SECTION 310:667-7-4. Medical staff

(a)   The governing body shall appoint members of the medical staff.

(b)   A formal procedure shall be established, governed by written rules and regulations, covering the application for medical staff membership and the method of processing applications.

(c)   The procedure related to the submission and processing of applications shall involve the administrator, credentials committee of the medical staff or its counterpart, and the governing body, all functioning on a regular basis.

(d)   Selection of physicians and licensed independent practitioners and definition of their medical privileges, both for new appointments and reappointments, shall be based on written, defined criteria.

(e)   Actions taken on applications for medical staff appointments by the governing body shall be put in writing and retained.

(f)   Written notification of applicants shall be made by either the governing body or its designated representative

(g)   Applicants, approved for medical staff appointment, shall sign an agreement to abide by the medical staff bylaws, rules and regulations. In instances where physician or licensed independent practitioner services are provided by a corporation, the corporation and/or individual physicians and licensed independent practitioners shall agree to comply with medical staff bylaws.

(h)   There shall be a procedure for appeal and hearing by the governing body or other designated committee if the applicant or medical staff feels the appointment or privileging decision is unfair or wrong.

[Source: Added at 12 Ok Reg 1555, eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok Reg 1664, eff 6-12-03]