records for all patients to whom the practitioner provides care in the hospital , or within its facilities , clinical services , or departments .
a .
b .
c .
A medical history and physical examination shall be completed no more than thirty ( 30 ) days before or more than twenty-four ( 24 ) hours after admission or registration , by a member of the Medical Staff who is a doctor of medicine or osteopathy , but prior to surgery or a procedure requiring anesthesia services . The medical history and physical examination must be completed and documented by a physician , an oral and maxillofacial surgeon , dentist , podiatrist , nurse practitioner , physician assistant , or other qualified licensed individual in accordance with State law and hospital policy .
An updated examination of the patient , including any changes in the patient ’ s condition , shall be completed and documented within twenty-four ( 24 ) hours after admission or registration , but prior to surgery or a procedure requiring anesthesia services , when the medical history and physical examination is completed within thirty ( 30 ) days before admission or registration . The updated examination of the patient , including any changes in the patient ’ s condition , must be completed and documented by a physician , an oral and maxillofacial surgeon , dentist , or podiatrist , or other qualified licensed individual in accordance with State law and hospital policy .
The content of complete and focused history and physical examinations is delineated in the rules and regulations .
2.6.9 Each staff member and practitioner with privileges will use confidential information only as necessary for treatment , payment , or healthcare operations in accordance with HIPAA laws and regulations , to conduct authorized research activities , or to perform Medical Staff responsibilities . For purposes of these Bylaws , confidential information means patient information , peer review information , and the hospital ’ s business information designated as confidential by the hospital or its representatives prior to disclosure .
2.6.10 Each staff member and practitioner with privileges must participate in any type of competency evaluation when determined necessary by the MEC and / or Board in order to properly delineate that member ’ s clinical privileges .
2.6.11 Each Medical Staff leader shall disclose to the Medical Staff any ownership or financial interest that may conflict with , or have the appearance of conflicting with , the interests of the Medical Staff or hospital . Medical staff leadership will deal with conflict of interest issues .
2.6.12 Each applicant for privileges and each privileged practitioner acknowledges and agrees that credentialing and quality assurance / performance improvement (“ QA / PI ”) data and information ( collectively “ Information ”) may or shall be shared with , considered and used by other Renown Health hospitals for credentialing , peer review and QA / PI activities .
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