PROFESSIONAL STAFF POLICY

Size: px
Start display at page:

Download "PROFESSIONAL STAFF POLICY"

Transcription

1 PROFESSIONAL STAFF POLICY POLICY ORIGIN: POLICY NO: Jt. Medical Advisory Committee PSP SECTION TITLE: PROFESSIONAL STAFF CREDENTIALING TOPIC: COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY PART A: CONTENTS OF APPLICATION INITIAL APPOINTMENT RE-APPLICATION PROCESS ALTERATION IN PRIVILEGES...10 PART B: PROCESSING OF THE APPLICATION PROCESSING OF THE APPLICATION CRITERIA FOR APPOINTMENT, RE-APPOINTMENT OR ALTERATION IN PRIVILEGES...14 PART C: STREAMLINED PROCESSING OF APPLICATION STREAMLINED APPLICATION PROCESS...17 PART D: MID-TERM REVOCATION SUSPENSION/REVOCATION OF PRIVILEGES...19 APPENDIX A: PURPOSE Pursuant to the Corporations Act and the Public Hospitals Act, the Board of Directors/Trustees of a public hospital is responsible for the governance of the hospital, including the management of risk and the quality of care. The implementation of a system to ensure and monitor the quality of care provided by the ph-ysicians, dentists, midwives and extended class nursing staff in the hospital is one of the primary responsibilities of the Board. In exercising this responsibility, the directors must: act honestly and in good faith with a view to the best interests of the hospital; and exercise the care, diligence and skill that a reasonably prudent director would exercise in comparable circumstances. The Policy outlines a clear and reasonable system that will allow the Board to consider an application by physicians and other professionals for appointment to the Medical or Professional Staff of the Hospital in a manner that ensures that the Board is capable of managing the quality of care offered in the Hospital and minimizing the attendant risks to patients. The policy further recognizes the Board s responsibility to efficiently and effectively utilize the resources of the hospital in the provision of patient care.

2 Under the Public Hospitals Act, hospitals are required to review all physicians delivery of care on an annual basis as well as on an as-needed basis. As such, the credentialing policy puts in place a two-stage re-appointment process: One re-appointment process takes place every three years and is a detailed and comprehensive review and update of the Applicant s file, which requires the Applicant to produce evidence of his/her current registration, insurance, competence and history of practice with the Hospital. The other re-appointment process is less onerous and is conducted in the intervening years to serve as review of the Applicant s past year and to update any significant information in the Applicant s file. The policy also addresses the process by which privileged staff members may apply for a change in the nature or scope of their privileges. The appointment and credentialing process also sets out the procedures to be followed where complaints are lodged against privileged staff members regarding a serious problem in the diagnosis, care or treatment of a patient or an outpatient. Finally, the policy is independent of a recruitment policy of any hospital which is a member of the Policy Group in that the recruitment process as set out in any such recruitment policy shall in no way bind or fettered the requirements of this Common Appointment and Credentialing Policy. Purpose of a Common Appointment and Credentialing Policy Each member of the Policy Group has as an objective the ability to more readily access the pool of physicians and other professionals who have been granted privileges by the Boards of each of the Hospitals in the Policy Group. The development and approval of this common credentialing policy by each of the Hospitals will help to achieve that objective, as follows: With a common credentialing policy, each Hospital will be assured that reasonable processes and criteria (i) are in clearly written form agreed upon by all the Hospitals; (ii) apply to the processes of appointment, re-appointment, change in privileges and suspension, revocation or restriction of privileges, and (iii) are adopted and approved by each Hospital s Board in order to manage the quality of care at the Hospital. Given that a common credentialing policy has been established and implemented, each Hospital will have assurance that physicians who have been granted privileges at one of the Hospitals in the Policy Group have provided proper evidence of qualification and competence in order to gain those privileges. The Hospitals are also assured that privileges are revoked, suspended or restricted based on a fair process consistent with their own. Given these assurances, the Board of a Hospital will be acting reasonably and exercising adequate due diligence if it allows for a streamlined process to expedite application of physicians or other professionals who are already privileged at another Hospital in the Policy Group. COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 2

3 Amendments No member of the Policy Group shall amend this Policy or cease to apply this Policy without providing written notice of the nature and date of the amendment or cessation to the other Hospitals. The members of the Policy Group agree that they will meet at least every three (3) years for a formal review and evaluation of this Policy, with the objectives to keep the Policy up-to-date, effective and practical and to enhance the ability of each Hospital to streamline applications in a safe and reasonable manner. Application This Policy describes the credentialing process for physicians. It may be applied to credential dentists, midwives, and extended class nurses, with appropriate changes to reflect the different health profession being reviewed. Definitions In this Policy, the following capitalized terms shall have the following meanings: Administrator means the person appointed by the Board of the Hospital with direct and actual superintendence and charge of the Hospital, as contemplated in the Hospital Management Regulation. Appeal Board means the Health Professions Appeal and Review Board established pursuant to the Ministry of Health Appeal and Review Boards Act, Applicant means the physician or other Professional who is applying for privileges at the Hospital in accordance with this policy. Dental Staff mean those members of the Royal College of Dental Surgeons of Ontario who have been granted privileges at the Hospital. Department/Service means a department/service of the professional staff comprised of the chief/head of the service and such other persons who may be designated authority to recommend granting privileges. Extended Class Nursing Staff means that registered nurse in the extended class to whom the Board has granted privileges with respect to the ordering of diagnostic procedures for outpatients in the Hospital. Hospital means each of the hospitals whose Board has approved this Policy and has provided the other hospitals who s Boards have approved this Policy with a certificate signed by its Administrator indicating such approval. Hospital Management Regulation means Regulation 965 Hospital Management passed pursuant to the Public Hospitals Act. MAC means the Medical Advisory Committee of the Hospital. COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 3

4 Medical Staff mean those members of the College of Physicians and Surgeons of Ontario who have been granted privileges at the Hospital. Midwifery Staff mean those members of the College of Midwives of Ontario who have been granted privileges at the Hospital. Policy Group means those Hospitals whose Board has adopted this Policy. Professional Staff means a member of the Medical, Dental, Midwifery or Extended Class Nursing Staff to whom the Board grants the privilege of attending patients in the Hospital. Public Hospitals Act means the Public Hospitals Act (Ontario), together with all regulations there under, as amended from time to time. COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 4

5 PART A CONTENTS OF APPLICATION 1.0 INITIAL APPOINTMENT 1.1 Receipt of Request for Application The Administrator of the Hospital shall provide an application package to every physician who requests the opportunity to apply to the Hospital for Professional Staff privileges. The application package provided to the Applicant shall consist of a covering letter of instruction from the Administrator and an application form, together with a copy of each Hospital s Bylaws, the Professional Staff Rules and Regulations, the Public Hospitals Act and regulations thereunder, the Mission Statement of each Hospital, and the Health Ethics Guide of the Catholic Health Association of Canada. A record shall be kept of the date the application package was sent to the Applicant and by what means it was sent (mail, courier, etc). The covering letter shall indicate that the application must be returned within a period of time specified in the letter. In addition, the covering letter will indicate that all documentation relating to the application must be received within 90 days of the Applicant s submission of the application. If the Applicant fails to ensure that either of these deadlines is met, the application will be incomplete and therefore deemed inactive and void. 1.2 Content of Application Each application provided to an Applicant for an initial appointment to the Professional Staff of the Hospital shall require that the application be submitted to the Administrator and shall further contain additional relevant information, including without limitation the following: (c) a statement by the Applicant that she/he has read Sections 34 and 35 of the Public Hospitals Act, the Hospital Management Regulation, the Hospital s By-laws, the Professional Staff Rules and Regulations, the Hospitals Mission Statements, the Health Ethics Guide of the Catholic Health Association of Canada and a copy of this Common Appointment and Credentialing Policy; an undertaking that, if the Applicant is appointed to the Professional Staff of the Hospital, the Applicant will provide the services to the Hospital (and will govern him/herself) as stipulated in the Application in accordance with the Public Hospitals Act and Regulation 965 Hospital Management there under, and with the Hospital s By-laws, its Professional Staff Rules and Regulations, the Hospitals Mission Statements, the Health Ethics Guide of the Catholic Health Association of Canada, its Common Appointment and Credentialing Policy and its Hospital policies, as established or revised by the Hospital from time to time; an acknowledgement by the Applicant that: (i) the failure of the Applicant to provide the services as stipulated in the Application in accordance with applicable legislation, Hospital By-laws and policies and Professional Staff Rules and Regulations will constitute a breach of his or her obligations to the Hospital, and the Hospital may, upon COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 5

6 consideration of the individual circumstances, remove access by the physician to any and all Hospital resources, including the limiting or restricting of Operating Room time, or take such actions as is reasonable, in accordance with the Hospital s By-laws and rules and regulations; and (ii) the Hospital may refuse to appoint an Applicant to the Professional Staff where the Applicant refuses to acknowledge the responsibility to abide by a commitment to provide services in accordance with the privileges granted by the Board, and in accordance with the Hospital s By-laws, policies and rules and regulations; (d) (e) (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) a copy of the Applicant s current registration or license to practice in Ontario; a record of eligibility for certification for specialty/sub-specialty and for recertification; a copy of fellowship/certification documentation; an up-to-date curriculum vitae, including a record of the Applicant s professional education and post-graduate training and a chronology of academic and professional career, organizational positions and committee memberships; a request for a current, certificate of Professional Conduct (physicians), certificate of registration (dentists and midwives), or annual registration payment card as a registered nurse in the extended class and consent to the release of the information from the Registrar of the College; a certificate from the licensing authority for out-of-province applicants; a recital and description of pending or completed disciplinary actions, competency investigations, previous or ongoing performance reviews, and details with respect to prior privileges disputes with other hospitals regarding appointment, re-appointment, change of privileges, or mid-term suspension or revocation of privileges; a statement with respect to failures to obtain, reduction in classification or voluntary or involuntary resignation of any professional license or certification, professional society membership or fellowship, professional academic appointment or privileges at any other hospital or health care institution; the name of the department/service to which the application is being made; the category of Professional Staff privileges requested; the procedures requested; information regarding the Applicant s health, including any impairments, medical conditions, diseases or illnesses, and current treatments therefor, as well as the date of the Applicant s last examination, which may impact on the Applicant s practice, relevant to the nature and scope of privileges requested, as well as the name of the treating health professional and an authorization to the treating health professional to release relevant information to the Hospital; COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 6

