Mercy Hospital Medical Staff Bylaws - Mercy Health

To carry out these purposes, the Medical Staff assumes responsibility to: the followingresponsibilities:2.2.1. Utilize all available information from all Mercy resources in order tomonitor and evaluate the quality of care and the clinical performance ofits Members and other Practitioners with delineated Clinical Privileges;2.2.2. Perform the oversight activities of the organized Medical Staff;2.2.3. Make recommendations to the Board with respect to Medical StaffMembership and the exercise of Clinical Privileges; Communicatefindings, conclusions, recommendations, and actions to improveperformance; to appropriate staff members and the Governing Body.2.2.4. Assessment and treatment of patients. including coordination of care,treatment and services with other Practitioners and Hospital personnel asrelevant to the care, treatment and services of individual patients;Coordinate care, treatment, and services with other Practitioners, hospitalpersonnel, and the Board, as relevant to the care, treatment and services ofan individual patient;2.2.5. Participate in Mercy performance improvement programs; and determinethe use of this information in the ongoing evaluation of Practitioners’competence Review findings of the assessment process that are relevantto an individual’s performance. The organized Medical Staff isresponsible for determining the use of this information in the ongoingevaluations of a practitioner’s competence;2.2.6. Assess inpatient and hospital outpatient medical and health servicesusing a utilization review program based upon specific determination ofindividual medical needs;2.2.7. Participate with Mercy in identifying and meeting community health careneeds and in recommending appropriate institutional goals andimplementing programs to meet those needs;2.2.8. Provide oversight in the process of analyzing and improving patient safetyand satisfaction; and2.2.9. Provide education to patients and families; and2.2.10. Cooperate with and assist the Hospital in maintaining accreditation.3. MEDICAL STAFF MEMBERSHIP3.1. Nature of Medical Staff Membership, GenerallyMedical Staff Membership is not a right but a privilege extended by the Board to thoseprofessionally competent physicians, dentists, podiatrists, psychologists, and chiropractorsand other health professional affiliates Practitioners who continuously meet the- 13 -