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in accordance with hearing and appellate review procedures adopted by the Board if and to the extent that such provision is included within the Medical Staff Bylaws , Policy on Appointment, Re Appointment & Clinical Privileges or otherwise specifically authorized by the Board . 7 . 42 MEDICO-ADMINISTRATIVE OFFICIALS . From time to time the Hospital may engage one or more practitioners as medico-administrative officials under such terms and conditions as are specified in an engagement agreement. The engagement agreement must require that any such medico-administrative official be a member of the Medical Staff and that his membership be processed and his -privileges be delineated on the basis of patient care criteria as provided herein . Unless otherwise provided in the engagement agreement , neither the Medical Staff membership nor_ the privileges of a medico-administrative - _ - official shall be terminated without the same hearing and appellate review opportunities as are -- provided for other members of the Medical Staff. The term . " medico-administrative official " shall mean a practitioner engaged by the Hospital -on a full-time -or part-time basis to perform duties which , although partially administrative , .include clinical responsibilities (e . g . , direct medical care or supervision of the professional activities of other practitioners) . Section 7 . 5 . STATUS AS INDEPENDENT CONTRACTOR . The members of the - Medical Staff (when attending patients and when acting as officials of the Medical Staff or as members of Committees of the Medical Staff, the Hospital or the Corporation) , shall perform their duties as independent contractors in accordance with their professional judgments . Nothing contained in these Bylaws shall - be interpreted to cause the Medical Staff or the - - practitioners who are members thereof to be- employees or agents of the Hospital or Corporation . The Corporation may , however, by specific written contract so stating , retain - - individual practitioners as employees to perform services-for the Hospital or Corporation . version MOV99 - - - — ARTICLE VIII QUALITY OF PROFESSIONAL SERVICES Section 8 . 1 . BOARD RESPONSIBILITY . The Board shall require , after considering the recommendations of the Medical Staff and other health care professionals providing patient _ care services , the performance of specific review and evaluation activities to assess , preserve - and improve the overall quality and efficiency of patient care in the Hospital . The Board , through the President , shall provide whatever- administrative assistance is reasonably necessary to support and facilitate the implementation and ongoing operation of these review and evaluation activities . Section 8 . 2 . ACCOUNTABILITY OF MEDICAL STAFF AND OTHER PROFESSIONALS TO BOARD . The Medical Staff and other health care professionals providing patient care services shall conduct activities that contribute to the assessment , preservation and improvement of the quality and efficiency of patient care provided in the 18