Process
of advocacy for physicians
A
member can appeal to CAPA president or site representatives re:
-
unsatisfactory
performance review*
-
unrequested
change in privileges
-
termination
of privileges
-
suspension
of privileges
-
unsatisfactory
working conditions*
-
refusal
of LOA**
-
refusal
of appointment to
Calgary
Health Region
department
-
any
other significant issue regarding physician rights. Currently
we have no process in place to decide what is a
"significant issue.”*
Currently
there is no formal way for the CAPA to be involved. We should
discuss whether to become involved on application from a member -
should there be any time minimum on how long the physician has
been resident in the region?
*signifies
no bylaws or rules and regulations to cover
**Rules and regulations
apply; no bylaws.
Privileging
issues
All
changes in privileges must come before the MAB. In cases of
disputed refusal or downgrading, the MAB must transmit to the
applicant (by double registered mail) the concerns prompting the
contemplated rejection or modification, and invite the applicant
to make a written or verbal (or both) submission to the MAB at its
next meeting. The decision must therefore be tabled to the next
meeting. The applicant must respond in writing before the next MAB
and be given at least 14 day to do so. (See Article 3.1.5.3)
This process is repeated by the CHR board if they agree with the
MAB recommendations to deny or downgrade privileges. (See
attached flow chart).
Disciplinary
actions
See
flowchart (in Adobe Acrobat pdf format). (See link at
end of page to download free copy of Acrobat reader).
See
Article 8.3 - Infractions and 8.4 - Penalties.
APPEALS
COMMITTEE (ARTICLE 7.4.1)
The
appeals committee shall only hear appeals based on:
i) An allegation that due process for discipline has not been
followed
ii) New evidence.
Members
are elected by the medical staff or appointed by the CAPA
executive. The president of the CAPA calls meetings on request of
a senior medical officer, chief medical officer or member of the
medical staff. Must meet within 14 days after receipt of request
by an appellant. The appellant has the right to appear before the
committee, and also be represented by legal counsel.
N.B.
Bylaw 3.5.1. The
Calgary
Health Region shall notify the College of Physicians and Surgeons
of Alberta whenever a member is suspended or privileges canceled
or materially altered because of incompetence, negligence or
misconduct, or if the member resigns voluntarily or under coercion
while under investigation for above.
1998/10/27
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