Med Exec Committee updates from July 2024

August 12, 2024

Centralia: Effective July 25, the SW Community Mission Board approved the following:

  • PA/ARNP Privilege Request Form – Revised
  • Delinquent Medical Records Policy - Revised

St. Peter: Effective July 25, the SW Community Mission Board approved the following:

  • Orthopedics Ongoing Professional Practice Evaluation (OPPE) Clinical Measures – New
  • Non-Providence Affiliation Residents Policy – Routine Review
  • Standards for Basic Anesthetic Monitoring – Routine Review
  • Standards for Post Anesthesia Care Policy – Routine Review
  • Concerns Regarding Medical Staff Providers – Revised
  • Pathology Standards Policy – Revised
  • Infectious Disease Privilege Request Form – Revised
  • Female Pelvic Medicine & Reconstructive Surgery (FPM&R) Privilege Request Form – Revised
  • Gynecology Privilege Request Form – Revised
  • Application for Initial Appointment and Clinical Privileges – Revised
  • Credentials Process Responsibilities of Department Chairs, Credentials Committee, and Medical Executive Committee – Revised
  • Mentoring for Core Privileges – Revised
  • Mentoring for Special Request Privileges – Revised
  • Process for Selecting Medical or Osteopathic Boards to Meet Bylaws Requirements for Board Certification and Maintenance of Certification – Revised
  • Non-Affiliated Physicians as Assistant or Proctor – Revised
  • Temporary Emergency Privileges (Crucial Patient Service Only) – Revised
  • Continuous License, Insurance and DEA Registration – Revised
  • Level II Provider Extender Policy – Revised
  • PSPH Level II Provider Extender Non-Emergency Department Privilege Request Form – Revised 

Please email Kim (kim.packer@providence.org), Medical Staff Office manager, for copies of any criteria or p

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