Consistent with the standards of the Joint Commission for focused and ongoing professional performance evaluations, the hospital shall establish a practitioner performance evaluation process that objectively evaluates the performance of each member of the medical staff. The hospital’s practitioner performance evaluation process shall include a review of care which shall: Be undertaken for cases: Chosen at random; and With unexpected adverse outcomes; Be based on objective review standards; Include a review of the appropriateness of the plan of care for the patient, particularly any medical procedures performed on the patient, in relation to the patient’s condition; and Be conducted by members of the medical staff, or at the discretion of the hospital, by external reviewers, who: Are of the same specialty as the member of the medical staff under review; Have been trained to perform practitioner performance evaluation; and Are not otherwise associated with the case under review. A hospital shall take into account the results of the practitioner performance evaluation process for a member of the medical staff in the reappointment process.