7 (p) (q) (r) confirmation of professional liability insurance coverage or membership in the Canadian Medical Protective Association satisfactory to the Board, including a record of the Applicant s past claims history; information regarding any criminal proceedings or convictions involving the Applicant; information regarding any civil suit where there was a finding of professional negligence or battery or where there was an out-of-court settlement in respect of such action; (r) (s) a direction to the Administrator authorizing the Administrator to contact any previous hospitals where the applicant has provided services for the purposes of conducting a reference check, such direction to include names and addresses of at least three (3) appropriate references including: (i) (ii) (iii) Administrator or Chief of Staff of the last hospital where Applicant held privileges or received training; Service Director or Head of Training Program if enrolled in a Graduate Training Program within the past three years; Dean of Medicine of the last educational institution in which the Applicant held an appointment or was trained [latter applicable to recent graduates]; (t) (u) (v) (w) if over the age of 65, a medical certificate of fitness; a signed authorization to any applicable regulatory body for release of information relating to any of the above; a signed Confidentiality Agreement Form; and a passport size photograph. 2.0 RE-APPLICATION PROCESS The Public Hospitals Act dictates that every physician appointed to the Professional Staff of a hospital shall be appointed for a period of not more than one year. Therefore, each physician is required to apply for re-appointment on an annual basis prior to the expiry of the member s privileges. The application for re-appointment, along with supporting documentation, must be submitted within 90 days of receipt. Failure to do so may result in delayed reappointment and lapse of appointment and privileges. 2.1 Re-application Process Requirements Annual Review Annually, the Applicant shall provide the following to the Chief of Staff and/or the Chief of Department, as directed, by completing the re-application form, and the Chief of Staff and/or the Chief of Department will review same with the Applicant, as necessary: COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 7

8 an undertaking that, if the Applicant is re-appointed to the Professional Staff of the Hospital, the Applicant will provide the services to the Hospital as stipulated in the Application, and will govern him/herself in accordance with the Public Hospitals Act and Regulation 965 Hospital Management there under, and with the Hospital s By-laws, its Professional Staff Rules and Regulations,, the Hospitals Mission Statements, the Health Ethics Guide of the Catholic Health Association of Canada, its Comprehensive Appointment and Credentialing Policy and its Hospital policies, as established or revised by the Hospital from time to time; an acknowledgement by the Applicant that: (i) (ii) the failure of the Applicant to provide the services as stipulated in the Application in accordance with applicable legislation, Hospital By-laws and policies and Professional Staff Rules and Regulations will constitute a breach of his or her obligations to the Hospital, and the Hospital may, upon consideration of the individual circumstances, remove access by the physician to any and all Hospital resources, including the limiting or restricting of Operating Room time, or take such actions as is reasonable, in accordance with the Hospital s By-laws and rules and regulations; and the Hospital may refuse to re-appoint an Applicant to the Professional Staff where the Applicant refuses to acknowledge the responsibility to abide by a commitment to provide services in accordance with the privileges granted by the Board, and in accordance with the Hospital s By-laws, policies and rules and regulations; (c) (d) confirmation of professional liability insurance coverage or membership in the Canadian Medical Protective Association satisfactory to the Board, including a record of the Applicant s claims history over the past year; information and evidence relating to the Applicant s prior year with the Hospital, including: (i) (ii) (iii) (iv) (v) participation in continuing education programs; ability to communicate with patients and staff, together with information regarding patient or staff complaints regarding the Applicant, if any; information related to a complaints investigation procedure pursuant to the Hospital s Physician Code of Conduct and Complaint Management Policy ; quality of care issues including, but not limited to, complications, infection rate, tissue and audit committee reports etc.; general compliance with Sections 34 and 35 of the Public Hospitals Act, the Hospital s By-laws and its Professional Staff Rules and Regulations; and (e) an update of information provided during the Applicant s most recent appointment or re-appointment process, including: COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 8

9 (i) (ii) (iii) a copy of the professional s current license; regarding disciplinary actions, College investigations, civil suits, criminal proceedings or convictions, or and/or any other relevant legal problems; information regarding the Applicant s health, including any impairments, medical conditions, diseases or illnesses, and current treatments therefore, as well as the date of the Applicant s last examination, which may impact on the Applicant s practice, as well as the name of the treating health professional and an authorization to the treating health professional to release relevant information to the Hospital. 2.2 Re-application Process Requirements Comprehensive Review Every three years, the Applicant shall provide the requirements of the annual re-application process to the Chief of Staff and/or the Chief of Department, as directed, along with the following: information and evidence relating to the Applicant s performance in the previous three years, including: (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) relationship with peers, staff and patients, together with information regarding patient or staff complaints regarding the Applicant, if any; clinical practice (admission, investigation and treatment), together with evidence of appropriate clinical record documentation; program or department participation; attendance at meetings; staff and committee responsibilities; ability to supervise staff; on call availability; appropriate and efficient use of Hospital resources including, but not limited to, operating room time; (c) the effect of appointments, if any, to other hospitals on the Applicant s duty/obligations and quality of care provided at the Hospital; and updated listing of procedural privileges The Chief of Staff and/or the Chief of Department will complete the appropriate section of the Review Form upon completion of the review of the Applicant s practice. COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 9

10 3.0 ALTERATION IN PRIVILEGES 3.1 Application for Alteration in Privileges Where a physician wishes to change his/her privileges, an original application, shall be submitted to the Administrator listing the changes that are requested, along with evidence of appropriate training, competence and insurance coverage. The MAC is entitled to request any additional information or evidence that it deems necessary for consideration of the application for alteration in privileges. COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 10

11 PART B PROCESSING OF THE APPLICATION Preamble This Part of the Policy sets out the standard process to be followed where an Applicant has submitted an application for appointment, re-appointment or alteration of privileges at the Hospital, and that Applicant is not currently privileged at any other hospital in the Policy Group. Please refer to Part III, Streamlined Processing of the Application, where the Applicant is currently privileged at another hospital within the Policy Group. 4.0 PROCESSING OF THE APPLICATION 4.1 Request for Application Upon receiving a written request from an Applicant for appointment, re-appointment or alteration in privileges, the Administrator shall supply the Applicant with the appropriate application form. An Applicant for appointment or re-appointment to any group of the Professional Staff or for alteration in privileges shall submit a written application on the prescribed form to the Administrator. 4.2 Refer to MAC The Administrator shall refer the original application immediately to the Chair of the MAC, who shall keep a record of each application received and then refer the original forthwith to the Chair of the Credentials Committee. 4.3 Credentials Committee Review The Credentials Committee shall: (c) (d) (e) (f) investigate each application, with specific attention to the Applicant s qualifications, experience and his/her professional reputation; if a re-application, review and consider the Applicant s Hospital file; receive a Department/Service Report from the Chief of the appropriate medical services; receive an Impact Analysis Report from senior management (where required); complete the Credentials Committee Report, in the form of minutes sent to the MAC; and complete the Professional Staff Application Checklist and forward it to the MAC. COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 11

12 4.4 MAC Review The MAC shall: Receive and consider the application, the reports of the Credentials Committee, and the Impact Analysis (where required); make its recommendation in writing to the Board within 60 days from the date of the application. The MAC will also send its recommendation to the Applicant pursuant to the Public Hospitals Act. In the case of a recommendation for appointment, the MAC shall specify its recommendation with respect to privileges the Applicant should be granted and procedures the Applicant should be permitted to perform. 4.5 MAC Recommendation The written notice provided by the MAC to the Applicant (4.4) shall inform the Applicant that he/she is entitled to: written reasons for the recommendation if a request for reasons is received by the MAC within 7 days of the receipt of a notice of the recommendation by the Applicant; and a hearing before the Board if a written request is received by the Board and the MAC within 7 days of the Applicant s receipt of the written reasons. 4.6 Extension of Notice Period The MAC may make its recommendation later than the 60 day period set out in the Public Hospitals Act and above if, prior to the expiry of the 60 day period, it indicates in writing to the Board and the Applicant that a final recommendation cannot yet be made, and gives the written reasons therefore. 4.7 Board Decision Subject to the provisions of the Public Hospitals Act, where no hearing is requested, the Board shall either implement the recommendation of the MAC or it shall reject the MAC s recommendation. In either case, the Board shall cause the MAC and the Applicant to be informed of the Board s decision regarding the recommendation. 4.8 Request for Hearing Where an Applicant requests a hearing before the Board within 7 days of the Applicant s receipt of the written reasons, the Board shall appoint a time for and hold the hearing and shall decide the matter within its authority. The parties to the proceedings before the Board are the Applicant, the MAC and such other persons as the Board may specify. 4.9 Opportunity to Review Evidence Where the Board is required to hold a hearing, the person requiring the hearing shall be given the opportunity to examine any documentary evidence that will be produced or any COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 12

