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(a) A frontier extended stay clinic must have the medical staff necessary to provide the care and services required in 7 AAC 12.453. (b) The medical staff shall develop, for approval by the governing body of the clinic, bylaws and rules that provide for

(1) eligibility for medical staff membership;

(2) the biennial recommendation by the medical staff regarding the credentialing and privileges of each member of the medical staff, including establishing standards for

(A) assessing the training, experience, and competence of medical staff;

(B) a formal process that includes

(i) querying the National Practitioner Data Bank; and

(ii) verifying that medical staff meet professional licensing requirements;

(C) a delineation of privileges as authorized by the governing body, including verification of education and training related to the privileges requested and to the level of care that will be provided;

(D) the inclusion of quality assurance findings in ongoing credentialing of medical staff; and

(E) the assurance of participation in continuing professional education;

(3) quality assurance under 7 AAC 12.460;

(4) medical records retention and protection under 7 AAC 12.483;

(5) infection control;

(6) pharmacy and therapeutics, including

(A) development and maintenance of a formulary of drugs; and

(B) development and implementation of procedures for the safe and effective control, storage, dispensing, and administration of prescribed drugs, chemicals, and biologicals; and

(7) utilization review. (c) The medical staff shall

(1) ensure that a physician or a mid-level practitioner with training or experience in emergency care is, on a 24-hour-per-day basis,

(A) on call;