BYLAWS OF THE MEDICAL STAFF OF TUALITY COMMUNITY HOSPITAL Adopted: 12/8/94 Revised: 2/2/95 4/24/2008 6/1/95 5/22/2008 8/3/95 6/26/2008 10/21/95 12/30/2008 12/4/95 9/12/2009 4/4/96 10/22/2009 7/1/96 5/27/2010 10/3/96 1/27/2011 12/5/96 3/24/2011 5/1/97 9/18/2011 6/5/97 10/27/2011 8/7/97 2/23/2012 2/26/98 5/23/2012 12/10/98 12/20/2012 6/24/99 6/27/2013 8/22/99 9/19/2013 2/24/2000 11/21/2013 4/27/2000 12/19/2013 6/22/2000 1/23/2014 12/12/2000 3/27/2014 2/22/2001 7/24/2014 4/26/2001 9/21/2014 9/9/2001 10/30/2014 12/18/2001 12/18/2014 6/27/2002 2/26/2015 10/24/2002 4/2/2015 4/26/2012 4/30/2015 9/20/2012 5/28/2015 12/19/2002 6/25/2015 2/27/2003 8/27/2015 10/23/2003 9/20/2015 2/26/2004 11/15/2015 4/22/2004 12/17/2015 9/12/2004 1/27/2016 10/28/2004 4/28/2016 9/25/2005 5/25/2016 4/27/2006 12/15/2016 10/26/2006 3/23/2017 12/21/2006 7/27/2017 7/26/2007 9/17/2017 9/9/2007 10/26/2017 2/26/2008 Current 7/25/2019 TABLE OF CONTENTS ARTICLE I .............................................................................................................................. 1 DEFINITIONS ................................................................................................................... 1 ARTICLE II ............................................................................................................................. 3 CATEGORIES OF THE MEDICAL STAFF ....................................................................... 3 ARTICLE II - PART A: ACTIVE STAFF ................................................................. 3 ARTICLE II - PART B: COURTESY STAFF ............................................................... 3 ARTICLE II – PART C: AFFILIATE STAFF ................................................................. 4 ARTICLE II - PART D: HONORARY STAFF .............................................................. 4 ARTICLE II - PART E: LIMITED LICENSE INDEPENDENT PRACTITIONER STAFF4 Section 1. General ................................................................................................ 4 Section 2. Qualifications of Limited License Independent Practitioners ............... 4 Section 3. Privileges and Responsibilities of Limited License Independent Practitioners .......................................................................................................... 5 Section 4. Denial and Removal Procedures ......................................................... 8 Section 5. Fair Hearing and Appeal ...................................................................... 8 Section 4. Voting Rights for Certified Nurse Midwives .......................................... 8 ARTICLE II - PART F: ALLIED HEALTH PROFESSIONALS ..................................... 9 Section I. General ................................................................................................. 9 Section 2. Qualifications of Allied Health Professionals ........................................ 9 Section 3. Privileges and Responsibilities of Allied Health Professionals ............. 9 Section 4. Denial and Removal Procedures ....................................................... 10 Section 5. Fair Hearing and Appeal .................................................................... 10 ARTICLE II - PART G: TELEMEDICINE .................................................................. 11 ARTICLE II - PART H: SPECIAL MEMBERSHIP REQUIREMENTS ....................... 11 Section 1. General .............................................................................................. 11 Section 2. Dentists, Oral Surgeons and Podiatrists ............................................ 12 Section 3. Medical Residents .............................................................................. 12 ORGANIZATION OF THE MEDICAL STAFF ................................................................. 14 ARTICLE III - PART A: GENERAL ........................................................................... 14 Section 1. Medical Staff Year .............................................................................. 14 Section 2. Dues ................................................................................................... 14 Section 3. Credentials File Confidentiality/Access ............................................. 14 ARTICLE III - PART B: OFFICERS OF THE MEDICAL STAFF ............................... 14 Section 1. The President ..................................................................................... 15 Section 2. President-Elect .................................................................................... 15 Section 3. Past-President .................................................................................... 16 Section 4. Election of Officers/Medical Executive Committee Members-at-Large16 Section 5. Removal of Officers............................................................................ 17 Section 6. Compensation .................................................................................... 18 ARTICLE III - PART C: MEETINGS OF THE MEDICAL STAFF .............................. 18 Section 1. Annual Staff Meeting .......................................................................... 18 Section 2. Regular Staff Meetings ....................................................................... 18 Section 3. Special Staff Meetings ....................................................................... 18 Section 4. Quorum .............................................................................................. 19 Section 5. Agenda ............................................................................................... 19 ARTICLE III - PART D: CLINICAL SERVICES AND HOSPITAL BASED INDEPENDENT DEPARTMENTS ............................................................................. 19 Section 1. Organization ....................................................................................... 19 Section 2. Current Clinical Services and Hospital-Based Independent Departments ........................................................................................................ 19 Section 3. Future Clinical Services and Hospital-Based Independent Departments ........................................................................................................ 19 Section 4. Assignment ........................................................................................ 20 Section 5. Meetings ............................................................................................. 20 Section 6. Functions............................................................................................ 20 Section 7. Qualifications of Service Chiefs and Hospital-Based Independent Department Chiefs ............................................................................................... 21 Section 8. Selection ............................................................................................ 21 Section 9. Term of Office .................................................................................... 22 Section 10. Removal ........................................................................................... 22 Section 11. Roles Responsibility and Authority of Service Chiefs and Hospital- Based Independent Department Chiefs ............................................................... 22 Section 12. Quorum ............................................................................................ 25 ARTICLE III - PART E: COMMITTEE MEETINGS ................................................... 25 Section 1. Committee Meetings .......................................................................... 25 Section 2. Special Committee Meetings ............................................................. 25 Section 3. Quorum .............................................................................................. 26 Section 4. Minutes................................................................................................ 26 Section 5. Committee Charter ............................................................................. 26 ARTICLE III - PART F: PROVISIONS COMMON TO ALL MEETINGS ................... 26 Section 1. Posting Notice of Meetings ................................................................ 26 Section 2. Attendance Requirements .................................................................. 26 Section 3. Rules of Order .................................................................................... 28 Section 4. Voting ................................................................................................. 28 ARTICLE IV .......................................................................................................................... 29 COMMITTEES OF THE MEDICAL STAFF .................................................................... 29 ARTICLE IV - PART A: APPOINTMENT .................................................................. 29 Section 1. Designation ........................................................................................ 29 Section 2. General Provisions ............................................................................. 29 ARTICLE IV - PART B: MEDICAL EXECUTIVE COMMITTEE ................................ 30 Section 1. Composition ....................................................................................... 30 Section 2. Duties ................................................................................................ 31 Section 3. Meetings, Reports, and