granted clinical privileges ; d .
e .
f . to recommend to the credentials committee the criteria for requesting clinical privileges that are relevant to the care provided in the Medical Staff Department ;
to recommend clinical privileges for each member of the Department and other licensed independent practitioners practicing with privileges within the scope of the Department ;
to assess and recommend to the MEC and hospital administration off-site sources for needed patient care services not provided by the Medical Staff Department or the hospital ;
g . to integrate the Department into the primary functions of the hospital ; h .
i .
j .
k . to coordinate and integrate interdepartmental and intradepartmental services and communication ;
to develop and implement Medical Staff and hospital policies and procedures that guide and support the provision of patient care services and review and update these , at least triennially , in such a manner to reflect required changes consistent with current practice , problem resolution , and standards changes ;
to recommend to the CEO sufficient numbers of qualified and competent persons to provide patient care and service ;
to provide input to the CEO regarding the qualifications and competence of Department or service personnel who are not licensed independent practitioners but provide patient care , treatment , and services ;
l . to continually assess and improve of the quality of care , treatment , and services ; m . to maintain quality control programs as appropriate ; n . o . to orient and continuously educate all persons in the Department ; and
to make recommendations to the MEC and the hospital administration for space and other resources needed by the Medical Staff Department to provide patient care services .
5.4 Assignment to Department
The MEC will , after consideration of the recommendations of the Chair of the appropriate Department , recommend Department assignments for all members in accordance with their qualifications . Each member will be assigned to one primary Department ; the member shall
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