There are mechanisms for a fair hearing and appeal process to address adverse decisions regar...

TJC MS.18.04.01

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TJC MS.18.04.01

There are mechanisms for a fair hearing and appeal process to address adverse decisions regarding reappointment, denial, reduction, suspension, or revocation of privileges that may relate to quality of care, treatment, and services issues.

(1)

The organized medical staff has developed a fair hearing and appeal process addressing quality of care issues that may differ for members and nonmembers of the medical staff.

(2)

The organized medical staff has developed a fair hearing and appeal process addressing quality of care issues that has a mechanism to schedule a hearing of such requests.

(3)

The organized medical staff has developed a fair hearing and appeal process addressing quality of care issues that has identified the procedures for the hearing to follow.

(4)

The organized medical staff has developed a fair hearing and appeal process addressing quality of care issues that identifies the composition of the hearing committee as a committee that includes impartial peers.

(5)

The organized medical staff has developed a fair hearing and appeal process addressing quality of care issues that, with the governing body, provides a mechanism to appeal adverse decisions as provided in the medical staff bylaws.

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