CAROLINAS MEDICAL CENTERS-CHARLOTTE
CURRENT LANGUAGE
GENERAL PROVISIONS OF THE BYLAWS OF THE MEDICAL AND
DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-1)
ARTICLE I
DEFINITIONS
NEW DEFINITION
“CHS Hospitals” shall mean Carolinas Medical Center, Carolinas Medical
Center-Mercy, Carolinas Medical Center-Pineville, Carolinas Medical
Center-University and Carolinas Rehabilitation.
NEW DEFINTION
ARTICLE III - PART C: TERMS OF OFFICE
SECTION 1. ELECTION OF OFFICERS:
(b)
Nomination and Election of Officers
(1)
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The Nominating Committee shall prepare a slate
of nominees for each office that is open.
PROPOSED LANGUAGE
GENERAL PROVISIONS OF THE BYLAWS OF THE MEDICAL AND
DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-1)
ARTICLE I
DEFINITIONS
ALL DEFINITION CHANGES BELOW WILL BE GLOBAL CHANGES
IN ALL TABS OF BYLAWS
“Carolinas Medical Center” shall mean both the Carolinas Medical
Center campus located at 1000 Blythe Boulevard, Charlotte, NC and
the Carolinas Medical Center campus located at 2001 Vail Avenue,
Charlotte, NC.
“CHS Hospitals” shall mean Carolinas Medical Center, Carolinas Medical
Center-Mercy, Carolinas Medical Center-Pineville, Carolinas Medical
Center-University and Carolinas Rehabilitation.
“Primary Campus” shall mean the Carolinas Medical Center campus at
which Appointees to the Attending and Associate Classifications of the
Medical Staff of Carolinas Medical Center have the greater number of
patient encounters qualifying them in the Attending or Associate
Classification, unless otherwise defined by Department policy and
approved by the Facility Medical Executive Committee.
ARTICLE III - PART C: TERMS OF OFFICE
SECTION 1. ELECTION OF OFFICERS:
(b)
Nomination and Election of Officers
(1)
The Nominating Committee shall prepare a slate
of nominees for each office that is open. To the
extent possible, the nominating committee shall
ensure that the slate of nominees includes at
least one member of the Medical Staff from each
of the Carolinas Medical Center campuses
(determined by Primary Campus criteria),
provided that all nominees shall possess the
qualifications set forth in Part A., Section 2 of this
Article.
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ARTICLE IV - PART A:
SECTION 4. DEPARTMENT CHIEFS AND VICE-CHIEFS:
ARTICLE IV - PART A:
SECTION 4. DEPARTMENT CHIEFS AND VICE-CHIEFS:
(a)
The Chief and Vice-Chief of each department shall be
Appointees to the Attending or Senior Attending Staff,
unless otherwise provided for in the GENERAL
PROVISIONS, and possess the qualifications set forth in
Article III, Part A., Section 2 hereof. Such individuals
must also be certified by the appropriate Specialty Board,
unless waived by the Board.
(a)
The Chief and Vice-Chief of each department shall be
Appointees to the Attending or Senior Attending Staff,
unless otherwise provided for in the GENERAL
PROVISIONS, and possess the qualifications set forth in
Article III, Part A., Section 2 hereof. Such individuals
must also be certified by the appropriate Specialty Board,
unless waived by the Board.
(b)
The Chief and Vice-Chief of each clinical department
shall be elected by the members of that department or
the Facility Medical Executive Committee of that
department and subject to Board approval. The term of
office of a Chief shall be for a period of two (2) years.
The Chiefs of the departments of medical specialties
shall be elected in odd numbered years and the Chiefs of
the departments of surgical specialties shall be elected in
even numbered years.
(b)
The Chief and Vice-Chief of each clinical department
shall be elected by the members of that department or
the Facility Medical Executive Committee of that
department in accordance with this section and subject to
Facility Medical Executive Committee and Board
approval. The term of office of a Chief and Vice- Chief
shall be for a period of two (2) years. The Chiefs of the
departments of medical specialties shall be elected in
odd numbered years and the Chiefs of the departments
of surgical specialties shall be elected in even numbered
yearsTo the extent possible, the individual elected to the
position of Department Chief and the individual elected to
the position of Department Vice-Chief of Carolinas
Medical Center shall have different Primary Campuses.
ARTICLE IV - PART A:
SECTION 8. CHAIRMAN OF THE DEPARTMENT:
(e)
ARTICLE IV - PART A:
SECTION 8. CHAIRMAN OF THE DEPARTMENT:
The Senior Vice President of Education and Research
shall report to the Facility Medical Executive Committee
at least yearly concerning:
1.