13 report, the contents of which will be given orally in evidence at the hearing, prior to the hearing Continuation of Appointment Where a member of the Professional Staff has applied for re-appointment within the prescribed time, his/her appointment shall be deemed to continue until: the re-appointment is granted; or where the Applicant has been served with notice that the Board refuses to grant the re-appointment, until the time for giving notice requiring a hearing by the Appeal Board has expired and, where a hearing is required, until the decision of the Appeal Board has become final Impartiality Members of the Board holding a hearing must not have taken part in any investigation or consideration of the subject-matter of the hearing prior to the hearing and must not communicate directly or indirectly in relation to the subject-matter of the hearing with any person or with any party or representative of a party except upon notice to, and advice from, an advisor independent from the parties. In such a case, the nature of the advice should be made known to the parties in order that the parties may make submissions as to the relevant law Participation in Decision-Making No member of the Board shall participate in a decision of the Board pursuant to a hearing unless he/she was present throughout the entire hearing and heard all of the evidence and arguments of the parties. No decision of the Board shall be given unless all members present participate in the decision except with the consent of all of the parties Extension of Notice Despite any limitation of time for the giving of any notice requiring a hearing by the board, the Board may extend the time for giving the notice either before or after the expiration of the time period for giving the notice where it is satisfied that there are apparent grounds for granting relief and where there are reasonable grounds for applying for the extension. It may give such directions as it considers proper as a result of the extension Appointment not to Exceed One Year Every Applicant who is appointed to the Professional Staff of the Hospital is appointed for a period of not more than one year. Each physician currently on the Professional Staff of the Hospital is entitled to apply for re-appointment or a change in his/her privileges prior to the expiry of the twelve month period in accordance with the Public Hospitals Act Where Hospital Ceases to Operate If the Board determines that the Hospital will cease to operate as a public hospital or the Minister of Health has directed the Board to cease to operate as a public hospital, the Board COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 13

14 may make any decision with respect to privileges that the Board considers necessary or advisable in order to implement the Board s determination or the Minister of Health s direction including, but not limited to, refusing the application for appointment or reappointment or for a change in privileges, revoking the appointment of any physician, and canceling or substantially altering the privileges of any physician Where Hospital Ceases to Provide Service If the Board determines that the Hospital will cease to provide a specific service or the Minister of Health has directed the Board to ensure that the Hospital ceases to provide a service, the Board may make any of the following decisions that it considers necessary or advisable in order to implement the Board s determination or the Minister of Health s direction: (c) (d) refuse the application of any physician for appointment or re-appointment to the Professional Staff of the Hospital if the only privilege to be attached to the appointment or re-appointment relate to the provision of that particular service; refuse the application of any physician for a change in privileges if the only privileges attached to the physician s appointment relate to the provision of that service; revoke the appointment of any physician if the only privileges attached to the appointment relate to the provision of that service; and/or cancel or substantially alter the privileges of any Professional Staff member which relate to the provision of that service No Hearing Required The Board may make a decision under certain conditions without holding a hearing, unless a hearing is required by or under the Public Hospitals Act. 5.0 CRITERIA FOR APPOINTMENT, RE-APPOINTMENT OR ALTERATION IN PRIVILEGES Unless otherwise noted, this Article applies to applications for appointment, re-appointment and alteration in privileges from Applicants where such application has not previously been made to another hospital in the Policy Group. 5.1 Credentials Committee Each reference listed on the application will be contacted in writing and may be personally contacted by telephone by a member of the Credentials Committee to obtain information relating to the past performance, experience, and reputation of the Applicant. The Committee member will make a detailed note to file regarding the time and substance of the conversation and will note on the Professional Staff Application checklist when the referees have been successfully contacted. COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 14

15 (c) (d) (e) The accuracy of the application information will be determined and noted on the Application Checklist. The report of the Department Chief shall be received and noted on the Application Checklist. The Impact Analysis report shall be received and noted on the Application Checklist. When a file is complete, including all references checked and the above noted reports received, the Credentials Committee shall review the Application noting any comments on the Credentials Committee report. 5.2 Department/Service Review Interviews (i) (ii) (iii) Interviews are compulsory for new Applicants. Interviews will be held at the discretion of the Hospital for Applicants seeking re-appointment and/or alteration in their privileges. All interviews shall be arranged with the Chief of Staff and Chief of the appropriate department/service and may occur at any time. Written comments shall be made and filed with the Application Checklist. External Review An external review of an Applicant s performance for those seeking reappointment and/or alteration of privileges may be instituted at the discretion of the appropriate Chief of Department or Chief of Staff. (c) Physicians Over Age 65 Any privileges granted to the members of the Professional Staff over the age of sixty-five (65) may be subject to an enhanced peer review supervised by the MAC according to the applicable Department s/service s rules and regulations approved by the MAC, with the expressed objective of ensuring ongoing competency of all members of the Professional Staff. The enhanced peer review may include an external review (i.e., by a physician who is not privileged at the Hospital appointed by the Chief of Staff). (d) Department/Service Report The Department Chief shall review the application and complete a report. This report shall include commentary with respect to: (i) (ii) category of staff and procedural privileges requested by the Applicant; the privileges, duties and responsibilities proposed to be assigned to the Applicant; COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 15

16 (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) (xi) a statement of the portion of the Applicant s time that will be devoted to clinical practice; whether the activities requested are consistent with the service s goal; whether appropriate supervision may be afforded to the Applicant; the Applicant s ability to supervise others; the interview; the anticipated impact that the Applicant may have on the allocation of Hospital personnel and services, resource allocation, operating room time and the need for special equipment and/or facilities as well as the estimated fiscal impact of the above, including statement as to whether the activities of the applicant can be safely delivered; the service s specific recommendation regarding the appointment, noting any dissenting view(s); the references; and any concerns with respect to possible or potential problems with regard to the Applicant s competence, collegiality, clinical knowledge, professional attitudes/ethics/character, or any other matter which may impact upon the Hospital s corporate duty to maintain the safe operation of the Hospital, including ensuring patient well-being. 5.3 Impact Analysis Senior management will complete an Impact Analysis Report. This report shall include commentary with respect to: (c) (d) (e) (f) the type of appointment or reappointment; whether it will be funded by new or expanded funding and the source of that funding; the effect on the following matters, including, but not limited to: (i) bed capacity; (ii) lab use; (iii) operating room time; (iv) anaesthetic use; (v) radiology use; (vi) office use; and (vii) research space; the impact on nursing; the impact on other health professionals, e.g., physiotherapists, occupational therapists, social workers, therapeutic dieticians, etc.; and the anticipated net effect on the Hospital. COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 16

17 PART C STREAMLINED PROCESSING OF APPLICATION 6.0 STREAMLINED APPLICATION PROCESS 6.1 Each Hospital member of the Policy Group acknowledges that it may be beneficial for other hospitals that are not members of the Policy Group to participate in this common credentialing Policy to allow for a greater pool of Professional Staff from which the Hospitals may draw. The Hospitals agree to pursue discussions with such other hospitals as the opportunity or need may arise. 6.2 A hospital that is not a member of the Policy Group may become a member upon the approval of a majority of the member Hospitals Boards and the hospital provides evidence that this Policy has been approved and adopted by its Board. 6.3 Applicants may qualify for a Streamlined Application Process provided they hold and agree to maintain a primary appointment at another Ontario Hospital. The application provided to such Applicants for an initial appointment to the Professional Staff of the Hospital shall require that the application be submitted to the Administrator and shall further contain additional relevant information, including without limitation the following: (c) (d) (e) (f) a statement by the Applicant that she/he has been appointed, and maintains Active appointment and privileges in good standing at another Ontario Hospital; an original document from the Hospital, where the Applicant holds primary appointment, confirming the Applicant s appointment and privileges; an undertaking that, if the Applicant is appointed to the Professional Staff of the Hospital, the Applicant will provide the services to the Hospital (and will govern him/herself) as stipulated in the Application in accordance with the Public Hospitals Act and Regulation 965 Hospital Management there under, and with the Hospital s By-laws, its Professional Staff Rules and Regulations, the Hospitals Mission Statements, the Health Ethics Guide of the Catholic Health Association of Canada and this Common Appointment and Credentialing Policy, as established or revised by the Hospital from time to time; an acknowledgement by the Applicant that: the failure of the Applicant to provide the services as stipulated in the Application in accordance with applicable legislation, Hospital By-laws and policies and Professional Staff Rules and Regulations will constitute a breach of his or her obligations to the Hospital, and the Hospital may, upon consideration of the individual circumstances, remove access by the physician to any and all Hospital resources, including the limiting or restricting of Operating Room time, or take such actions as is reasonable, in accordance with the Hospital s By-laws and rules and regulations; a copy of the Applicant s current registration or license to practice in Ontario; confirmation of professional liability insurance coverage or membership in the Canadian Medical Protective Association satisfactory to the Board; COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 17

18 (g) (h) an undertaking that, if the Applicant is appointed to the Professional Staff of the Hospital they will inform the Chief of Staff/Administrator if their primary appointment terminates or concludes; and a direction to the Administrator authorizing the Administrator to contact the Hospital where the Applicant holds their primary appointment COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 18

19 PART D MID-TERM REVOCATION 7.0 SUSPENSION/REVOCATION OF PRIVILEGES The Board or Chief of Staff may at any time in accordance with the Public Hospitals Act and this Policy revoke, suspend, restrict or otherwise deal with the privileges of a member of the Professional Staff. 7.1 Standing to Issue a Complaint (c) (d) Any member of the Professional Staff or other person may advance a complaint concerning any alleged violation by a member of the Professional Staff (in this Article 7 referred to as the Respondent ) of the By-laws, Rules or Regulations of the Hospital or alleged professional misconduct, incompetence, or professional incapacity, unethical behavior, or other conduct giving reasonable cause for complaint to the Administrator, Chief of Staff, Chief of Department, and/or their respective delegates (in this Article 7, the Chief of Staff and Chief of Department are referred to as Professional Staff Officers ). Where possible, the Professional Staff Officer notified in Section 7.1 shall inform at least two (2) other Professional Staff Officers and together they shall immediately make a determination as to whether the Respondent s privileges shall be immediately and temporarily suspended in accordance with Sections 7.2 or 7.3 below or whether the appropriate action is to commence a preliminary investigation in accordance with Section 7.4 below. Immediate action shall only be taken where the patient s safety is an issue, and immediate action must in such circumstances be taken to protect the patient(s). Upon receipt of a complaint about the Respondent, any one of the Professional Staff Officers and/or the Administrator of the Corporation shall forthwith advise the Respondent as to the nature of the complaint and the manner in which the complaint is being handled. The Chief of Staff must be advised of all complaints. 7.2 Immediate Suspension of Privileges with Respect to a Specific Patient(s) Where a Professional Staff Officer and/or the Administrator becomes aware that, in his/her opinion, a serious problem exists in the diagnosis, care or treatment of a patient or outpatient, such Professional Staff Officer and/or the Administrator shall forthwith discuss the condition, diagnosis, care and treatment of the patient with the attending Professional Staff member, and if satisfactory changes in diagnosis, care or treatment are not made promptly, such Professional Staff Officer shall assume forthwith the responsibility for any necessary investigation and diagnosis of, prescribing for and treatment of the patient, and shall notify the attending member of the Professional Staff, the Administrator, and, if possible, the patient or outpatient that the attending member of the Professional Staff (also, the Respondent ) shall cease forthwith to have any privileges as the attending COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 19

