NAC449.9801. Procedures for granting privileges to members of medical staff.

     1. The governing body shall:

     (a) Adopt criteria for granting privileges to members of the medical staff based upon the size and complexity of the services provided by the center.

     (b) Ensure that an application to be accorded privileges or for the renewal of those privileges is processed in an expeditious manner.

     (c) Adopt procedures for verifying information contained in an application to be accorded privileges or for the renewal of those privileges. The procedures may include a requirement for the applicant to sign a statement granting immunity from liability to the center for actions taken to verify the information and attesting to the accuracy and completeness of the information contained in the application.

     2. The procedures for granting privileges to members of the medical staff must be approved by the governing body.

     3. An application to be accorded privileges at an ambulatory surgical center must include, without limitation:

     (a) Information related to the educational and professional training of the applicant;

     (b) An evaluation conducted by the applicant’s peers concerning the quality of care provided by the applicant;

     (c) Evidence that the applicant is licensed or certified to provide in this State the professional services for which the privileges are being requested;

     (d) Evidence of any license required to be obtained by the applicant from the Drug Enforcement Administration;

     (e) A description or list of the privileges being requested;

     (f) Information obtained from the National Practitioner Data Bank as may be required by federal law; and

     (g) Such other information as may be required by the governing body, including, without limitation, information relating to:

          (1) Any claims filed against the applicant for professional liability;

          (2) The revocation, suspension or voluntary relinquishment of the applicant’s license or certification to practice in this State, any other disciplinary action that has been taken against the applicant in his or her professional capacity and any limitations or conditions placed on the applicant’s license or certification to practice in this State;

          (3) Complaints or reports of any adverse action filed against the applicant with a local, state or national professional society or occupational board;

          (4) Insurance for professional liability maintained by the applicant, including any circumstance under which an insurer has refused to issue such insurance to the applicant or cancelled the applicant’s insurance;

          (5) The denial, suspension, limitation, termination or refusal to renew privileges accorded to the applicant at another medical facility;

          (6) The suspension or revocation of a license issued to the applicant by the Drug Enforcement Administration;

          (7) Any conviction for a criminal offense, other than a minor traffic violation; and

          (8) Any physical or mental condition of the applicant that would interfere with his or her ability to provide professional services, including alcohol or drug abuse.

     4. A member of the medical staff who is applying for the renewal of his or her privileges must provide evidence that the member is in compliance with the provisions of subsection 3 on the date of the application.

     5. The ambulatory surgical center shall maintain a record of the privileges accorded to each member of the medical staff of the center. The record must include, without limitation:

     (a) The application to be accorded privileges at the center;

     (b) Each application for the renewal of those privileges;

     (c) Evidence of the verification of the information contained in the applications;

     (d) The privileges granted; and

     (e) Such other information as may be required by the governing body.

     6. Privileges accorded to a member of the medical staff must be:

     (a) Consistent with his or her professional experience and authorized scope of practice;

     (b) For a limited time as specified by the governing body or a person or committee designated by the governing body; and

     (c) Be reviewed periodically and revised as appropriate.

     (Added to NAC by Bd. of Health by R049-99, eff. 9-27-99)