2.
(e)
the educational programs being offered at the
Hospital;
The Senior Vice PresidentChief Academic
Officer of Education and Research or a designee shall
report to the Facility Medical Executive Committee at
least yearly concerning:
1. the educational programs being offered at the
Hospital;
written descriptions of the role, responsibilities
and patient care activities of the participants in
the program;
2. written descriptions of the role, responsibilities
and patient care activities of the participants in
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the program;
3.
4.
5.
the safety and quality of patient care provided by
the program participants;
3. the safety and quality of patient care provided by
the program participants;
the related educational and supervisory needs of
the participants in the professional graduate
medical education programs; and
the delineation of who may write patient care
orders, the circumstances under which they may
do so and what entries, if any, must be
countersigned by a faculty member, the patient’s
attending staff physician or another appropriate
licensed independent practitioner who is a
member of the Medical Staff at the Hospital. This
must be in conformance with the Rules and
Regulations Section of the Bylaws of the Medical
and Dental Staff on who may write medical
orders.
ARTICLE V – PART B: CMC-C MEDICAL EXECUTIVE COMMITTEE:
SECTION 1. COMPOSITION:
(a)
4.
the related educational and supervisory needs of
the participants in the professional graduate
medical education programs; and
5.
the delineation of who may write patient care
orders, the circumstances under which they may
do so and what entries, if any, must be
countersigned by a faculty member, the patient’s
attending staff physician or another appropriate
licensed independent practitioner who is a
member of the Medical Staff at the Hospital. This
must be in conformance with the Rules and
Regulations Section of the Bylaws of the Medical
and Dental Staff on who may write medical
orders.
ARTICLE V – PART B: CMC-C MEDICAL EXECUTIVE COMMITTEE:
SECTION 1. COMPOSITION:
The CMC-C Medical Executive Committee shall consist
of the President of the Medical Staff, the Past President
of the Medical Staff and the Vice-President of the Medical
Staff at Carolinas Medical Center, Carolinas Medical
Center-Mercy, Carolinas Medical Center-Pineville and
Carolinas Medical Center-University as well as the
President and the Vice-President of the Medical Staff at
Carolinas Rehabilitation.
(a) The CMC-C Medical Executive Committee shall consist of
the President of the Medical Staff, the Past President of the
Medical Staff and the Vice-President of the Medical Staff at
Carolinas Medical Center, Carolinas Medical Center-Mercy,
Carolinas Medical Center-Pineville and Carolinas Medical
Center-University as well as the President and the Vice
President of the Medical Staff at Carolinas Rehabilitation.
ARTICLE V – PART B:
SECTION 3. MEETINGS, REPORTS AND RECOMMENDATIONS:
ARTICLE V – PART B:
SECTION 3. MEETINGS, REPORTS AND RECOMMENDATIONS:
A quorum shall consist of at least six (6) voting members, including at
least one (1) voting representative member from each of Carolinas
Medical Center, Carolinas Medical Center-Mercy, Carolinas Medical
Center-Pineville and Carolinas Medical Center-University.
A quorum shall consist of at least sixfive (65) voting members, including at
least one (1) voting representative member from each of Carolinas
Medical Center, Carolinas Medical Center-Mercy, Carolinas Medical
Center-Pineville and Carolinas Medical Center-University
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ARTICLE V – PART C: CMC-C CREDENTIALS COMMITTEE:
SECTION 1. COMPOSITION:
(a)
ARTICLE V – PART C: CMC-C CREDENTIALS COMMITTEE:
SECTION 1. COMPOSITION:
The CMC-C Credentials Committee shall consist of the
following Medical Staff members:
(i)
(ii)
(iii)
(iv)
(v)
(vi)
(vii)
(a)
the Vice-President of Carolinas Medical Center;
the Vice-President of Carolinas Medical CenterUniversity;
the Vice-President of Carolinas Medical CenterMercy;
the Vice-President of Carolinas Medical CenterPineville;
the Medical Director of Carolinas Rehabilitation;
the CHS Senior Vice President of Education and
Research;
six (6) at-large positions filled as follows:
a. the President of the Medical Staff at
Carolinas Medical Center shall appoint three
(3) members;
b. the President of the Medical Staff at
Carolinas Medical Center-University shall
appoint one (1) member:
c. the President of the Medical Staff at
Carolinas Medical Center-Mercy shall
appoint one (1) member; and
d. the President of the Medical Staff at
Carolinas Medical Center-Pineville shall
appoint one (1) member.
