07.07.2015 Views

Mercy Hospital Medical Staff Bylaws - Mercy Health

Mercy Hospital Medical Staff Bylaws - Mercy Health

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application or reapplication, without a hearing under the Fair HearingPlan. Any misrepresentation or misstatement in, or omissions from anapplication, whether intentional or unintentional, shall may be cause forthe application to immediately become null and void, thus, resulting indenial ineligibility for of membership. In the event this application isdeemed null & void or a misrepresentation or misstatement is discoveredon a current Member, such discovery may result in immediate terminationof membership and/or clinical privileges upon the recommendation of the<strong>Medical</strong> Executive Committee to the Board of Trustees without the rightto a fair hearing and an appeal. If this clause is invoked, the practitionermay not reapply for one year. In the event that membership has beengranted prior to the discovery of such misrepresentation, misstatement, oromission, such a discovery mayA statement that information given in or attached to the application isaccurate and fairly represents the current level of the applicant's training,experience, capability and competence to practice with the clinicalprivileges requested; that any misrepresentation or misstatement in, oromission from the application may constitute cause for automatic andimmediate rejection of the application resulting in denial of appointmentand clinical privileges; and that in the event that appointment or privilegeshave been granted prior to the discovery of such misrepresentation,misstatement or omission, such discovery may result in immediatetermination of the applicant's appointment or privileges.5.3. Professional Criteria for Evaluating Applications5.3.1 Initial Applicants5.3.1.1 An initial applicant will be evaluated to determine whether he or shemeets the prescribed qualifications for <strong>Medical</strong> <strong>Staff</strong> Membership.including current licensure, relevant training or experience, currentcompetence and the ability to perform the Clinical Privileges he or she hasrequested. Decisions regarding credentialing and privileging shall relate tothe applicant’s competence, as evidenced by the prescribed qualifications,and by criteria that relate to the quality of the care provided anddocumented by the applicant. If privileging criteria are used that areunrelated to quality of care or professional competence, evidence exists thatthe impact of resulting decisions on the quality of care is evaluated.5.3.1.2 Peer References: Recommendations from peers are obtained andevaluated for all new applicants for <strong>Medical</strong> <strong>Staff</strong> Membership. Specificguidelines related to obtaining peer references for both initial andreapplicants are reflected in the <strong>Mercy</strong> <strong>Health</strong> Partners Credentials Manual,2.25. privileges. A recommendation from peers is defined as anappropriate Practitioner in the same professional discipline as the applicantwho has personal knowledge of the applicant and the applicant’s ability topractice the requested Clinical Privileges.5.3.1.3 A period of Focused Professional Practice Evaluation isimplemented for all initially requested privileges. The criteria for- 25 -

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