THIS EXHIBIT IS AN ESSENTIAL PART OF THE AGREEMENT OF THE PARTIES AND MUST BE INCLUDED WITH ANY AND ALL COPIES OF THE AGREEMENT. 13 of 15 7. Implement and supervise an effective quality improvement program. The Medical Director shall have access to all relevant records needed to accomplish this task 8. Remove a provider from medical care duties for due cause, using an appropriate review and appeals mechanism 9. Set or approve hiring standards for personnel involved inpatient care and 10. Set or approve standards for equipment used inpatient care.