2016 Medical Staff Bylaws Proposed Revisions To be presented for MEC approval May 3 To be presented for Board approval May 12 To be presented for Medical Staff vote June 28

4.2.4 Associate Staff 4.2.4 b. Rights and Responsibilities b. be required to pay medical staff dues Revision: be required to pay medical staff dues as determined by the Medical Executive Committee (Consistency with language)

4.2.2 Courtesy Staff b. Rights and Responsibilities ix. serve on Medical Staff committees with vote; Revision: Remove entire subsection (Courtesy staff are limited to less than 10 admissions/attends per year)

4.3 Emeritus Status Emeritus status may be offered to a member of the Medical Staff who has retired from Active or Senior Staff and who has rendered distinguished service to the Hospital and his profession. Revision: Emeritus status may be offered to a member of the physician Medical Staff who has retired from practice and who has rendered distinguished service to the Hospital and his profession. (Allows consideration for all Medical Staff members, not just Active/Senior)

ARTICLE VIII. OFFICERS OF THE MEDICAL STAFF 8.2 Qualifications Each officer of the Medical Staff shall be… and not be a Department Chief or the Chief Medical Officer. Revision: Each officer of the Medical Staff shall be…and not be the Chief Medical Officer. (Remove reference to Dept Chief) (Allows a Department Chief to be President, Vice President and/or Secretary/Treasurer of the Medical Staff concurrent with Department Chief appointment)

6.6. Department Chief 6.6.1 Qualifications Each Chief of a Department shall: b. serve on the Medical Executive Committee and report regularly on the activities of the Department; Revision: Serve on the Medical Executive Committee with vote and report regularly on the activities of the Department; (Specifies Medical Executive Committee voting privilege)

6.6. Department Chief (con’t) Add back: (Items previously removed after 2014) - Collaborate with Chief Medical Officer for all* professional and administrative activities within the Department, including but not limited to, maintaining liaison and cooperation with all* elements of the Medical Staff and Hospital; - Maintain a continuing review of the Medical Staff privileges, be responsible for the quality of care and/or services of each Department to ensure quality and appropriate patient care is monitored and evaluated, including the focused review of Department members as required by Section 7.6; (*removed by MEC)

6.6. Department Chief (con’t) Add: - Be responsible for the enforcement of the Medical Staff and Hospital Bylaws, Rules and Regulations, and Department Manual; - Be responsible for implementation within the Department of actions taken by the Medical Executive Committee and/or the Board of Directors.

ADD NEW SECTION: 6.10 Medical Director A Medical Director may be assigned at the discretion of the President of the Hospital or his designee, and/or the Chief Medical Officer to direct and oversee strategic program development and clinical activities of a specific division within an established clinical department. 6.9.1 Qualifications a. The qualifications for Medical Director shall be identical to those for a Section Chief as specified in Section 6.9.1.

6.10 Medical Director (con’t) b. The qualifications specified in Section 6.6.1.e may be waived at the discretion of the Medical Executive Committee*. President of the Hospital or his designee, and/or the Chief Medical Officer upon collaboration with the appropriate Department Chief. 6.9.2 Responsibilities and Duties The responsibilities and duties shall be assigned by the President of the Hospital or his designee and/or the Chief Medical Officer (*added by MEC -removed by MEC)

6.10 Medical Director (con’t) 6.9.3 Procedure for Assignment The President of the Hospital or his designee, and/or the Chief Medical Officer shall assign each Medical Director. 6.9.4 Term The Medical Director shall serve at the discretion of the President of the Hospital or his designee and/or the Chief Medical Officer. 6.9.5 Quality and Clinical Reporting a. The Medical Director shall regularly report to and collaborate with the appropriate Department Chief on the quality and clinical activities within the division. b. The Department Chief shall be responsible for privileging, credentialing, clinical performance, and quality within the division.

8.7.2 Vice President d. represent the Medical Staff at local, state and national meetings; Revision: Remove entire subsection (No longer applies) Approved w/ revisions by MEC 5/3/16