The City-Wide Credentials Committee (CWCC) evaluates the "credentials" of an individual and ensures that all criteria for appointment to the Professional Staff are met as outlined in the Professional Staff By-Laws.
The CWCC then recommends the individual for a Professional Staff appointment and a specific delineation of procedural privileges to the Medical Advisory Committee (MAC). The committee meets monthly from August to May. Click here for the current meeting schedule.
As a subcommittee of the MAC, The CWCC:
Develops and approves policies and process changes. Policies or processes with significant change or impact on the Corporation are forwarded to the MAC for approval.
Develops processes to monitor quality indicators and report any concerns to the MAC.
Reviews regularly the credentials of each applicant for membership to the Professional Staff and makes recommendations to the MAC;
Reviews the appropriateness of each appointment and reports to the MAC of the relevant institution(s), in a timely fashion, its recommendations regarding:
Granting of an appointment;
The clinical appointment category;
Assignment to the department(s);
Specific privileges to be granted (including addition or deletion thereof); and
Any other terms and conditions to which any such appointment of granting of privileges shall be subject.
Makes recommendations to the MAC regarding the retirement of members of the Professional Staff;
During the annual reappointment process for Professional Staff, reviews the categories of privileges of all appointees in each department, and makes recommendations to the MAC regarding the continuance, addition or termination of privileges;
Investigates, at the request or direction of the MAC or at the request of the President(s) of SJHC or LHSC, any alleged contravention or violation by a member of the Professional Staff of the institution of the Public Hospitals Act, By-Laws, Rules and Regulations and report all findings to the MAC and President(s) of SJHC and LHSC.
Membership:
The CWCC consists of the following members:
Immediate Past-Chair, MAC, LHSC
Immediate Past-Chair, MAC, SJHC
Physician delegate appointed by the MAC, LHSC
Physician delegate appointed by the MAC, SJHC
one Physician representative appointed by the Professional Staff Organization, LHSC
one Physician representative appointed by the Professional Staff Organization, SJHC
Integrated Vice-President, Medical Education & Medical Affairs (non-voting)
Director, City-Wide Medical Affairs (non-voting)
Chair, MAC LHSC (non-voting)
Chair, MAC SJHC (non-voting)
Appointment of Chair: The Chair of the CWCC is appointed by the Medical Advisory Committee for a renewable two-year term.