The CMC-C Credentials Committee shall consist of the
following Medical Staff members:
(i)
(ii)
(iii)
(iii)
(iv)
(v)
(vi)
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the Vice-President of Carolinas Medical Center;
the Vice-President of Carolinas Medical CenterUniversity;
the President-Elect of Carolinas Medical CenterMercy;
(iv) the Vice-President of Carolinas Medical
Center-Pineville;
(v) the Medical Director of Carolinas
Rehabilitation;
(vi) the CHS Senior Vice PresidentChief
Academic Officer of Education and Research;
(vii) six (6) five (5)at-large positions filled as
follows:
a. the President of the Medical Staff at
Carolinas Medical Center shall appoint three
(3) members, including at least one member
from each of the Carolinas Medical Center
campuses;
b. the President of the Medical Staff at
Carolinas Medical Center-University shall
appoint one (1) member: ; and
c. the President of the Medical Staff at
Carolinas Medical Center-Mercy shall
appoint one (1) member; and
c. d. the President of the Medical Staff at
Carolinas Medical Center-Pineville shall
appoint one (1) member.
ARTICLE V – PART C:
SECTION 3. MEETINGS, REPORTS AND RECOMMENDATIONS:
ARTICLE V – PART C:
SECTION 3. MEETINGS, REPORTS AND RECOMMENDATIONS:
A quorum shall consist of at least eight (8) voting members, including at
least one (1) voting representative member from each of Carolinas
Medical Center, Carolinas Medical Center-Mercy, Carolinas Medical
Center-Pineville and Carolinas Medical Center-University.
A quorum shall consist of at least eight (8) six (6) voting members,
including at least one (1) voting representative member from each of
Carolinas Medical Center, Carolinas Medical Center-Mercy, Carolinas
Medical Center-Pineville and Carolinas Medical Center-University.
CURRENT LANGUAGE
ORGANIZATIONAL MANUAL OF THE BYLAWS OF THE MEDICAL
AND DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-2)
ARTICLE IV - PART G: FACILITY CREDENTIALS COMMITTEE:
PROPOSED LANGUAGE
ORGANIZATIONAL MANUAL OF THE BYLAWS OF THE MEDICAL
AND DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-2)
ARTICLE IV - PART G: FACILITY CREDENTIALS COMMITTEE:
(a)
(a)
The Facility Credentials Committee shall consist of the
officers of the Medical Staff, the immediate past
President of the Medical Staff, the Chief Academic Officer
or designee, and six (6) at-large positions filled by
members of the Medical Staff of varying Departments.
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The Facility Credentials Committee shall consist of the officers of the Medical Staff, the immediate past President
of the Medical Staff, the Chief Academic Officer of
Education and Research or designee, and six (6) at-large
positions filled by members of the Medical Staff of varying
Departments.
CURRENT LANGUAGE
CREDENTIALS POLICY OF THE BYLAWS OF THE MEDICAL AND
DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-3)
NO PROPOSED CHANGES
CURRENT LANGUAGE
RULES AND REGULATIONS OF THE BYLAWS OF THE MEDICAL
AND DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-4)
I.
ADMISSION
3.
XI.
PROPOSED LANGUAGE
CREDENTIALS POLICY OF THE BYLAWS OF THE MEDICAL AND
DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-3)
NO PROPOSED CHANGES
PROPOSED LANGUAGE
RULES AND REGULATIONS OF THE BYLAWS OF THE MEDICAL
AND DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-4)
I.
ADMISSION
Care of Unassigned Patients: Patients who are presenting for
admission who have no attending Physician or Dentist shall be
assigned to a member of the Active Staff in the department in
which the condition of the patient indicates assignment.
HOUSE STAFF
XI.
3.
Care of Unassigned Patients: Patients who are
presenting for admission who have no attending
Physician or Dentist shall be assigned to a member of the
Active Staff in the department in which the condition of
the patient indicates assignment. A Patient who presents
for admission at a Carolinas Medical Center campus and
who has an attending physician whose Primary Campus
is the other Carolinas Medical Center campus may be
considered “unassigned” for purposes of this section.
4.
Emergency Department Call Roster: Each physician
appointed to the Medical Staff of Carolinas Medical
Center will be assigned Emergency Department call at
their Primary Campus. A provider may elect to take call
at both Carolinas Medical Center campuses, provided
their call coverage obligations are met at their Primary
Campus.
