Medical Staff Bylaws - Arkansas Children's Hospital

D. Determining the qualifications and competence of service personnel whoare not licensed independent practitioners and who provide care,treatment, and services.12.4.3.2 Based on an assessment of the patient population served, and in consultationwith Hospital and the Medical Staff, establish the type and scope of services, make recommendations fora sufficient number of qualified and competent persons assuring adequate coverage to provide care,treatment, and services; make recommendations for space and other resources needed by the service; anddevelop and institute policies and procedures for provision of care, treatment and services;12.4.3.3 Participate in the hospital's performance improvement and patient safetyprograms; and within his/her service, provide for continuous assessment and improvement of the qualityof care, treatment, and services, and, as appropriate, maintain quality control programs;12.4.3.4 Be responsible for the service’s teaching program, provide education asneeded, orientation and continuing education of all persons within the service, and establish servicespecific guidelines regarding House Officer scope and level of responsibility;12.4.3.5 Assess and recommend to the Hospital Administration off-site sources forneeded patient care, treatment, and services not provided by the Service or the Hospital.12.4.3.6 Serve as a member of the MSEC, make recommendations and suggestionsregarding his/her Service to assure quality patient care, communicate its recommendations andimplement its actions within his/her Service.12.5 Functions of Vice-ChiefsThe Vice-Chiefs will attend meetings and carry out the duties of the Chief when the Chief is absent.12.6 Appointment and Functions of Section ChiefsSection Chiefs within a Service will be appointed by the Chief of Service. Section Chiefs haveresponsibility for a group of practitioners within their subspeciality. With the approval of the Chief ofService, they may act as the Service Chief’s designee on matters pertaining to credentialing andprivileging within their subspecialty Section.12.6.1 Removal of a Section Chief will be initiated by the Chief of Service.12.7 Physician Directors of Specialized Patient Care Areas and ProgramsIn those specialized patient care areas and programs of the Hospital requiring professional medicalsupervision, a Physician Director may be appointed by the Hospital Chief Executive Officer followingthe recommendation of the Medical Director in concert with the Service Chief, and approval by theMSEC. A written job description of this physician director's duties and responsibilities will be developedand maintained by the Medical Director.58