l .
Denial , termination , or limitation of temporary privileges unless for demonstrated incompetence or unprofessional conduct ;
m . Determination that an applicant for membership does not meet the requisite qualifications / criteria for membership ;
n . Ineligibility to request membership or privileges or continue privileges because a relevant specialty is closed under a medical staff development plan or covered under an exclusive provider agreement ;
o . Imposition of supervision pending completion of an investigation to determine whether corrective action is warranted ;
p . Termination of any contract with or employment by hospital ;
q . Proctoring , monitoring , and any other performance monitoring requirements imposed in order to fulfill any Joint Commission standards on focused professional practice evaluation ;
r . Any recommendation voluntarily accepted by the practitioner ;
s . Expiration of membership and privileges as a result of failure to submit an application for reappointment within the allowable time period ;
t . Change in assigned staff category ;
u . Refusal of the credentials committee or MEC to consider a request for appointment , reappointment , or privileges within five ( 5 ) years of a final adverse decision regarding such request ;
v . Removal or limitations of emergency department call obligations ; w . Any requirement to complete an educational assessment ; x . Retrospective chart review ;
y . Any requirement to complete a health and / or psychiatric / psychological assessment required under these bylaws ;
z . Grant of conditional appointment or appointment for a limited duration ; or an Appointment or reappointment for duration of less than 24 months .
4.3 Notice of Recommendation of Adverse Action
When a precautionary ( summary ) suspension lasts more than fourteen ( 14 ) calendar days or when a recommendation is made , which , according to this plan entitles an individual to request a hearing prior to a final decision of the Board , the affected individual shall promptly ( but no longer than five ( 5 ) calendar days ) be given written notice by the CEO delivered either in person or by certified mail , return receipt requested . This notice shall contain :
a . A statement of the recommendation made and the general reasons for it ( Statement of Reasons );
b . Notice that the individual shall have thirty ( 30 ) calendar days following the date of the receipt of such notice within which to request a hearing on the recommendation ;
c . Notice that the recommendation , if finally adopted by the board , may result in a report to the state licensing authority ( or other applicable state agencies ) and the National Practitioner Data Bank ; and
MEDICAL STAFF Investigations , Corrective Action , Hearing and Appeal Plan
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