Section 555.3. Requirements for membership and privileges

(a) To receive favorable recommendation for appointment, or reappointment, members of the medical staff shall always act in a manner consistent with the highest ethical standards and levels of professional competence.

(b) Privileges granted shall reflect the results of peer review or utilization review programs, or both, specific to ambulatory surgery.

(c) Privileges granted shall be commensurate with an individual’s qualifications, experience and present capabilities.

(d) Granting of clinical privileges shall follow established policies and procedures in the bylaws or similar rules and regulations. The procedures shall provide the following:

(1) A written record of the application, which includes the scope of privileges sought and granted. The delineation ‘‘clinical privileges’’ shall address the administration of anesthesia.

(2) A review, summarized on record with appropriate documentation, of the qualifications of the applicant.

(e) Reappraisal and reappointment shall be required of every member of the medical staff at regular intervals no longer than every 2 years.

(f) The governing body shall request and consider reports from the National Practitioner Data Bank on each practitioner who requests privileges.

The provisions of this § 555.3 amended October 22, 1999, effective November 22, 1999, 29 Pa.B. 5583. Immediately preceding text appears at serial page (256562).

Notation

Cross References

This section cited in 28 Pa. Code § 551.3 (relating to definitions).