20 Professional Staff Member for the patient or outpatient. Notwithstanding the foregoing, the due process procedure set out in Section 7.4 through 7.6 must be followed subsequent to the suspension, but before a final determination is made with respect to the suspension of the Respondent s privileges. The Professional Staff Officer responsible in Section 7.2 may delegate any or all of his/her responsibilities and duties hereunder to a member of the active Professional Staff in his/her Department, but shall remain accountable to the MAC for the management of the patient by the Professional Staff member to whom any such responsibility or duty is delegated. 7.3 Interim Suspension of Privileges by Board The Board may, where patient safety or the delivery of quality patient care is an issue and immediate action must be taken to protect the patient(s) and/or staff immediately and temporarily suspend the privileges of the Respondent or obtain an undertaking from the Respondent that he or she will not exercise his or her privileges. Notwithstanding the suspension or undertaking, before a final determination is made of the Respondent s privileges, the due process procedures set out in subsections 7.4 to 7.6 must, where applicable, be followed. 7.4 Investigation/Complaint Process Responsibility The Professional Staff Officers or the Administrator or their respective delegates shall be responsible for undertaking and directing the preliminary investigation of a complaint, in such a manner as is determined reasonably necessary. Referral to MAC Following preliminary investigation, the Professional Staff Officers and/or the Administrator of the Hospital, where deemed appropriate, shall place the complaint before the MAC and report upon the investigation of the complaint. (c) Investigation Terminated Where the complaint and report of the preliminary investigation of the complaint is not placed before the MAC, the Respondent in question shall be informed of such decision. Where a complaint issued is not placed before the MAC, documentation of such complaint and any report created will not form part of the Respondent s privileges record. (d) MAC s Duties Where a complaint has been placed before the MAC, the MAC shall: (i) receive and consider the complaint and report of the preliminary investigation; COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 20

21 (ii) (iii) (iv) (v) (vi) (vii) ensure that the Respondent is given no less than 72 hours prior notice of the MAC meeting and advise the Respondent that the meeting may proceed in his/her absence; determine what recommendation, if any, is necessary with respect to the privileges of the Respondent subject of the complaint; provide to the member subject of the complaint its recommendation in writing, the reasons and factual information in support of the recommendation and notice that the Respondent shall be given an opportunity to be heard or respond with respect to the recommendation in advance of the recommendation being communicated to the Board of the hospital; convene a meeting to which the Respondent shall be invited, wherein the Respondent shall be given an opportunity to be heard, or in the alternative, to which the Respondent may summit a written response; provide notice that the MAC meeting is not a hearing, and as such there are no formal rules of procedure or rules of evidence; and send its final recommendation in writing to the Board and the Respondent with respect to the Respondent s privileges. 7.5 Board Process Where Respondent not Heard by MAC The Board shall, where the Respondent has not been heard as set out in subsection 7.4(d)(v) above: (c) (d) (e) (f) (g) ensure that the Respondent is given no less than 72 hours prior notice of the Board meeting; advise the Respondent of the time and place of the meeting; provide to the Respondent the recommendation to be considered by the Board; make available to the Respondent the particulars and all supporting documentation and any other information considered by the individual or individuals in support of the proposed recommendation; provide notice that the Respondent may appear in person or submit written submissions; provide notice that the meeting may proceed in the absence of the Respondent; and provide notice that the Board meeting is not a hearing, and as such, there are no formal rules of procedure or rules of evidence. COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 21

22 7.6 Board Process Where Respondent Heard by MAC Notice of Meeting The Board shall, where the Respondent has been heard as set out in subsection 7.4(d)(v) above: (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) provide the Respondent with at least seven (7) days notice of a meeting that it will decide upon a recommendation of the MAC with respect to the Respondent s privileges; permit the Respondent to speak to the recommendation at the meeting; provide to the Respondent the recommendation to be considered by the Board; make available to the Respondent the particulars and all supporting documentation and any other information considered by the individual or individuals in support of the proposed recommendation; provide notice that the Respondent may appear in person or submit written submissions; provide notice that the meeting may proceed in the absence of the Respondent; provide notice that the Board meeting is not a hearing, and as such, there are no formal rules of procedure or rules of evidence; and inform the Respondent that he/she may be assisted by a representative in making presentation to the Board. 7.7 Members of the Board Members of the Board holding a meeting shall not have taken part in investigation or consideration of the subject matter of the meeting before the meeting and shall not communicate directly or indirectly in relation to the subject matter of the meeting with any person or with any party or representative of a party. 7.8 Board s Decision After consideration of the recommendation of the MAC or following a meeting of the Board, the Board shall either implement the recommendation or otherwise deal with the matter and cause the MAC and the Respondent to be so advised forthwith. 7.9 Statutory Powers Procedure Act Not Applicable In the context of the above, a meeting shall not mean a hearing as defined in the Statutory Powers Procedure Act, but rather its terms of reference are to be determined by the Board or the MAC. COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 22

23 APPROVAL: Joint Medical Advisory Committee, June 2008 DISTRIBUTION: All Professional Staff REVIEW: Annual REVISED: COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 23

24 APPENDIX A: Initial Appointment Process COMPREHENSIVE APPOINTMENT AND CREDENTIALING POLICY Page 24

Ontario Hospital Association/Ontario Medical Association Hospital Prototype Board-Appointed Professional Staff By-law

Ontario Hospital Association/Ontario Medical Association Hospital Prototype Board-Appointed Professional Staff By-law Ontario Hospital Association/Ontario Medical Association Hospital Prototype Board-Appointed Professional Staff By-law 2011 ONTARIO HOSPITAL ASSOCIATION/ ONTARIO MEDICAL ASSOCIATION HOSPITAL PROTOTYPE BOARD-APPOINTED

More information

Ratified: June 6, 2013 PROFESSIONAL STAFF BY-LAW

Ratified: June 6, 2013 PROFESSIONAL STAFF BY-LAW Ratified: June 6, 2013 PROFESSIONAL STAFF BY-LAW ARTICLE 1 DEFINITIONS AND INTERPRETATION...4 Section 1.1 Definitions...4 Section 1.2 Interpretation...6 Section 1.3 Delegation of Duties...6 Section 1.4

More information

MEDICAL STAFF BYLAWS FOR CHILDREN'S & WOMEN'S HEALTH CENTRE OF BRITISH COLUMBIA AN AGENCY OF THE PROVINICAL HEALTH SERVICES AUTHORITY

MEDICAL STAFF BYLAWS FOR CHILDREN'S & WOMEN'S HEALTH CENTRE OF BRITISH COLUMBIA AN AGENCY OF THE PROVINICAL HEALTH SERVICES AUTHORITY MEDICAL STAFF BYLAWS FOR CHILDREN'S & WOMEN'S HEALTH CENTRE OF BRITISH COLUMBIA AN AGENCY OF THE PROVINICAL HEALTH SERVICES AUTHORITY SEPTEMBER 1, 2004 Board Approved June 24, 2004 Ministry of Health Approved

More information

TABLE OF CONTENTS. 1. Purpose of Credentialing 2

TABLE OF CONTENTS. 1. Purpose of Credentialing 2 POLICY NAME: PROFESSIONAL STAFF APPOINTMENT AND CREDENTIALING POLICY APPROVING BODY: Board of Directors NUMBER: GOV-3-22 VERSION: 1.0 EFFECTIVE DATE: June 13, 2013 MANUAL: Governance LAST REVIEW DATE:

More information

PROFESSIONAL STAFF BY-LAWS OF GRAND RIVER HOSPITAL CORPORATION KITCHENER, ONTARIO TABLE OF CONTENTS

PROFESSIONAL STAFF BY-LAWS OF GRAND RIVER HOSPITAL CORPORATION KITCHENER, ONTARIO TABLE OF CONTENTS PROFESSIONAL STAFF BY-LAWS OF GRAND RIVER HOSPITAL CORPORATION KITCHENER, ONTARIO TABLE OF CONTENTS ARTICLE I APPLICATION...3 ARTICLE II - DEFINITIONS...3 ARTICLE III PURPOSE...4 ARTICLE IV PURPOSE OF

More information

LONDON HEALTH SCIENCES CENTRE CREDENTIALED PROFESSIONAL STAFF BY-LAWS

LONDON HEALTH SCIENCES CENTRE CREDENTIALED PROFESSIONAL STAFF BY-LAWS LONDON HEALTH SCIENCES CENTRE CREDENTIALED PROFESSIONAL STAFF BY-LAWS Amended and Approved June 20, 2012 TABLE OF CONTENTS ARTICLE 1 - DEFINITIONS AND INTERPRETATION... 2 1.1 Definitions... 2 1.2 In this

More information

CHARTERED PROFESSIONAL ACCOUNTANTS OF ONTARIO

CHARTERED PROFESSIONAL ACCOUNTANTS OF ONTARIO CHARTERED PROFESSIONAL ACCOUNTANTS OF ONTARIO REGULATION 9-1 PUBLIC ACCOUNTING LICENSING Adopted by the Council pursuant to the Chartered Accountants Act, 2010, and the Bylaws on June 16, 2011, as amended

