2.3 MEC Action
As soon as feasible after the conclusion of the investigation the MEC shall take action that may include , without limitation :
a . Determining no corrective action is warranted , and if the MEC determines there was not credible evidence for the complaint in the first instance , removing any adverse information from the practitioner ’ s file ;
b . Deferring action for a reasonable time when circumstances warrant ;
c . Issuing letters of education , admonition , censure , reprimand , or warning , although nothing herein shall be deemed to preclude appropriate committee chairs or Department Chairs from issuing informal written or oral warnings prior to an investigation . In the event such letters are issued , the affected practitioner may make a written response , which shall be placed in the practitioner ’ s file ;
d . Recommending the imposition of terms of probation or special limitation upon continued medical staff membership or exercise of clinical privileges , including , without limitation , requirements for co-admissions , mandatory consultation , or monitoring / proctoring ;
e . Recommending denial , restriction , modification , reduction , suspension , revocation , or probation of clinical privileges ; f .
Recommending reductions of membership status or limitation of any prerogatives directly related to the practitioner ’ s delivery of patient care ;
g . Recommending suspension , revocation , or probation of medical staff membership ; or h . Taking other actions deemed appropriate under the circumstances .
2.4 Subsequent Action
If the MEC recommends any termination or restriction of the practitioner ’ s membership or privileges , that recommendation shall be immediately transmitted in writing to the board . The Board shall act on the MEC ’ s recommendation unless the member requests a hearing , in which case the final decision shall be determined as set forth in this Hearing and Appeal plan .
MEDICAL STAFF Investigations , Corrective Action , Hearing and Appeal Plan
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