credentialing table of contents i. appointment to the ... - Orlando Health

notifying the hospital that the matter has been resolved. Matters not resolved within a sixty-day period will
result in automatic resignation of medical staff membership and clinical privileges. (01/09)
C. Staff Member Whose Whereabouts are Unknown: (09/06)
Medical staff members are responsible for notifying the hospital of any changes in their office and home
addresses and telephone numbers and other essential contact information. A staff member whose
whereabouts are unknown will be considered to have voluntarily resigned from the medical staff and the
member’s membership and clinical privileges, if any, will terminate automatically due to unexplained
absence. (01/09)
D. Automatic Relinquishment for OIG Sanctions: (01/07)
Action by any appropriate agency that excludes, suspends, or debars an individual from participation in
federal healthcare programs, the conviction of a criminal offense related to the provision of professional
healthcare services, or any other event that otherwise makes the individual ineligible for participation in
federal healthcare programs, will result in automatic resignation of medical staff membership and clinical
privileges as of that date. Only upon reinstatement by the agency may the individual reapply as a new
applicant. (01/09)
E. Failure to Provide Emergency Department Call Coverage: (01/09)
Failure to fulfill emergency call responsibilities as scheduled by the clinical department chair shall result in
automatic relinquishment of the individual’s membership and clinical privileges.
F. Effect of Above Actions:
The above actions concerning staff members shall not be considered professional review actions and shall not
entitle the individual concerned to any of the procedural rights provided in the Fair Hearing and Appeal Policy
and Procedure with respect to hearings or appeals.
VIII.
LEAVE OF ABSENCE
A. Procedure for Leave of Absence:
Members of the medical staff may be granted leaves of absence by the Board for a definitely stated period of
time not to exceed one (1) year or the remainder of the member’s current term of appointment, whichever is
shortest. Written requests for leaves of absence shall be made to the respective department chairman and shall
state the beginning and ending dates of the requested leave and the reason leave is requested. The department
chairman shall transmit the request together with a recommendation to the Medical Executive Committee
which shall make a report and a recommendation, and transmit it to the Board. No member may take more
than one consecutive one-year leave of absence. Leaves of absence are a matter of courtesy, not of right. In
the event that a requested leave of absence is denied, or a leave of absence is granted for a shorter period of
time than requested, the determination is final, with no recourse to any procedural rights. Leaves of absence
are typically granted for reasons such as military duty, additional training, family matters, or personal health
matters. Members who are relocating and who do not anticipate returning to this area are discouraged from
requesting a leave of absence and should consider resignation. (01/09)
B. Reinstatement Following Leave of Absence:
A staff member who desires reinstatement following a leave of absence shall submit a written request for
reinstatement at least ninety (90) days prior to the termination of the leave of absence. The staff member shall
submit a written summary of relevant activities during the leave. The Credentials Committee shall make a
recommendation to the Medical Executive Committee and the Medical Executive Committee shall make a
recommendation to the Board concerning the reinstatement of the staff member's privileges. (01/09)
January 2010 Credentialing Policy & Procedures
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