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Medical Staff: Governing Documents
Medical Staff Governing Documents (PDFs)
Rules
By-laws
Policies
- AHP: Authorization for Individuals to Provide Services as AHPs
- Code of Professional Behavior
- Committee on Professionalism
- Communicable Disease Screening for Medical Staff
- Complaints/Grievances from Patients/Families
- Confidentiality of Medical Staff/Advance Practice Professional Staff Records
- Conflict of Interest
- Credentials Files Maintenance
- Credentialing and Privileging of Medical Staff and Advanced Practice Providers
- Credentialing for Telehealth
- Disaster Privileges for Volunteer Licensed Independent Practitioners and Advanced Practice Providers
- Discrimination
- Fast Track Review
- For Cause Drug Testing
- Consent for Transfusion - Non-Surgical
- Consent for Transfusion - Surgical
- Refusal for Blood Transfusion
- Health and Well-Being of the Medical Staff
- HIV AIDS Specialist
- Influenza Vaccination
- Information Sharing Agreement
- Innovative Care Guidelines
- Initial Focused Professional Practice Evaluation (IFPPE) for New Provider, New Privileges
- Joint Application Credentials Processing
- Late Career Practitioner
- Medical Staff and APP Educational Requirements
- Medical Staff Finance
- Medical Student Practices
- MSOW Look Up
- New Privileges
- Notification to Authorities and Practitioner Appeal Rights Policy
- OB-GYN as PCP
- Ongoing Professional Practice Evaluation (OPPE)
- Peer Review and Focused Professional Practice Evaluation (FPPE)
- SHC Physicians Providing Care at LPCH
- Site Visit
- Supervision of House Staff
- Temporary Privileges
- Verification of Renewals and Adverse Action Reporting