Medical Staff Bylaws - Arkansas Children's Hospital

Examples of conditions that could result in removal of a Chief or Vice-Chief include loss of privilegesand failure to fulfill the responsibilities of the position.12.4 Functions of Service Chiefs12.4.1 Each Chief of Service is responsible forA. Clinical oversight of the Service,B. Administrative related activities of the Service unless otherwise provided by thehospital,C. Continuing surveillance of the professional performance of all individuals in theService who have delineated clinical privileges,D. Recommending criteria for clinical privileges that are relevant to the care providedby the Service, andE. Recommending clinical privileges for each member of the Service.12.4.2 The Chief will participate in development and implementation of the organizationalstrategic plan and policies and procedures with Hospital Administration and the Board of Directors. TheChief will integrate the service into the primary functions of the organization and with other clinicians,services and hospital departments on patient care issues.12.4.3 Duties and responsibilities of the Chief as delineated in the Chief of Service JobDescription will include:12.4.3.1 Planning and implementing a credentialing and privileging process for his /herService that includes the following:A. Establishing clinical privileges, determining qualifications andcompetencies necessary to hold such privilege(s); and designing andimplementing processes to confirm current competence at initialappointment and for focused and ongoing evaluation;B. Evaluating Applicant-specific information, including peerrecommendations, Practitioner-specific data from professional practiceevaluation and peer review, and other information that may be availableto demonstrate the Applicant’s ability to perform the requestedprivilege(s); andC. Submitting recommendations to the MSEC and to the CredentialingCommittee of the Board of Directors for Applicant-specific delineatedprivileges and/or Medical Staff membership.57