BYLAWS COMMITTEE Proposed Revisions and Report to the JCC 2008-2009 Bylaws Please note that some sections have been reordered with no change in content Definition of ‘Ex Officio” Bx officio Refers srvic by vireo offic positon held. Anois appointment with vote unten opeciied there: RATIONALE: Any active member of the Medical Staff who has an Ex Officio appointment has ‘Voting rights when serving on a Committee. Voting rights are also addressed in Section 10.2-5. 2.2-5 Participation in Medicare, Medicaid and Other Federal Health Care Programs RATIONALE: Meets CMS requirements and is compliant with hospital policy for eligibility to participate in Medicare 48-3 Appointment (for Afili D we et services ase be Nore 1. do ast have masters dems, Norse wet iy Uni to Age 2004 met haves mate's.RATIONALE: Meets CMS requirements and is compliant with hospital policy for eligibility to participate in Medicare. Medicare eligibility for Affiliate staff includes a Master's degree and Board eligibility 5.6-4 Proctoring duration or privileges that are ntcqucatly prfocmod by the Medical Staff member the nical sevice chi may sai writen reqs to the Credeni ‘toring oss af another accredited hospital 20 longa the Proctor i member ofthe SEG Medical Staff in god tanding, Then privileges shall be voluntary relinquished or widen i _roctoring snot completed within twenty-four 24) months ofthe ntl granting ofthe infec ried omamtoe to extend the prctoring period oto hae the eiilege: RATIONALE: Infrequently performed privileges may be proctored at another site by a member of the SFGH medical staff ARTICLE VI: ROUTINE MONITORING AND EDUCATION AND CORRECTIVE ACTION 6.1 Routine Monitoring and Education, Including Verbal and Written Counseling "The depurtmons end committees are responsible or crying dolgated evew-and quali improvementfnctions Helse may “srt chest se tea momen senine a ie rtp sre ant nga the Psa lero te povide eneonable atic of admisont and rocecien the come crying thew den tho ining es ne etd en a hee tant a