12.07.2015 Views

Medical Staff Bylaws - Arkansas Children's Hospital

Medical Staff Bylaws - Arkansas Children's Hospital

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13.9.5.1 Composition: The Patient Care Committee will consist of at least thefollowing: the Chief <strong>Medical</strong> Officer, the Chief Quality Officer, the Chief Operating Officer, the Chiefof <strong>Staff</strong>, The Chief Nursing Officer, the Chief <strong>Medical</strong> Information Officer, the Chief NursingInformation Officer, the Vice Chair for Clinical Services for Pediatrics, ACH General Counsel, theChairs of the Surgical Affairs Committee, the Ethics Advisory Committee, the Outpatient CareCommittee, the Trauma committee, the Pharmacy & Therapeutics Committee, the <strong>Medical</strong>/Surgical(Inpatient) Committee, the Infection Control Committee, and the Intensive Care Committee. The ACHGeneral Counsel will be a non-voting member of this committee.13.9.5.2 Function: The Committee is chartered by the <strong>Medical</strong> <strong>Staff</strong> ExecutiveCommittee to oversee on its behalf the delivery of patient care throughout the ACH system.• Oversee and align the decision-making activities of the professionalpartnership committees with the ACH mission and service standards• Review of activities of professional partnership committees andrecommend approval of minutes to MSEC• Review and recommend approval of new programs that impact thedelivery of care in the ACH system• Periodic review of existing patient care activities and programs• Review metrics of clinical activities of patient care service lines• Recommend and refer performance improvement initiatives to the Qualityand Patient Safety committeeand/or revision• Review selected clinical policies and make recommendations for update13.9.5.3 Meetings: The Patient Care Committee will meet at least 10 times per year.13.9.6 Pharmacy and Therapeutics Committee13.9.6.1 Composition: The Pharmacy and Therapeutics Committee will consist of aminimum of the following: three (3) or more members of the <strong>Medical</strong> <strong>Staff</strong>, the Director of Pharmacy, aClinical Nutritionist, an Administrative representative, and a Nursing representative.13.9.6.2 Functions: The Pharmacy and Therapeutics Committee will be responsible fordevelopment and surveillance of all drug utilization policies and practices to assure optimum clinicalresults and minimum potential for hazard; shall assist in the formulation of broad professional policiesregarding the evaluation, appraisal, selection, procurement, storage, distribution, use, safety procedures,and all other matters relating to drugs in the hospital; provide a clinical focal point for nutritionalassessment, care, and guidelines, and shall also perform the following specific functions:68

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