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Types of committees in a hospital by Dr.Mahboob Khan Phd
The document outlines the various committees that govern hospitals, emphasizing the importance of primary care and patient-centered health systems. It details the roles and responsibilities of committees such as the medical executive, ethics, pharmacy and therapeutics, infection control, and others in ensuring quality healthcare services. Additionally, it discusses the advantages and disadvantages of committee structures, including their impact on decision-making and patient advocacy.
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Types of committees in a hospital by Dr.Mahboob Khan Phd
- 1. TYPES OF COMMITTEES GOVERNINGHOSPITALS Presented by:- Dr. Mahboob Khan Phd
- 2. AIMS AND OBJECTIVES Emphasis on primary care. Primary care should be the cornerstone of a people-centered health system. objective is to keep the number of deaths below 77.5 per 1,000 among patients reporting to the emergency department with a diagnosis of heart attack. The underlying goals committees are: a. to promote the rights of patients; b. to promote shared decision making between patients and their clinicians c. to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; and d. to enhance the ethical tenor of health care professionals and health care institutions.
- 3. WHAT IS COMMITTEE? A group of persons convened for the accomplishment of some specific purpose, typically with formal protocols; a guardian; someone in charge of another person deemed to be unable to look after himself or herself. A committee is generally a formal working group within a larger organization, often formed by election, often having authority or legitimacy of some specific kind.
- 4. Committees prescribed byregulatory agencies Committees prescribed by hospital administrationPhil Health Pharmacy and Therapeutic Pharmacy and Therapeutic Execom Infection Control Infection Control Mancom Quality Assurance Quality Assurance Committee on Medical Services Waste Management Bioethics Medical Audit and Tissue Tumor Board Medical Records Credentials Blood Transfusion •Hospital Committees Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities that are considered critical in the delivery of quality health care services. These are in contrast to ad hoc committees, department and unit committees.
- 5. Execom (Executive Committee) Mancom(Management Committee) Committee on Medical Services Bioethics Committee Pharmacy and Therapeutic Committee Infection Control Committee Quality Council Waste Management Committee Medical Audit and Tissue Committee Tumor Board Medical Records Committee Credentials Committee Blood Transfusion Committee Thus, as of July, 2016, the following 13 committees are recommended to constitute the Hospital Committees :
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- 7. Commitees of board Medical stafforganisation Chief executive officer Accountin g Business office Credits &collects cashier Admitting FINANCIAL NURSING Nursing education IPD Units OPD units Operati ng rooms Ttrannies Emerg ency rooms committees Medical support Medicin e House staff Surgery Gyn&Ob s Pediatrics Others Administrative Environment al Maintenanc e Housekeeping Plant operations Laundry Patients DietarySocial services
- 8. CHIEF EXECUTIVE OFFICER ANCILLARYHOSPITAL INFORMATION SYSTEM HUMAL RESOURCE MANAGEMENT RADIOLOGY CLINICAL LABS ANAESTHESIA PHYSIAL THERAPY RESPIRATORY THERAPY ELECTROCARDIOGRAPHY PHARMACY ELECTROENCEPHALOGRAPHY
- 9. • ADVANTAGES •DISADVANTAGES •Exchange of views and information. •To bring collective wisdom,group deliberation,judgements on subjects •Solution of problems in hospital •Recommend action. •Generate ideas.Discuss pros n cons. •To perform at high level of cooperation and commitment. •To make decision collectively •Waste of time •“if you want a kill an idea,Appoint a committee” •Intrerference of external members •Dominance of overbearing and aggressive members. •Committee members can use their position to further their self interest
- 10. *Medical Executive Committee* Typically composed of elected officers of the medical staff, the immediate past president of the medical staff, the chairpersons of the various medical departments, and physicians on the Board of Directors.The president of the hospital,vice president of medical affairs,metron and director of quality care/assurance/utilization review/risk management The duties of this committee usually include: • Accounting to the Board of Directors for patient/resident care. • Acting on reports and recommendations offered by other committees. • Coordinating the activities of the medical staff. • Making recommendations on medical issues. • Recommending appointment, reappointment,and corrective action of medical staff. * Ethics Committee* Ethics Committee is an advisory group appointed by the University Hospital Medical Executive Board. It reviews, on request, ethical or moral questions that may come up during a patient's care. Committee members include doctors, nurses, social workers, an attorney, a chaplain etc.. Responsibilities of the Hospital Ethics Committee To act as patient advocate on bioethical issues.. Develop and recommend hospital and other clinical policies and guidelines that define ethical principles for conduct within the hospital. The committee will provide advisory consultation and review in cases where ethical dilemmas are perceived by the patient/patient's family.the physician/medical team, or other hospital or clinic staff. The primary responsibility will be to encourage dialogue, educate, identify issues offer viable options, The committee will educate hospital and clinic personnel, patients, and their families about hospital policies regarding ethical issues.
