Deliberations by the medical staff in developing recommendations for appointment to or termin...

TJC MS.18.01.01

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5 segments

TJC MS.18.01.01

Deliberations by the medical staff in developing recommendations for appointment to or termination from the medical staff and for the initial granting, revision, or revocation of clinical privileges include information provided by a peer(s) of the applicant.

(1)

Recommendations from peers are obtained and evaluated for all new applicants for privileges.

(2)

Upon renewal of privileges, when insufficient physician- or other licensed practitioner–specific data are available, the medical staff obtains and evaluates peer recommendations.

(3)

Peer recommendations include the following information: - Medical/clinical knowledge - Technical and clinical skills - Clinical judgment - Interpersonal skills - Communication skills - Professionalism

(4)

Peer recommendations are obtained from a physician or other licensed practitioner in the same professional discipline as the applicant with personal knowledge of the applicant’s ability to practice.

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