HOUSE STAFF
The House Staff shall include fellows and residents as appointed
through the Division of Education and Research of Carolinas
Medical Center. These residents include residents employed by
Carolinas Medical Center and those who have adjunct
appointment to the House Staff.
The House Staff shall include fellows and residents as appointed
through the Division of Education and Research of Carolinas
Medical Center. These residents include residents employed by
Carolinas Medical Center and those who have adjunct
appointment to the House Staff.
Adjunct appointment allows approved residents from other
institutions to act as residents under the direct supervision of
Senior Attending, Attending and Associate members of the
Medical Staff, the residency program directors, Chairmen, and the
Adjunct appointment allows approved residents from other
institutions to act as residents under the direct supervision of
Senior Attending, Attending and Associate members of the
Medical Staff, the residency program directors, Chairmen, and the
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Senior Vice President for Education and Research. The duties of
each member of the House Staff shall be specified by the
designated supervisory Physicians and, when appropriate, the
residency program directors and Chairmen of the department to
which they are assigned subject to approval by the Senior Vice
president for Education and Research.
Senior Vice President forChief Academic Officer of Education and
Research. The duties of each member of the House Staff shall
be specified by the designated supervisory Physicians and, when
appropriate, the residency program directors and Chairmen of the
department to which they are assigned subject to approval by the
Senior Vice President for Chief Academic Officer of Education
and Research.
CURRENT LANGUAGE
POLICY ON CLINICAL PRIVILEGES FOR ALLIED HEALTH
PROFESSIONALS OF THE BYLAWS OF THE MEDICAL AND
DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-5)
“Chairman” shall mean the physician appointed by the CHS Senior Vice
President of Education and Research to be responsible for overseeing
the residency program within a particular department.
ARTICLE II – PART A: ROLE OF CMC-C ALLIED HEALTH REVIEW
COMMITTEE
SECTION 1. COMPOSITION:
PROPOSED LANGUAGE
POLICY ON CLINICAL PRIVILEGES FOR ALLIED HEALTH
PROFESSIONALS OF THE BYLAWS OF THE MEDICAL AND
DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-5)
“Chairman” shall mean the physician appointed by the CHS Senior Vice
President Chief Academic Officer of Education and Research to be
responsible for overseeing the residency program within a particular
department.
ARTICLE II - PART A: ROLE OF CMC-C ALLIED HEALTH REVIEW
COMMITTEE
SECTION 1. COMPOSITION:
The CMC-C Allied Health Review Committee shall be multidisciplinary, consisting of nine voting members. The members
shall be appointed as follows:
The CMC-C Allied Health Review Committee shall be multidisciplinary, consisting of nineseven voting members. The
members shall be appointed as follows:
(a) The President of the Medical Staff at Carolinas
Medical Center shall appoint one Physician and
one Allied Health Professional;
(b) The President of the Medical Staff at Carolinas
Medical Center-University shall appoint one
Physician and one Allied Health Professional;
(c) The President of the Medical Staff at Carolinas
Medical Center-Mercy shall appoint one Physician
and one Allied Health Professional;
(d) The President of the Medical Staff at Carolinas
Medical Center-Pineville shall appoint one
Physician and one Allied Health Professional; and
(e) The President of the Medical Staff at Carolinas
(a)
(b)
(c)
(c)
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The President of the Medical Staff at Carolinas
Medical Center shall appoint one Physician
and one Allied Health Professional;
The President of the Medical Staff at Carolinas
Medical Center-University shall appoint one
Physician and one Allied Health Professional;
The President of the Medical Staff at Carolinas
Medical Center-Mercy shall appoint one
Physician and one Allied Health Professional;
(d) The President of the Medical Staff at
Carolinas Medical Center-Pineville shall
appoint one Physician and one Allied Health
Professional; and
Rehabilitation shall appoint one Physician.
(d)
CURRENT LANGUAGE
AMENDMENT PROVISIONS OF THE BYLAWS OF THE MEDICAL
AND DENTAL STAFF OF CAROLINAS MEDICAL CENTER(TAB-6)
NO PROPOSED CHANGES
(e) The President of the Medical Staff at
Carolinas Rehabilitation shall appoint one
Physician.
CURRENT LANGUAGE
AMENDMENT PROVISIONS OF THE BYLAWS OF THE MEDICAL
AND DENTAL STAFF OF CAROLINAS MEDICAL CENTER (TAB-6)
NO PROPOSED CHANGES
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