- 11. The Pharmacy andTherapeutics Committee The Pharmacy and Therapeutics (P & T) Committee is an important medical staff advisory group. As the primary, formal communication link between the pharmacy and medical staff, the P & T Committee is of particular importance to the department of pharmacy services. All matters of use of medications within the institution, including pharmacy programs, must be reviewed and approved through the committee. Medication formulary data is reviewed through the committee and recommendations are offered to the medical staff. An active involvement in the committee by the department of pharmacy services is vital in order to develop a contemporary and progressive institutional pharmacy program. The Infection Control Committee Every healthcare facility uses interdisciplinary task forces such as the Safety Committee and the Infection Control Committee to minimize patient and employee risk Representation may include: physicians, nursing staff, infection control practitioners, quality assurance personnel, risk management personnel as well as representatives from microbiology, surgery, central sterilization, environmental services, etc. .The duties of this committee typically include: • Monitoring equipment currently in use. • Evaluating new products being considered or already ordered. • Providing information about equipment and products to involved employees.
- 12. Safety Committee/ Employee HealthCommittee Typically composed of representatives from the occupational health unit, safety manager, human resources, and employees from the various departments. The duties of this committee usually include: • Developing and reviewing policies and procedures for safe and healthy work conditions for employees. • Developing and evaluating all safety and health programs, including implementation of the Exposure Control Plan for Bloodborne Pathogens. • Establishing and implementing procedures for workplace safety inspections. • Establishing procedures for investigating and recording all workplace accidents, illnesses Hospital acquired infection, transfusion transmitted diseases, rising incidence of Hepatitis B, and HIV, increasing land and water pollution lead to increasing possibility of catching many diseases This usually include Hospital waste management 1. Segregation of waste 2. Collection of bio-medical waste 3. Transportation 4. Treatment of hospital waste 5. Safety measures 6. Measures for waste minimization
- 13. Budget/Finance and AuditCommittee Typically composed of representatives from the Board of Directors, chief executive officer, chief financial officer, and various departmental directors. The duties of this committee usually include: • Monitoring the financial status of the health care facility. • Advising the Board of Directors concerning financial policies. • Reporting to the Board of Directors on the effectiveness of resource allocations.
- 14. URGENT CARE TheCMO should regularly participate in Advanced Cardiac Life Support and Advanced Trauma Life Support programmes and disaster drills conducted by the hospital from time to time. The hospital administration should have a dedicated person to look after the casualty. Nursing staff is the backbone of the casualty and the department should have dedicated nurses who may be rotated through the critical care areas of the hospital to improve their skills and response time, as the casualty is also an acute care area, which caters to critically ill patients.
- 15. TUMOUR BOARD BLOODBANK COMMITTEE The Role of the Tumor Board In a Community&Objectives: 1. To formulate integrated, coordinated, and comprehensive hospital-wide policies on the management of patients with cancer in the hospital. 2. To monitor and continually improve the quality of care to patients with cancers. 3. To conduct educational and training programs for concerned staff so as to facilitate implementation of hospital policies on management of cancer patients. 4. To promote research on oncology that will continually improve the quality of care for cancer patients. Need for Blood Bank As a blood transfusion service deals with different functions related to donors and patients, it is imperative to keep in mind the safety of both donors and recipients. The blood transfusion service has to be planned and organized in such a way that it fulfils its ideal aims and objectives i.e. Recruitment of blood donors - voluntary & replacement Care of donor, donated unit and the recipient Maintain adequate blood stock Provide clinically effective blood components Optimal use of available blood
- 16. BUDGET/FINANCE AND AUDIT COMMITTEE INFORMATIONSYSTEMS COMMITTEE Typically composed of representatives from the Board of Directors, chief executive officer, chief financial officer, and various departmental directors. The duties of this committee usually include: • Monitoring the financial status of the health care facility. • Advising the Board of Directors concerning financial policies. • Reporting to the Board of Directors on the effectiveness of resource allocations. Typically composed of the director of information systems and representatives from the various This committee usually include: • Evaluating and recommending clinical computer systems. • Providing training on clinical computer systems. • Responding to requests for assistance with computer applications
- 17. MEDICAL RECORD COMMITEE Inmost of the hospitals,the quality review of the midical record is done by a medical record committee. Functions: 1) Reviewing the medical records for timely Complition. Clinical relevance Adequacy of the file for use in quality review activities and medico-legal documents The whole course of treatment 2)Reviewing the security and integrity of MRD 3)Checking the retrivel system of department for easy and quick retrival. Role of MRD :-to maintain records of hospital To ensure completeness, be self regulating,to avoid any deficiencies and errors in future.
- 18. Hospital Committee Generalfunctions: Formulate policies Coordinate Monitor Areas of responsibility Execom (Executive Committtee) Quality services and organizational direction Mancom (Management Committee) Quality services and operational management Quality Council Quality services and quality management system Committee on Medical Services Quality medical services rendered by physicians Bioethics Committee Bioethical matters in patient care Pharmacy and Therapeutic Committee Drug therapy Infection Control Committee Infection control Waste Management Committee Waste management Medical Audit and Tissue Committee Outcome in patient care such as mortality, morbidity, and tissue review Tumor Board Cancer management Medical Records Committee Medical records Credentials Committee Credentialing of physicians Blood Transfusion Committee Blood transfusion The general functions of the MDH Hospital Committees are to formulate policies, coordinate and monitor hospital-wide activities on specified areas of responsibility. Report to Board of Directors Execom Hospital Director Hospital Director Medical Director Medical Director Medical Director Operations Officer or Director Medical Director Medical Director (assistance most needed)
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