More information

CREDENTIALING PROCEDURES MANUAL

CREDENTIALING PROCEDURES MANUAL CREDENTIALING PROCEDURES MANUAL Page PART I Appointment Procedures 1 PART II Reappointment Procedures 5 PART III Delineation of Clinical Privileges Procedures 7 PART IV Leave of Absence, Reinstatement,

More information

Registration and Use of Title

Registration and Use of Title JUNE 2014 Registration and Use of Title P R O F E S S I O N A L P R A C T I C E G U I D E L I N E COLLEGE OF RESPIRATORy ThERAPISTS OF ONTARIO Professional Practice Guideline College of Respiratory Therapists

More information

CREDENTIALING POLICY AND PROCEDURES MANUAL OF THE MEDICAL STAFF OF ADVENTIST HINSDALE HOSPITAL AND ADVENTIST LA GRANGE MEMORIAL HOSPITAL

CREDENTIALING POLICY AND PROCEDURES MANUAL OF THE MEDICAL STAFF OF ADVENTIST HINSDALE HOSPITAL AND ADVENTIST LA GRANGE MEMORIAL HOSPITAL CREDENTIALING POLICY AND PROCEDURES MANUAL OF THE MEDICAL STAFF OF ADVENTIST HINSDALE HOSPITAL AND ADVENTIST LA GRANGE MEMORIAL HOSPITAL Approval: Medical Executive Committees: Hinsdale Hospital July 28,

More information

INDEX TO THE REGULATORY BYLAWS OF THE COLLEGE OF PHYSICIANS AND SURGEONS

INDEX TO THE REGULATORY BYLAWS OF THE COLLEGE OF PHYSICIANS AND SURGEONS INDEX TO THE REGULATORY BYLAWS OF THE COLLEGE OF PHYSICIANS AND SURGEONS Bylaw Description Page Number PART I DEFINITIONS 1.1 General 3 PART 2 LICENSURE 2.1 Categories of Membership, Licences and Permits

More information

CHAPTER 234 THE PUBLIC HOSPITALS AUTHORITY (MEDICAL STAFF) BYELAWS, 2003

CHAPTER 234 THE PUBLIC HOSPITALS AUTHORITY (MEDICAL STAFF) BYELAWS, 2003 [CH.234 3 CHAPTER 234 THE (MEDICAL STAFF) BYELAWS, 2003 S.I.92/2003 (SECTION 6) [Commencement 15th December, 2003] PART 1 PRELIMINARY 1. These Byelaws may be cited as the Public Hospitals Authority (Medical

More information

Nebraska Association of Occupational Health Nurses, Inc. BYLAWS ARTICLE I.

Nebraska Association of Occupational Health Nurses, Inc. BYLAWS ARTICLE I. Nebraska Association of Occupational Health Nurses, Inc. BYLAWS ARTICLE I. Name The name of this Association shall be the NEBRASKA ASSOCIATION OF OCCUPATIONAL HEALTH NURSES, INC. (NAOHN), a constituent

More information

Province of Alberta ARCHITECTS ACT. Revised Statutes of Alberta 2000 Chapter A-44. Current as of April 30, 2015. Office Consolidation

Province of Alberta ARCHITECTS ACT. Revised Statutes of Alberta 2000 Chapter A-44. Current as of April 30, 2015. Office Consolidation Province of Alberta ARCHITECTS ACT Revised Statutes of Alberta 2000 Current as of April 30, 2015 Office Consolidation Published by Alberta Queen s Printer Alberta Queen s Printer 7 th Floor, Park Plaza

More information

ALBERTA HEALTH SERVICES MEDICAL STAFF RULES. Approved and Effective 28 February 2011

ALBERTA HEALTH SERVICES MEDICAL STAFF RULES. Approved and Effective 28 February 2011 ALBERTA HEALTH SERVICES MEDICAL STAFF RULES Approved and Effective 28 February 2011 TABLE OF CONTENTS PART 1 GENERAL PROVISIONS... 4 1.0 Preamble... 4 1.1 Definitions... 4 PART 2 MEDICAL ORGANIZATIONAL

More information

PLEASE NOTE. For more information concerning the history of this Act, please see the Table of Public Acts.

PLEASE NOTE. For more information concerning the history of this Act, please see the Table of Public Acts. PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this Act, current to September 22, 2014. It is intended for information and reference purposes only.

More information

II. INTERDISCIPLINARY PRACTICE COMMITTEE (IPC)

II. INTERDISCIPLINARY PRACTICE COMMITTEE (IPC) Rules and Regulations and Credentialing and Privileging Policy Advanced Practice Professionals and Ancillary Staff Interdisciplinary Practice Committee I. CATEGORIES The Medical Executive Committee (MEC)

More information

POLICY ON CREDENTIALING ALLIED HEALTH PROFESSIONALS MIDLAND MEMORIAL HOSPITAL. Midland, Texas 79701

POLICY ON CREDENTIALING ALLIED HEALTH PROFESSIONALS MIDLAND MEMORIAL HOSPITAL. Midland, Texas 79701 POLICY ON CREDENTIALING ALLIED HEALTH PROFESSIONALS At MIDLAND MEMORIAL HOSPITAL Midland, Texas 79701 Date: April 2004 Revision: October 2009 Policy Tech Ref # : 5833 1 Approved: 02/14/2013 Last Reviewed:

More information

The Interior Designers Act

The Interior Designers Act 1 The Interior Designers Act being Chapter I-10.02 of the Statutes of Saskatchewan, 1995 (effective June 19, 1997) as amended by the Statutes of Saskatchewan 2009, c.t-23.01; 2010, c.19 and 20; and 2014,

More information

Approved and Effective as of 28 February 2011 THE ALBERTA HEALTH SERVICES MEDICAL STAFF BYLAWS

Approved and Effective as of 28 February 2011 THE ALBERTA HEALTH SERVICES MEDICAL STAFF BYLAWS Approved and Effective as of 28 February 2011 THE ALBERTA HEALTH SERVICES MEDICAL STAFF BYLAWS Table of Contents DEFINITIONS... 3 PART 1 GENERAL PROVISIONS... 9 1.0 General... 9 1.2 Binding Effect... 10

More information

WRHA BOARD BY-LAW NO.3 MEDICAL STAFF

WRHA BOARD BY-LAW NO.3 MEDICAL STAFF Winnipeg Regional Office regional dela Health Authority sante dewinnipeg Coring forhealth AI'ecoute denotre sante WRHA BOARD BY-LAW NO.3 MEDICAL STAFF Page 1 of 25 WRHA BOARD BY-LAW NO.3 - MEDICAL STAFF

More information

Credentials Policy Manual. Reviewed & Approved by MEC 8/13/2012 Reviewed & Approved by Board of Commissioners 9/11/12

Credentials Policy Manual. Reviewed & Approved by MEC 8/13/2012 Reviewed & Approved by Board of Commissioners 9/11/12 Credentials Policy Manual Reviewed & Approved by MEC 8/13/2012 Reviewed & Approved by Board of Commissioners 9/11/12 Credentialing Policy Manual Table of Contents I. Application for Appointment to Staff...1

More information

How To Change A Doctor In Arkansas

How To Change A Doctor In Arkansas RULE 099.33 MANAGED CARE #099.33 TABLE OF CONTENTS I. DEFINITIONS II. INITIAL CHOICE OF PHYSICIAN III. REFERRALS IV. CHANGE OF PHYSICIAN V. MULTIPLE MCOs VI. RULES, TERMS, AND CONDITIONS OF MCO/IMCS VII.

More information

COLIN STREET DAY SURGERY BY LAWS

COLIN STREET DAY SURGERY BY LAWS Date Issued: 02/02/2002 Approved by: CSDS Board of Directors Date Revised: 12/11/2015 Version No: 9 PART A INTERPRETATION AND GENERAL PROVISIONS 1.0 DEFINITIIONS AND INTERPRETATION ACCREDITED PRACTITIONER:

More information

Queensland. Health Practitioner Regulation (Administrative Arrangements) National Law Act 2008

Queensland. Health Practitioner Regulation (Administrative Arrangements) National Law Act 2008 Queensland Health Practitioner Regulation (Administrative Arrangements) National Law Act 2008 Act No. 62 of 2008 Queensland Health Practitioner Regulation (Administrative Arrangements) National Law Act

More information

Appendix: regulations and relevant sections in statutes. Business Corporations Act

Appendix: regulations and relevant sections in statutes. Business Corporations Act CERTIFICATE OF AUTHORIZATION for a CORPORATION TO PRACTISE MEDICINE Telephone: (416) 967-2673 or (800) 268-7096 Email: corporations@cpso.on.ca Appendix: regulations and relevant sections in statutes Business

More information

TITLE: Allied Health Professional Policy

TITLE: Allied Health Professional Policy TITLE: Allied Health Professional Policy Number: Version: Status: Current Type: Medical Staff Policy Author: Medical Staff Original Date: Revised Dates: Review Cycle: Triennial Deactivation Date: Facility:

More information

PLEASE NOTE. For more information concerning the history of this Act, please see the Table of Public Acts.

