Medical Staff Bylaws - Arkansas Children's Hospital

A. To abide by the Bylaws, Rules and Regulations/Policies and Procedures ofArkansas Children’s Hospital and its Medical Staff and to be bound by the termsthereof, if granted membership on the Medical Staff and/or clinical privileges.B. To abide by the ACH Code of Conduct and to conduct professional staff medicalservices in a manner compliant with all relevant governmental statutes, rules andregulations.7.3 Appointment Process7.3.1 The MSEC will make a written recommendation of its evaluation/assessment to theCredentialing Committee of the Board of Directors (see Hospital Bylaws), including a recommendationthatA. the practitioner be appointed to the Medical Staff (including the clinical privilegesto be granted and a focused professional practice evaluation),B. he/she be granted limited membership and privileges and the conditions of thelimitation,C. that he/she be denied for Medical Staff membership and/or privileges, orD. that his/her application be deferred for further consideration.7.3.2 Prior to making this report and recommendation to the Credentialing Committee of theBoard of Directors, the MSEC will examine the evidence of the moral and ethical character, professionalcompetence, qualifications of the practitioner and will determine from information contained in theapplication,, whether the practitioner has established and meets all of the necessary qualifications for thecategory of staff membership and the clinical privileges requested. The MSEC may, but is not requiredto conduct an interview with the Applicant. If so conducted, this interview shall not constitute a hearingand none of the procedural rules provided in these Bylaws with respect to a hearing shall apply.7.3.3 When the recommendation of the MSEC is to defer the application for furtherconsideration, it must be followed up at the next scheduled meeting with a subsequent recommendationfor an enhanced Focused Professional Practice Evaluation (FPPE) monitoring plan or for denial ofMedical Staff membership and privileges. The affected practitioner will be notified by the Chief of Staffof the decision of the MSEC to defer his or her application.7.3.4 When the recommendation of the MSEC is to recommend the practitioner forappointment and requested privileges, the Chief of Staff will promptly forward it, together with allsupporting documentation, to the Credentialing Committee of the Board of Directors.7.3.5 When the recommendation of the MSEC is to deny the Practitioner appointment orclinical privileges, the Chief Executive Officer, Chief of Staff, or Medical Director will notify thePractitioner by certified mail, return receipt requested within 3 business days.14