An expedited governing body approval process may be used for initial appointment and reappoin...

(1)

The organized medical staff develops and implements criteria for an expedited process for granting privileges. Note: To expedite initial appointments to membership and granting of privileges, reappointment to membership, or renewal or modification of privileges, the governing body may delegate the authority to render those decisions to a committee of at least two voting members of the governing body.

(2)

The criteria provide that an applicant for privileges is ineligible for the expedited process if any of the following has occurred: - The applicant submits an incomplete application. - The medical staff executive committee makes a final recommendation that is adverse or has limitations.

(3)

The following situations are evaluated on a case-by-case basis and usually result in ineligibility for the expedited process: - There is a current challenge or a previously successful challenge to licensure or registration. - The applicant has received an involuntary termination of medical staff membership at another hospital. - The applicant has received involuntary limitation, reduction, denial, or loss of clinical privileges. - The hospital determines that there has been either an unusual pattern of, or an excessive number of, professional liability actions resulting in a final judgment against the applicant.