PLEASE NOTE. For more information concerning the history of this Act, please see the Table of Public Acts. PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this Act, current to March 5, 2011. It is intended for information and reference purposes only. This

More information

Health Professions Act BYLAWS. Table of Contents

Health Professions Act BYLAWS. Table of Contents Health Professions Act BYLAWS Table of Contents 1. Definitions PART I College Board, Committees and Panels 2. Composition of Board 3. Electoral Districts 4. Notice of Election 5. Eligibility and Nominations

More information

Nonphysician Practitioner Policy a.k.a. Specified Professional Personnel Policy

Nonphysician Practitioner Policy a.k.a. Specified Professional Personnel Policy RENOWN REGIONAL MEDICAL CENTER Nonphysician Practitioner Policy a.k.a. Specified Professional Personnel Policy (The Term Allied Health Professional will not be used in this policy since in the Renown Regional

More information

National Association of Black Accountants, Inc. <NAME OF SCHOOL> Student Chapter Bylaws

National Association of Black Accountants, Inc. <NAME OF SCHOOL> Student Chapter Bylaws National Association of Black Accountants, Inc. Student Chapter Bylaws Lifting As We Climb 1 TABLE OF CONTENTS ARTICLE I - NAME, MISSION AND OBJECTIVES, AND SEAL...3 ARTICLE II - MEMBERSHIP...4

More information

BYLAWS OF NORTHWEST HOSPITAL MEDICAL STAFF

BYLAWS OF NORTHWEST HOSPITAL MEDICAL STAFF NORTHWEST HOSPITAL & MEDICAL CENTER Seattle, Washington BYLAWS OF NORTHWEST HOSPITAL MEDICAL STAFF Effective Date: October 19, 2012 BYLAWS OF NORTHWEST HOSPITAL MEDICAL STAFF TABLE OF CONTENTS PAGE ARTICLE

More information

INTERNATIONAL SOCIETY OF ARBORICULTURE (ISA) CERTIFICATION PROGRAM ETHICS CASE PROCEDURES

INTERNATIONAL SOCIETY OF ARBORICULTURE (ISA) CERTIFICATION PROGRAM ETHICS CASE PROCEDURES INTERNATIONAL SOCIETY OF ARBORICULTURE (ISA) CERTIFICATION PROGRAM ETHICS CASE PROCEDURES INTRODUCTION. The ISA Certification Board develops and promotes high ethical standards for the Certified Arborist

More information

How To Write A Medical Laboratory

How To Write A Medical Laboratory 1 MEDICAL LABORATORY TECHNOLOGISTS c.m-9.3 The Medical Laboratory Technologists Act being Chapter M-9.3 of the Statutes of Saskatchewan, 1995 (effective February 1, 1996) as amended by the Statutes of

More information

The Licensed Practical Nurses Act, 2000

The Licensed Practical Nurses Act, 2000 1 LICENSED PRACTICAL NURSES, 2000 c. L-14.2 The Licensed Practical Nurses Act, 2000 being Chapter L-14.2 of the Statutes of Saskatchewan, 2000 (effective November 24, 2000) as amended by Statutes of Saskatchewan,

More information

The Respiratory Therapists Act

The Respiratory Therapists Act 1 RESPIRATORY THERAPISTS c. R-22.0002 The Respiratory Therapists Act being Chapter R-22.0002 of The Statutes of Saskatchewan, 2006 (effective April 1, 2009) as amended by the Statutes of Saskatchewan,

More information

INDEPENDENT HEALTHCARE PROVIDER SERVICES AGREEMENT

INDEPENDENT HEALTHCARE PROVIDER SERVICES AGREEMENT INDEPENDENT HEALTHCARE PROVIDER SERVICES AGREEMENT This Independent Healthcare Provider Services Agreement (the Agreement ) by and between ("Provider") a licensed physician or licensed nurse/healthcare

More information

The Saskatchewan Medical Care Insurance Act

The Saskatchewan Medical Care Insurance Act 1 SASKATCHEWAN MEDICAL CARE INSURANCE c. S-29 The Saskatchewan Medical Care Insurance Act being Chapter S-29 of The Revised Statutes of Saskatchewan, 1978 (effective February 26, 1979) as amended by the

More information

CREDENTIALING POLICY OF UNIVERSITY OF UTAH HOSPITAL AND CLINICS

CREDENTIALING POLICY OF UNIVERSITY OF UTAH HOSPITAL AND CLINICS CREDENTIALING POLICY OF UNIVERSITY OF UTAH HOSPITAL AND CLINICS Revised November, 2004 TABLE OF CONTENTS PAGE 1. DEFINITIONS...1 1.A DEFINITIONS...1 1.B TIME LIMITS...2 1.C DELEGATION OF FUNCTIONS...2

More information

ARTICLE I NAME ARTICLE II PURPOSE

ARTICLE I NAME ARTICLE II PURPOSE ARTICLE I NAME The name of this component State Association of the American Health Information Management Association (AHIMA) shall be the Ohio Health Information Management Association, Incorporated.

More information

Interior Health Authority Board Manual 9.3 MEDICAL STAFF RULES PART II TERMS OF REFERENCE FOR THE HEALTH AUTHORITY MEDICAL ADVISORY COMMITTEE

Interior Health Authority Board Manual 9.3 MEDICAL STAFF RULES PART II TERMS OF REFERENCE FOR THE HEALTH AUTHORITY MEDICAL ADVISORY COMMITTEE Interior Health Authority Board Manual 9.3 MEDICAL STAFF RULES PART II TERMS OF REFERENCE FOR THE HEALTH AUTHORITY MEDICAL ADVISORY COMMITTEE Original Draft: 15 December 2006 Board Approved: 17 January

More information

TEACHERS ACT [SBC 2011] Chapter 19. Contents PART 1 - DEFINITIONS

TEACHERS ACT [SBC 2011] Chapter 19. Contents PART 1 - DEFINITIONS [SBC 2011] Chapter 19 Contents 1 Definitions PART 1 - DEFINITIONS PART 2 COMMISSIONER AND DIRECTOR OF CERTIFICATION 2 Appointment of commissioner 3 Commissioner s power to delegate 4 Recommendations about

More information

MEMORIAL HOSPITAL BOARD OF TRUSTEES DUTIES AND RESPOSIBILITIES

MEMORIAL HOSPITAL BOARD OF TRUSTEES DUTIES AND RESPOSIBILITIES MEMORIAL HOSPITAL BOARD OF TRUSTEES DUTIES AND RESPOSIBILITIES Detailed descriptions of the duties of Board and Committee members are shown on the attached documents: 1. Memorial Hospital Board of Trustees

More information

Players Agent Registration Regulations

Players Agent Registration Regulations Players Agent Registration Regulations 1 Definitions 1.1 In these, the following terms shall have the following meanings: Agency Activity means acting in any way and at any time in the capacity of agent,

More information

UNIVERSITY OF NORTH CAROLINA HOSPITALS

UNIVERSITY OF NORTH CAROLINA HOSPITALS 7 1 BYLAWS OF THE MEDICAL STAFF UNIVERSITY OF NORTH CAROLINA HOSPITALS Approved by the Executive Committee of the Medical Staff, November 5, 2001. Approved by the Medical Staff, December 5, 2001. Approved

More information

PUBLIC INTEREST DISCLOSURE (WHISTLEBLOWER PROTECTION) ACT

PUBLIC INTEREST DISCLOSURE (WHISTLEBLOWER PROTECTION) ACT Province of Alberta Statutes of Alberta, Current as of June 1, 2013 Office Consolidation Published by Alberta Queen s Printer Alberta Queen s Printer 7 th Floor, Park Plaza 10611-98 Avenue Edmonton, AB

More information

BYLAWS OF THE MEDICAL STAFF

BYLAWS OF THE MEDICAL STAFF (EFFECTIVE 6.25.12) BYLAWS OF THE MEDICAL STAFF CENTRAL MAINE MEDICAL CENTER LEWISTON, MAINE With updates adopted by the Medical Staff on June 25, 2012 Edmund Claxton, M.D. President Approved by the Governing

More information

CRAIG HOSPITAL ENGLEWOOD, COLORADO BYLAWS OF THE MEDICAL STAFF ADOPTED AS AMENDED: MARCH 26, 2015

CRAIG HOSPITAL ENGLEWOOD, COLORADO BYLAWS OF THE MEDICAL STAFF ADOPTED AS AMENDED: MARCH 26, 2015 CRAIG HOSPITAL ENGLEWOOD, COLORADO BYLAWS OF THE MEDICAL STAFF ADOPTED AS AMENDED: MARCH 26, 2015 BYLAWS OF THE MEDICAL STAFF 48355590.5 TABLE OF CONTENTS PAGE PREAMBLE... 1 DEFINITIONS...1 ARTICLE I.

More information

BOARD OF DIRECTORS MANDATE

BOARD OF DIRECTORS MANDATE BOARD OF DIRECTORS MANDATE Board approved: May 7, 2014 This mandate provides the terms of reference for the Boards of Directors (each a Board ) of each of Economical Mutual Insurance Company ( Economical

More information

HP1616, LD 2253, item 1, 123rd Maine State Legislature An Act To License Certified Professional Midwives

HP1616, LD 2253, item 1, 123rd Maine State Legislature An Act To License Certified Professional Midwives PLEASE NOTE: Legislative Information cannot perform research, provide legal advice, or interpret Maine law. For legal assistance, please contact a qualified attorney. Be it enacted by the People of the

More information

Short title 1. This Act may be cited as the Accountants Act. Interpretation 2. In this Act, unless the context otherwise requires "accounting

Short title 1. This Act may be cited as the Accountants Act. Interpretation 2. In this Act, unless the context otherwise requires accounting Short title 1. This Act may be cited as the Accountants Act. Interpretation 2. In this Act, unless the context otherwise requires "accounting corporation" means a company approved as an accounting corporation

More information

The College currently demonstrates transparency in a number of ways. The following description provides a brief overview.

