3.1.8 Failure to satisfy the special appearance requirement : A practitioner who fails without good cause to appear at a meeting where his / her special appearance is required in accordance with these Bylaws shall have all clinical privileges with the exception of emergencies and imminent deliveries , automatically suspended . These privileges will be restored when the practitioner complies with the special appearance requirement . Failure to comply within 30 calendar days will be considered an automatic termination from the medical staff and termination of privileges .
3.1.9 Failure to participate in an evaluation : A practitioner who fails to participate in an evaluation of his / her qualifications for medical staff membership or privileges as required under these bylaws ( whether an evaluation of physical or mental health or of clinical management skills ), shall be suspended of all privileges . These privileges will be restored when the practitioner complies with the requirement for an evaluation . Failure to comply within 30 calendar days will be considered an automatic termination of from the medical staff appointment and privileges .
3.1.10 Failure to become board certified : A practitioner who fails to become board certified in compliance with these bylaws or medical staff credentialing policies will be automatically terminated from the medical staff appointment and clinical privileges .
3.1.11 Failure to Execute Release and / or Provide Documents : A practitioner who fails to execute a general or specific release of information and / or provide documents when requested by the Chief of Staff or designee to evaluate the competency and credentialing / privileging qualifications of the practitioner shall be automatically suspended of all privileges . If the release is executed and / or documents provided within thirty ( 30 ) calendar days of notice of the automatic suspension , the practitioner may be reinstated .
3.1.12 MEC Deliberation : As soon as feasible after action is taken or warranted as described above , the MEC shall convene to review and consider the facts , and may recommend such further corrective action as it may deem appropriate following the procedures generally set forth in these bylaws .
3.2 Precautionary ( Summary ) Restriction or Suspension
3.2.1 Criteria for Initiation : A precautionary ( summary ) restriction or suspension may be imposed when a good faith belief exists that immediate action must be taken to protect the life or well-being of patient ( s ); or to reduce a substantial and imminent likelihood of significant impairment of the life , health , and safety of any person or when medical staff leaders and / or the CEO determines that there is a need to carefully consider any event , concern , or issue that , if confirmed , has the potential to affect patient or employee safety or the effective operation of the institution . The Chief of Staff , the chief of a clinical department or section , the Chief Executive Officer , the Chief Medical Officer , the Chief Nursing Officer , or the Chairman of the Board shall be entitled to restrict or suspend the medical staff membership or clinical privileges of such practitioner as a precaution . A suspension of all or any portion of a practitioner ’ s clinical privileges at another hospital may be grounds for a precautionary ( summary ) suspension of all or any of the practitioner ’ s clinical privileges at this hospital .
MEDICAL STAFF Investigations , Corrective Action , Hearing and Appeal Plan
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