12.07.2015 Views

Medical Staff Bylaws - Arkansas Children's Hospital

Medical Staff Bylaws - Arkansas Children's Hospital

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2. Function: The Committee is chartered by the <strong>Medical</strong> <strong>Staff</strong> Executive Committeeto 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 update3. Meetings: The Patient Care Committee will meet at least 10 times per year.Approved by <strong>Medical</strong> <strong>Staff</strong> Executive Committee: July 10, 2012Approved by <strong>Medical</strong> <strong>Staff</strong> General Committee: July 26, 2012Approved by Board of Directors: August 29, 201213.9.7 Risk Management/Peer Review Committee1. Composition: The Risk Management/Peer Review Committee will consist of atleast the following: the Chief Quality Officer, the <strong>Medical</strong> Director, the Chief Operating Officer, theChief of <strong>Staff</strong>, The Chief Nursing Officer, the Chief Finance Officer, the Vice Chief of <strong>Staff</strong>, theImmediate Past Chief of <strong>Staff</strong>, the Surgeon-in-Chief, The Pediatrician-in-Chief, a General Pediatricsrepresentative, a Pediatric Chief Resident, a Vice-President Patient Care Services, a Pharmacyrepresentative, the Vice President of <strong>Medical</strong> Administration, Safety, and Improvement, the ClinicalRisk Management Director, the <strong>Medical</strong> <strong>Staff</strong> Administration Director, a Quality ImprovementCoordinator, and a representative of the Office of General Counsel as a non-voting member (for advisoryonly) The Chief Quality Officer, or designee, will serve as chairperson. Department Chairs/Directors ofaffected service(s) or section(s) or others requested by the committee will attend meetings without vote,as requested by the committee chair.2. Function: The Risk Management/Peer Review Committee is chartered by theBoard Services and Quality Committee to oversee the peer review and clinical risk management84

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