The College currently demonstrates transparency in a number of ways. The following description provides a brief overview. November 27, 2014 Suzanne McGurn, Assistant Deputy Minister Health Human Resources Strategy Division Ministry of Health and Long-Term Care 900 Bay Street Macdonald Block, 2nd Floor, Room M2-61 Toronto

More information

THE LONG ISLAND HOME MEDICAL STAFF BYLAWS

THE LONG ISLAND HOME MEDICAL STAFF BYLAWS THE LONG ISLAND HOME MEDICAL STAFF BYLAWS South Oaks Hospital A Comprehensive Behavioral Health Center Broadlawn Manor Nursing and Rehabilitation Center A Comprehensive Long-Term And Sub-Acute Care Facility

More information

Stanford Hospital and Clinics Lucile Packard Children s Hospital

Stanford Hospital and Clinics Lucile Packard Children s Hospital Practitioners Page 1 of 10 I. PURPOSE To outline individuals who are authorized to provide care as an Allied Health professional as well as describe which categories of individuals who will be processed

More information

POLICY REGARDING ADVANCED PRACTICE NURSES, PHYSICIAN ASSISTANTS AND OTHER CREDENTIALED HEALTH CARE PROVIDERS

POLICY REGARDING ADVANCED PRACTICE NURSES, PHYSICIAN ASSISTANTS AND OTHER CREDENTIALED HEALTH CARE PROVIDERS MEDICAL-DENTAL STAFF BYLAWS, POLICIES, AND RULES AND REGULATIONS OF CHRISTIANA CARE HEALTH SERVICES, INC POLICY REGARDING ADVANCED PRACTICE NURSES, PHYSICIAN ASSISTANTS AND OTHER CREDENTIALED HEALTH CARE

More information

Risk and Insurance Management Society, Inc. Chesapeake Chapter. Chapter Constitution and Bylaws TITLES

Risk and Insurance Management Society, Inc. Chesapeake Chapter. Chapter Constitution and Bylaws TITLES Risk and Insurance Management Society, Inc. Chesapeake Chapter (RIMS) Chapter Constitution and Bylaws TITLES ARTICLE I Name 2 ARTICLE II Objectives and Powers 2 ARTICLE III Membership 2 ARTICLE IV Dues

More information

HOUSE BILL NO. HB0084. Sponsored by: Representative(s) Pedersen A BILL. for. AN ACT relating to professions and occupations; providing

HOUSE BILL NO. HB0084. Sponsored by: Representative(s) Pedersen A BILL. for. AN ACT relating to professions and occupations; providing 0 STATE OF WYOMING LSO-0 HOUSE BILL NO. HB00 Massage Therapy Practice Act. Sponsored by: Representative(s) Pedersen A BILL for AN ACT relating to professions and occupations; providing for licensure and

More information

PLEASE NOTE. For more information concerning the history of these regulations, please see the Table of Regulations.

PLEASE NOTE. For more information concerning the history of these regulations, please see the Table of Regulations. PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to February 25, 2006. It is intended for information and reference purposes

More information

The Mortgage Brokerages and Mortgage Administrators Regulations

The Mortgage Brokerages and Mortgage Administrators Regulations 1 AND MORTGAGE ADMINISTRATORS M-20.1 REG 1 The Mortgage Brokerages and Mortgage Administrators Regulations being Chapter M-20.1 Reg 1 (effective October 1, 2010) as amended by Saskatchewan Regulations,

More information

PLEASE NOTE. For more information concerning the history of this Act, please see the Table of Public Acts.

PLEASE NOTE. For more information concerning the history of this Act, please see the Table of Public Acts. PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this Act, current to December 2, 2015. It is intended for information and reference purposes only. This

More information

BUSINESS ENTITIES PART I LIMITED LIABILITY PARTNERSHIPS

BUSINESS ENTITIES PART I LIMITED LIABILITY PARTNERSHIPS BY-LAW 7 Made: May 1, 2007 Amended: June 28, 2007 September 20, 2007 (editorial changes) February 21, 2008 October 30, 2008 November 27, 2008 April 30, 2009 June 28, 2012 April 25, 2013 December 4, 2014

More information

AIT APPLICATION PACKAGE FOR REGISTRATION AS A PSYCHOLOGIST OR PSYCHOLOGICAL ASSOCIATE Version 2010-1

AIT APPLICATION PACKAGE FOR REGISTRATION AS A PSYCHOLOGIST OR PSYCHOLOGICAL ASSOCIATE Version 2010-1 THE PSYCHOLOGICAL ASSOCIATION OF MANITOBA 162-2025 Corydon Ave., Box # 253, Winnipeg, Manitoba R3P 0N5 Phone: (204) 487-0784 Fax: (204) 489-8688 Email: pam@mts.net Website: www.cpmb.ca AIT APPLICATION

More information

REVIEW OF THE REGISTRATION PRACTICES OF THE ONTARIO COLLEGE OF SOCIAL WORKERS AND SOCIAL SERVICE WORKERS

REVIEW OF THE REGISTRATION PRACTICES OF THE ONTARIO COLLEGE OF SOCIAL WORKERS AND SOCIAL SERVICE WORKERS REVIEW OF THE REGISTRATION PRACTICES OF THE ONTARIO COLLEGE OF SOCIAL WORKERS AND SOCIAL SERVICE WORKERS TABLE OF CONTENTS Page Executive Summary 3 Introduction 6 Objectives and Scope of the Review 6 Methodology

More information

ARKANSAS STATE BOARD OF PHYSICAL THERAPY RULES AND REGULATIONS

ARKANSAS STATE BOARD OF PHYSICAL THERAPY RULES AND REGULATIONS ARKANSAS STATE BOARD OF PHYSICAL THERAPY RULES AND REGULATIONS I. Officers and Meetings A. Officers shall: 1. Consist of a chairperson and a secretary/treasurer, each of whom shall have the privilege of

More information

CHAPTER 267. BE IT ENACTED by the Senate and General Assembly of the State of New Jersey:

CHAPTER 267. BE IT ENACTED by the Senate and General Assembly of the State of New Jersey: CHAPTER 267 AN ACT concerning third party administrators of health benefits plans and third party billing services and supplementing Title 17B of the New Jersey Statutes. BE IT ENACTED by the Senate and

More information

MISSISSIPPI OCCUPATIONAL THERAPY ASSOCIATION BYLAWS

MISSISSIPPI OCCUPATIONAL THERAPY ASSOCIATION BYLAWS MISSISSIPPI OCCUPATIONAL THERAPY ASSOCIATION BYLAWS MSOTA P. O. Box 2188 Brandon, MS 39043 Phone: 601-853-9564 www.mississippiota.org mississippiota@gmail.com Revised by MSOTA Board 11/14/92 Finalized

More information

McLaren Greater Lansing Rules of the Department of Emergency Medicine ARTICLE I. PURPOSE AND ORGANIZATION

McLaren Greater Lansing Rules of the Department of Emergency Medicine ARTICLE I. PURPOSE AND ORGANIZATION McLaren Greater Lansing Rules of the Department of Emergency Medicine ARTICLE I. PURPOSE AND ORGANIZATION 1.1 PURPOSE 1.1.1 The purpose of the Department of Emergency Medicine shall be to perform the organizational

More information

Allied Health Care Provider: Appointment and Re-appointment

Allied Health Care Provider: Appointment and Re-appointment Allied Health Care Provider: Appointment and Re-appointment Document Owner: Lawson, Louise Version: 8 Effective Date: 10/23/2013 Revision Date: 4/26/2015 Approvers: Calkins, Paul; Del Boccio, Suzanne;

More information

MEDICAL STAFF RULES & REGULATIONS

MEDICAL STAFF RULES & REGULATIONS MEDICAL STAFF RULES & REGULATIONS PURPOSE: Rules and Regulations shall set standards of practice that are to be required of each individual exercising clinical privileges in the hospital, and shall act

More information

RADIOLOGIC TECHNOLOGIST, RADIOLOGIST ASSISTANT, AND RADIOLOGY PRACTICAL TECHNICIAN LICENSING ACT

RADIOLOGIC TECHNOLOGIST, RADIOLOGIST ASSISTANT, AND RADIOLOGY PRACTICAL TECHNICIAN LICENSING ACT RADIOLOGIC TECHNOLOGIST, RADIOLOGIST ASSISTANT, AND RADIOLOGY PRACTICAL TECHNICIAN LICENSING ACT 58-54-101. Short title. This chapter is known as the "Radiologic Technologist, Radiologist Assistant, and

More information

CERTIFIED MANAGEMENT CONSULTANTS REGULATION

CERTIFIED MANAGEMENT CONSULTANTS REGULATION Province of Alberta PROFESSIONAL AND OCCUPATIONAL ASSOCIATIONS REGISTRATION ACT CERTIFIED MANAGEMENT CONSULTANTS REGULATION Alberta Regulation 166/2005 Extract Published by Alberta Queen s Printer Alberta

More information

KINGDOM OF SAUDI ARABIA. Capital Market Authority CREDIT RATING AGENCIES REGULATIONS

KINGDOM OF SAUDI ARABIA. Capital Market Authority CREDIT RATING AGENCIES REGULATIONS KINGDOM OF SAUDI ARABIA Capital Market Authority CREDIT RATING AGENCIES REGULATIONS English Translation of the Official Arabic Text Issued by the Board of the Capital Market Authority Pursuant to its Resolution

More information

Personal Data Protection LAWS OF MALAYSIA. Act 709 PERSONAL DATA PROTECTION ACT 2010

Personal Data Protection LAWS OF MALAYSIA. Act 709 PERSONAL DATA PROTECTION ACT 2010 1 LAWS OF MALAYSIA Act 709 PERSONAL DATA PROTECTION ACT 2010 2 Laws of Malaysia ACT 709 Date of Royal Assent...... 2 June 2010 Date of publication in the Gazette......... 10 June 2010 Publisher s Copyright

More information

2012 DEGREE AUTHORIZATION 2012 CHAPTER D-2.1

2012 DEGREE AUTHORIZATION 2012 CHAPTER D-2.1 1 DEGREE AUTHORIZATION c. D-2.1 CHAPTER D-2.1 An Act respecting the Authority to Provide Degree Programs and to Grant Post-secondary Degrees and making consequential amendments to other Acts TABLE OF CONTENTS

More information

GUIDELINES FOR THE ADMINISTRATION OF INSURANCE AGENTS - 2010

GUIDELINES FOR THE ADMINISTRATION OF INSURANCE AGENTS - 2010 GUIDELINES FOR THE ADMINISTRATION OF INSURANCE AGENTS - 2010 PART I - PRELIMINARY Purpose and Authorisation 1. These Guidelines are intended to provide the framework and procedure for the licencing and

More information

NIBA College of Insurance Brokers and Risk Professionals Membership Rules

NIBA College of Insurance Brokers and Risk Professionals Membership Rules NIBA College of Insurance Brokers and Risk Professionals Membership Rules 1. Role of the College 1.1 The NIBA College of Insurance Brokers and Risk Professionals (College) aims to provide high quality

More information

Agreement for Professional Emergency Services. professional emergency and related services provided at (hospital name) Hospital be

Agreement for Professional Emergency Services. professional emergency and related services provided at (hospital name) Hospital be Agreement for Professional Emergency Services This Agreement, made and effective on (effective date) by and between (name of hospital) Hospital, Inc., located at (address of hospital), (city, state and

More information

MEDICAL STAFF POLICY & PROCEDURE

MEDICAL STAFF POLICY & PROCEDURE 240 Maple Street PO Box 470 Woodruff, WI 54568 (715) 356-8000 MEDICAL STAFF POLICY & PROCEDURE NUMBER: MS.4 EFFECTIVE/APPROVAL DATE: TITLE: CREDENTIALING POLICY REVISION DATE: 4/97; 1/98; 7/98; 2/99; 12/00;

More information

VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS

VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS Commonwealth of Virginia VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS REGULATIONS GOVERNING THE PRACTICE OF PHYSICAL THERAPY Title of Regulations: 18 VAC 112-20-10 et seq. Statutory Authority: Chapter 34.1

More information

CONTENT OF THE AUDIT LAW

CONTENT OF THE AUDIT LAW CONTENT OF THE AUDIT LAW I. GENERAL PROVISIONS Article 1 This Law shall regulate the conditions for conducting an audit of legal entities which perform activities, seated in the Republic of Macedonia.

