Mercy Hospital Medical Staff Bylaws - Mercy Health

6.3.3.1 An initial applicant will be evaluated to determinewhether he or she meets the prescribed qualifications forClinical Privileges, including current licensure, relevanttraining or experience, current competence and theability to perform the Clinical Privileges he or she hasrequested. Decisions regarding privileging shall relate tothe applicant’s competence, as evidenced by theprescribed qualifications, and by criteria that relate to thequality of the care provided and documented by theapplicant. If privileging criteria are used that areunrelated to quality of care or professional competence,evidence exists that the impact of resulting decisions onthe quality of care is evaluated.6.3.3.2 Peer References: Recommendations from peers areobtained and evaluated for all new applicants forprivileges. Specific guidelines related to obtaining peerreferences for both applicants are reflected in theCredentials Manual.6.3.3.3 Hold professional liability insurance coverage in anamount approved by the Board and with a financiallysecure and viable professional liability insurance carrieras determined by the Board, applicable to privilegesrequested;6.3.3.4 A period of Focused Professional Practice Evaluation isimplemented for all initially granted privileges. Thecriteria for conducting performance monitoring and for aFocused Professional Practice Evaluation are reflected inthe Credentials Manual FPPE/OPPE Policy.6.3.4 Reappointment Applicants6.3.4.1 Hospital collects data which may be used to evaluatepatient care, medical knowledge, professionalism,systems-based practice, practice-based learning andimprovement, and interpersonal and communicationskills.6.3.4.2 Peer References: In circumstances where there isinsufficient Hospital data or information when evaluatinga applicant or reapplicant, the organized Medical Staffuses peer recommendations. Specific guidelines relatedto obtaining peer references for reapplicants are reflectedin the Credentials Manual.6.3.5 In addition, the following criteria may be considered:6.3.5.1 appropriate activities commensurate with his or hercategory of membership and Clinical Privileges;- 31 -