Medical Staff Bylaws - Arkansas Children's Hospital

A. review and evaluate the qualifications of all Applicants for Medical Staffand Affiliated Health Staff appointment, reappointment, and clinicalprivileges;B. review all available information regarding the clinical competence andprofessional performance of individuals with privileges or applying forprivileges;C. conduct interviews and collect additional information, as may benecessary;D. make recommendations for membership and/or privileges to the MedicalStaff Executive Committee; andE. develop, oversee, and make recommendations for Medical Staff Bylawsfor appointment and reappointment, medical staff policies andprocedures related to credentialing, and delineation of clinical privileges.December.13.9.2.3 Meetings: The Credentials Committee will meet monthly except in13.9.3 Medical Staff Leadership Committee13.9.3.1 Composition: The Medical Staff Leadership Committee will be asubcommittee of the MSEC and will consist of a minimum of the following: the officers of the MedicalStaff, the Medical Director, the Outpatient Medical Director, and the Associate Medical Directors. Atleast one member shall be from a service other than Pediatrics. The Chief of Staff will be the chair.13.9.3.2 Duties: The duties of the Medical Staff Leadership Committee will be to:A. Create and maintain a structure in which the medical staff leadershipfunctions effectively and efficiently,B. Evaluate and discuss issues, concerns, and complaints relevant to qualityof care, the delivery of care, and medical staff performance,C. Address matters that impact on the Medical Staff organization,D. Maintain current Medical Staff Bylaws, Rules and Regulations,including comprehensive triennial review,E. Provide oversight of peer review process, including corrective action,hearing and review, and any other processes which may result inrestriction or loss of privileges,F. Review any challenging applications for appointment or reappointment,65