More information

Guidelines on endorsement as a nurse practitioner

Guidelines on endorsement as a nurse practitioner Guidelines on endorsement as a nurse practitioner 7160 Introduction The National Registration and Accreditation Scheme (the National Scheme) for health professionals in Australia commenced on 1 July 2010

More information

Specialty Certification Standards Federal Taxation Law Attorney Information

Specialty Certification Standards Federal Taxation Law Attorney Information Specialty Certification Standards Federal Taxation Law Attorney Information Accredited by the Supreme Court Commission on Certification of Attorneys as Specialists 1 ATTORNEY INFORMATION AND STANDARDS

More information

The Psychologists Act, 1997

The Psychologists Act, 1997 1 The Psychologists Act, 1997 being Chapter P-36.01 of the Statutes of Saskatchewan, 1997 (subsections 54(1), (2), (3), (6), (7) and (8), effective December 1, 1997; sections 1 to 53, subsections 54(4),

More information

SENATE BILL 1099 AN ACT

SENATE BILL 1099 AN ACT Senate Engrossed State of Arizona Senate Forty-third Legislature First Regular Session SENATE BILL AN ACT amending sections -, -.0, -, -, -, -, -, -, -, - and -, Arizona revised statutes; repealing section

More information

Motor Vehicle Accidents (Lifetime Support Scheme) Act 2013

Motor Vehicle Accidents (Lifetime Support Scheme) Act 2013 Version: 1.7.2015 South Australia Motor Vehicle Accidents (Lifetime Support Scheme) Act 2013 An Act to provide a scheme for the lifetime treatment, care and support of persons catastrophically injured

More information

Revised July 2014 MEDICAL STAFF BYLAWS OF MINISTRY OUR LADY OF VICTORY HOSPITAL, INC.

Revised July 2014 MEDICAL STAFF BYLAWS OF MINISTRY OUR LADY OF VICTORY HOSPITAL, INC. MEDICAL STAFF BYLAWS OF MINISTRY OUR LADY OF VICTORY HOSPITAL, INC. DEFINITIONS 1. MEDICAL STAFF means all Doctors of Medicine, Doctors of Osteopathy, Doctors of Dentistry and Doctors of Podiatry, who

More information

POSTGRADUATE EDUCATION COMMITTEE OF COFM REVISED MARCH 2010. PGE Principles/Guidelines

POSTGRADUATE EDUCATION COMMITTEE OF COFM REVISED MARCH 2010. PGE Principles/Guidelines COUNCIL OF ONTARIO FACULTIES OF MEDICINE An affiliate of the Council of Ontario Universities POSTGRADUATE EDUCATION COMMITTEE OF COFM REVISED MARCH 2010 PGE Principles/Guidelines 180 Dundas Street West,

More information

TITLE 18 INSURANCE DELAWARE ADMINISTRATIVE CODE

TITLE 18 INSURANCE DELAWARE ADMINISTRATIVE CODE TITLE 18 INSURANCE 500 Agents, Brokers, Solicitors, and Consultants 1 504 Continuing Education for Insurance Agents, Brokers, Surplus Lines Brokers and Consultants 1.0 Statutory Authority and Purpose This

More information

BYLAWS OF THE MEDICAL STAFF OF FAIRBANKS MEMORIAL HOSPITAL

BYLAWS OF THE MEDICAL STAFF OF FAIRBANKS MEMORIAL HOSPITAL BYLAWS OF THE MEDICAL STAFF OF FAIRBANKS MEMORIAL HOSPITAL ADOPTED BY THE MEDICAL STAFF... APRIL 16, 2008 ADOPTED BY THE BANNER HEALTH BOARD... MAY 8, 2008 AMENDED: NOVEMBER 11, 2010 JANUARY 13, 2011 JULY

More information

The Registered Psychiatric Nurses Act

The Registered Psychiatric Nurses Act 1 REGISTERED PSYCHIATRIC NURSES c. R-13.1 The Registered Psychiatric Nurses Act being Chapter R-13.1 of the Statutes of Saskatchewan, 1993 (effective June 23, 1993) as amended by the Statutes of Saskatchewan,

More information

PLEASE NOTE. For more information concerning the history of this Act, please see the Table of Public Acts.

PLEASE NOTE. For more information concerning the history of this Act, please see the Table of Public Acts. PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this Act, current to May 19, 2010. It is intended for information and reference purposes only. This

More information

BYLAWS CENTRAL FLORIDA ESTATE PLANNING COUNCIL, INC. Table of Contents

BYLAWS CENTRAL FLORIDA ESTATE PLANNING COUNCIL, INC. Table of Contents BYLAWS OF CENTRAL FLORIDA ESTATE PLANNING COUNCIL, INC. Table of Contents ARTICLE I - PURPOSES...1 Section 1.01. Corporation Not for Profit...1 Section 1.02. Charitable Purposes...1 Section 1.03. Mission...1

More information

CHRISTUS Santa Rosa HOSPITAL MEDICAL STAFF MEMBERSHIP, CREDENTIALING, PRIVILEGING AND DUE PROCESS MANUAL TABLE OF CONTENTS

CHRISTUS Santa Rosa HOSPITAL MEDICAL STAFF MEMBERSHIP, CREDENTIALING, PRIVILEGING AND DUE PROCESS MANUAL TABLE OF CONTENTS CHRISTUS Santa Rosa HOSPITAL MEDICAL STAFF MEMBERSHIP, CREDENTIALING, PRIVILEGING AND DUE PROCESS MANUAL TABLE OF CONTENTS I. APPOINTMENT AND REAPPOINTMENT PROCEDURE II. PROCEDURES FOR DELINEATING PRIVILEGES

More information

PLEASE NOTE. For more information concerning the history of these regulations, please see the Table of Regulations.

PLEASE NOTE. For more information concerning the history of these regulations, please see the Table of Regulations. PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to September 12, 2015. It is intended for information and reference purposes

More information

Witness Protection Act 1995 No 87

Witness Protection Act 1995 No 87 New South Wales Witness Protection Act 1995 No 87 Status information Currency of version Current version for 5 October 2012 to date (generated 10 October 2012 at 19:15). Legislation on the NSW legislation

More information

STT ENVIRO CORP. (the Company ) CHARTER OF THE CORPORATE GOVERNANCE AND NOMINATING COMMITTEE. As amended by the Board of Directors on May 10, 2012

STT ENVIRO CORP. (the Company ) CHARTER OF THE CORPORATE GOVERNANCE AND NOMINATING COMMITTEE. As amended by the Board of Directors on May 10, 2012 STT ENVIRO CORP. (the Company ) CHARTER OF THE CORPORATE GOVERNANCE AND NOMINATING COMMITTEE PURPOSE AND SCOPE As amended by the Board of Directors on May 10, 2012 The primary function of the Committee

More information

ARBITRATION RULES OF THE COURT OF ARBITRATION AT THE POLISH CHAMBER OF COMMERCE

ARBITRATION RULES OF THE COURT OF ARBITRATION AT THE POLISH CHAMBER OF COMMERCE ARBITRATION RULES OF THE COURT OF ARBITRATION AT THE POLISH CHAMBER OF COMMERCE Chapter I Introductory provisions 1 Court of Arbitration 1. The Court of Arbitration at the Polish Chamber of Commerce (the

More information

CHAPTER 20. FLORIDA REGISTERED PARALEGAL PROGRAM 20-1. PREAMBLE. The purpose of this chapter is to set forth a definition that must be met in order to

CHAPTER 20. FLORIDA REGISTERED PARALEGAL PROGRAM 20-1. PREAMBLE. The purpose of this chapter is to set forth a definition that must be met in order to 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 CHAPTER 20. FLORIDA REGISTERED PARALEGAL PROGRAM 20-1. PREAMBLE Rule 20-1.1.

More information

UNIVERSITY OF MANITOBA FACULTY OF SOCIAL WORK PROFESSIONAL UNSUIT ABILITY BY-LAW

UNIVERSITY OF MANITOBA FACULTY OF SOCIAL WORK PROFESSIONAL UNSUIT ABILITY BY-LAW UNIVERSITY OF MANITOBA FACULTY OF SOCIAL WORK PROFESSIONAL UNSUIT ABILITY BY-LAW 1.00 JURISDICTION This By-Law applies to students emolled in the BSW program. This includes students who have accepted an

More information

www.portsmouth.gov.uk Part 3D - Officers' Employment Procedure Rules 1

www.portsmouth.gov.uk Part 3D - Officers' Employment Procedure Rules 1 Part 3D - Officers' Employment Procedure Rules 1 These rules determine procedures to be followed in the recruitment of senior officers of the council and in any disciplinary action which may become necessary

More information