8.3 Changes to Departments and Divisions The Board may at any time, after consultation with the Medical Advisory Committee, create such additional Departments or Divisions, amalgamate Departments or Divisions, or disband Departments or Divisions. 8.4 Professional Staff Human Resources Plan Each Department shall develop a Professional Staff Human Resources Plan in accordance with the Hospital Strategic Plan. The Plan shall be developed by the Chief of the Department, after receiving and considering the input of the members of the Professional Staff in the Department, and shall be approved by the Board. Each Department’s Plan shall include, the required number and expertise of the Professional Staff ; reasonable on-call requirements for members of the Professional Staff of the Department; a process for equitably distributing changes of resources to the members of the Professional Staff within the Department; a process for making decisions with respect to changes of in the Department resources; and a dispute resolution process regarding decisions made under subsection (d) above. Article 9 Leadership Positions* 9.1 Professional Staff Leadership Positions (1) The following positions shall be appointed in accordance with this By-law: Chief of Staff; Chair of the Medical Advisory Committee; and (c) where the Professional Staff has been organized into Departments, Chiefs of Department. (2) The following positions may be appointed in accordance with this By-law: (a) Vice Chair of the Medical Advisory Committee; (b) Deputy Chief of Department; and (c) Head of Division. (3)Notwithstanding any other provision in this By-law, in the event that the term of office of any person referred to in this section shall expire before a successor is appointed the appointment of the incumbent may be extended.
Notes to Article 3 Honourary Staff Designations Section Reference or Comment 3.1 There is no requirement to have an Honourary Staff but it has been the convention in Ontario for Hospitals to recognize certain individuals with this designation. These individuals do not have privileges or provide patient care. Notes to Article 4 Appointment and Reappointment to Professional Staff Section Reference or Comment 4.1 PHA, s. 36 and HMR, s. 4 (1) (c), 7 (2) (a) (i), (ii) 4.2 PHA, s. 37 (2), s. 39 (3) The PHA does not provide for a process for the appointment of dentists, midwives and extended class nurses. The By-law provides a common process for all applicants for appointment to the Professional Staff. 4.4 PHA, s. 37 4.4 The term “Chief of Staff /Chief of Staff/Chair of the Medical Advisory Committee” is used throughout this document. Hospitals that have a Chief of Staff should delete “/Chief of Staff/Chair of the Medical Advisory Committee”. Hospitals that do not have a Chief of Staff should delete “Chief of Staff /”. 4.5 PHA, s. 37 See also section 9.6 (h) of the By-law. Prototype Board-Appointed Professional Staff By-law 32 4.6 Previous versions of the by-laws referred to temporary staff as a category of staff. This deletes the “temporary staff” category and creates a temporary appointment process. This is a process that allows for a temporary appointment and temporary privileges. Each Hospital will need to determine what level of verification of the qualifications of the applicant must be completed before a temporary appointment or temporary privileges are granted. 4.7 PHA, s. 37 4.7(2) (c) For more information on the credentialing process, see Chapter 3 of the Guide to Good Governance. Notes to Article 5