Medical Staff Bylaws - Arkansas Children's Hospital

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11.8.2.2 The Medical Director will communicate to the Board of Directors about thesafety and quality of patient care, treatment, and services provided by, and the related educational andsupervisory needs of, the participants in professional graduate education programs.11.8.3 The Medical Director is responsible, through the Chief Executive Officer, to the ArkansasChildren's Hospital Board of Directors for administrative aspects of his/her position including quality ofpatient care, performance improvement, patient safety, Medical Staff credentialing, and the medicallibrary.11.8.4 The Medical Director serves as a liaison with the University of Arkansas for MedicalSciences.11.8.5 In cooperation with the Chief of the Medical Staff, the Medical Director is responsible forliaison with the various services regarding professional activities of the hospital. The Medical Director isan ex officio member of all Medical Staff Committees.by:11.8.6 The Medical Director shall provide coordination of professional aspects of patient care11.8.6.1 Assisting in implementation of policies and directives as approved by theBoard of Directors.11.8.6.2 Coordinating performance improvement and patient safety activitiesthroughout the organization and with Medical Staff.11.8.6.3 Coordinating the functions of the Medical Staff and committees inconjunction with the Chief of the Medical Staff.11.8.6.4 Advising and recommending guidance on Medical Staff problems, discipline,quality control, privileges, and obligations, including conducting informal or formal investigations asdelegated by the MSEC in accordance with the Medical Staff Bylaws.11.8.6.5 Directing the ACH Medical Staff credentialing process including primaryappointment, reappointment, and privileging.11.8.6.6 Maintaining professional administrative responsibility for the Chiefs ofService and serve as their representative to the Board of Directors through the Chief Executive Officer.11.8.6.7 Providing consultation and medical input to clinical departments and services.11.9 Associate Medical Director(s)The Associate Medical Director(s) may act on behalf of the Medical Director in his/her absence andperform such other duties as assigned.55
ARTICLE 12: SERVICES12.1 Organization of Services12.1.1 There shall be services of Anesthesiology, Cardiovascular Surgery, Dentistry,Neurosurgery, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pathology, Pediatric Medicine,Psychiatry, Radiology, Surgery, Urology, and Adult Medicine.12.1.2 Each Service shall be headed by a Chief of Service and shall function under the directionof the MSEC. Each service will also have a Vice-Chief, when possible.12.2 Assignment to Services12.2.1 The MSEC will, after consideration of the recommendations of the clinical services,recommend initial service assignments for all Medical Staff members and for all other approvedPractitioners with clinical privileges.12.2.2 Physicians assigned to the Adult Medicine Service are limited to adultspecialists/subspecialists who take call for the Burn Unit or are asked to treat adult patients who havebeen granted a treatment exception (over 21) by the Medical Director. Adult Medicine physicians mustfollow the requirements for admitting adult patients as specified in Paragraphs 1.1.2 & 1.1.3.12.3 Qualifications, Selection, and Tenure of Service Chiefs and Vice-Chiefs12.3.1 Each Chief and each Vice-Chief will be a member of the Active staff. Each Chief andService Chief will be Board Certified or determined to be comparably competent atappointment/reappointment.12.3.2 The Chiefs of the various professional services at the Hospital will be either full-time orvoluntary faculty members at UAMS and will be selected by the Chairman of their respectivedepartment at UAMS, subject to approval of the Dean of the College of Medicine, the MSEC, and theACH Board of Directors. An exception to this is the Dental Service of which the Chief will benominated by the ACH Chief Executive Officer, in concert with the Chief of Otolaryngology, andapproved by the MSEC and the Board of Directors.12.3.3 Vice-Chiefs of services will be nominated by the Chiefs of Services with subsequentapproval by the MSEC and the Board of Directors.12.3.4 Removal of a Chief may be initiated by the Chief Executive Officer uponrecommendation by the Chairman of the Department at UAMS and the Medical Director subject toapproval of the MSEC and the Board of Directors.12.3.5 Removal of a Vice-Chief may be initiated by a Chief of Service or Chief ExecutiveOfficer upon recommendation by the Chairman of the Department at UAMS and the Medical Directorsubject to approval of the MSEC and the Board of Directors.56
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Approved: August 2011
Page 6 and 7:
10.13 Release .....................
Page 8:
PREAMBLEWHEREAS, Arkansas Children'
Page 11 and 12:
3.1 Nature of Medical Staff Members
Page 13 and 14: ARTICLE 4: CATEGORIES OF THE MEDICA
Page 15 and 16: 4.2.6.4 If the H&P has been written
Page 17 and 18: ARTICLE 5. HOUSE STAFF AND MEDICAL
Page 19 and 20: ARTICLE 6: AFFILIATED HEALTH PROFES
Page 21 and 22: 7.1 General ConditionsARTICLE 7: AP
Page 23 and 24: A. To abide by the Bylaws, Rules an
Page 25 and 26: 7.4 Reapplication After Adverse Dec
Page 27 and 28: and for the granting of clinical pr
Page 29 and 30: ARTICLE 8: CLINICAL PRIVILEGES8.1 C
Page 31 and 32: date such action becomes effective
Page 33 and 34: E. Ability to perform the privilege
Page 35 and 36: A. if no other physician currently
Page 37 and 38: B. A current license to practice.C.
Page 39 and 40: 9.2.2.1 In conducting such evaluati
Page 41 and 42: 9.3.2 Whenever the corrective actio
Page 43 and 44: 9.4.3 A summary suspension becomes
Page 45 and 46: 9.6 Temporary Suspension9.6.1 A tem
Page 47 and 48: D. automatic suspensions;E. a suspe
Page 49 and 50: B. A hearing occasioned by an adver
Page 51 and 52: 10.6.6 Utilization of Attorneys. At
Page 53 and 54: D. Upon conclusion of the affected
Page 55 and 56: 10.5.3(a) involving actions other t
Page 57 and 58: C. Whether or not the hearing commi
Page 59 and 60: 10.14 Exceptions To Hearing And App
Page 61 and 62: ARTICLE 11: OFFICERS11.1 Officers o
Page 63: 11.6.1.8 Receive and interpret the
Page 67 and 68: D. Determining the qualifications a
Page 69 and 70: 13.3 Notice of Meetings13.3.1 Writt
Page 71 and 72: written notification of any further
Page 73 and 74: K. Make recommendations regarding t
Page 75 and 76: G. Provide for development of medic
Page 77 and 78: 13.9.5.1 Composition: The Patient C
Page 80 and 81: ACH commitment to patient care qual
Page 82 and 83: 14.5 Removal of Delegated Authority
Page 84 and 85: 16.1 Confidentiality of Information
Page 86 and 87: ARTICLE 17: RULES AND REGULATIONS17
Page 88 and 89: ARTICLE 19: POLICIESWhen the MSEC a
Page 90 and 91: DEFINITIONSAdmitting Physician - Th
Page 92 and 93: REVISIONS TO MEDICAL STAFF BYLAWSAD
Page 94 and 95: functions of the ACH clinical enter
Page 96 and 97: per year.3. Meetings: The Quality a
Page 98: 6.5 Violations of AppointmentAny vi
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Medical Staff Bylaws - Arkansas Children's Hospital

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