Proposed Clinical Center Governance Model · Proposed Clinical Center Governance Model ... Proposed...
Transcript of Proposed Clinical Center Governance Model · Proposed Clinical Center Governance Model ... Proposed...
Proposed Clinical Center Governance Model
Inaugural Meeting of the NIH Clinical Center Hospital BoardJuly 15, 2016
Lawrence A. Tabak, DDS, PhDPrincipal Deputy Director, NIH
1
Red Team Report Findings and Recommendations on Leadership
Finding Fragmented governance, responsibility, authority, and
accountability has led to an unclear locus of responsibility for leadership
Recommendation Establish an external hospital board Strengthen leadership authority and responsibility Centralize authority for clinical research Clarify responsibilities of CC leadership Integrate patient safety in individual performance plans
2
Red Team Report Findings and Recommendations on Leadership
Finding Fragmented governance, responsibility, authority, and
accountability has led to an unclear locus of responsibility for leadership
Recommendation Establish an external hospital board Strengthen leadership authority and responsibility Centralize authority for clinical research Clarify responsibilities of CC leadership Integrate patient safety in individual performance plans
3
Proposed Governance Structure
4
Clinical Practice, Safety, and Compliance
NIH Director
IC Directors
IC Scientific Directors
DDIR
NIH Steering Committee
IC Physicians, Nurses, etc.
IC Physicians, Nurses, etc.
offsite 5
IC Directors
IC Scientific Directors
Clinical Practice, Safety, and Compliance
Clinical Center CEO
Clinical Center Hospital Board
NIH Director NIH Steering Committee
DDIR
IC Physicians, Nurses, etc.
offsite 6
IC Scientific Directors
Clinical Practice, Safety, and Compliance
Clinical Center CEO
Clinical Center Hospital Board
IC Clinical Directors
IC Directors
NIH Director NIH Steering Committee
DDIR
IC Physicians, Nurses, etc.
offsite 7
NIH Director
Clinical Center CMO
IC Clinical Directors
IC Directors
Clinical Center CNO
IC Scientific DirectorsClinical Center
COO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
NIH Steering Committee
Clinical Center CEO
DDIR
IC Physicians, Nurses, etc.
IC Physicians, Nurses, etc.
offsite 8
NIH Director
Clinical Center CMO
IC Directors
Clinical Center CNO
IC Scientific DirectorsClinical Center
COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
NIH Steering Committee
IC Clinical Directors
DDIR
IC Physicians, Nurses, etc.
IC Physicians, Nurses, etc.
offsite 9
NIH Director
IC Clinical Directors
IC Directors
Physicians, Nurses, etc. in CC Depts.
IC Scientific DirectorsClinical Center
COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
NIH Steering Committee
DDIR
Clinical Center CMO
Clinical Center CNO
IC Physicians, Nurses, etc.
IC Physicians, Nurses, etc.
offsite10
NIH Director
Clinical Center CMO
IC Clinical Directors
IC Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
IC Scientific Directors
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
NIH Steering Committee
DDIR
11
NIH Director
Clinical Center CMO
IC Clinical Directors
IC Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
IC Scientific Directors
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
NIH Steering Committee
DDIR
12
NIH Director
Clinical Center CMO
IC Clinical Directors
IC Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
IC Scientific Directors
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
MEC
NIH Steering Committee
DDIR
13
NIH Director
Clinical Center CMO
IC Clinical Directors
IC Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
MEC
IC Scientific Directors
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
Clinical Practice Committee
NIH Steering Committee
DDIR
14
NIH Director
Clinical Center CMO
IC Clinical Directors
IC Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
Clinical Practice Committee MEC
IC Scientific Directors
Operations Clinical Center Departments
Clinical Center Safety &
Compliance
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
NIH Steering Committee
DDIR
15
NIH Director
Clinical Center CMO
IC Clinical Directors
IC Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
Clinical Practice Committee MEC
IC Scientific Directors
Operations Clinical Center Departments
Clinical Center Safety &
Compliance
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
OHSRP
DDIR
NIH Steering Committee
16
NIH Director
Clinical Center CMO
IC Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
Clinical Practice Committee MEC
IC Scientific Directors
Operations Clinical Center Departments
OHSRP
Clinical Center Safety &
Compliance
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
ORSC
IC Clinical Directors
DDIR
NIH Steering Committee
17
NIH Director
Clinical Center CMO
IC Clinical Directors
IC Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
Clinical Practice Committee MEC
IC Scientific Directors
Operations Clinical Center Departments
OHSRP
Clinical Center Safety &
Compliance
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
NCI Safety & Compliance
NIAID Safety & Compliance
(n) Safety & Compliance
ORSC
DDIR
NIH Steering Committee
18
NIH Director
Clinical Center CMO
IC Clinical Directors
IC Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
Clinical Practice Committee MEC
IC Scientific Directors
Operations Clinical Center Departments
Clinical Center Safety &
Compliance
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
ORSC
NCI Safety & Compliance
NIAID Safety & Compliance
(n) Safety & Compliance
Clinical Center CSO
NIH Steering Committee
OHSRP
DDIR
19
NIH Director
Clinical Center CMO
IC Clinical Directors
IC Directors
Clinical Center CNO
DDIR
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
Clinical Practice Committee MEC
IC Scientific Directors
Operations Clinical Center Departments
OHSRP
Clinical Center Safety &
Compliance
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Practice, Safety, and Compliance
Clinical Center Hospital Board
ORSC
NCI Safety & Compliance
NIAID Safety & Compliance
(n) Safety & Compliance
Clinical Center CSO
Resource Protocol Review
Sterile Products Request Comm
NIH Steering Committee
20
Research and Research Training
Clinical Center CMO
IC Clinical Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
Clinical Practice Committee MEC
Operations Clinical Center Departments
OHSRP
Clinical Center Safety &
Compliance
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Clinical Center Hospital Board
ORSC
NCI Safety & Compliance
NIAID Safety & Compliance
(n) Safety & Compliance
Resource Protocol Review
Sterile Products Request Comm
NIH Director
IC Directors DDIR
IC BSCs
Clinical Center CSO
IC Scientific Directors
CC BSC
NIH Steering Committee
21
Clinical Center CMO
IC Clinical Directors
Clinical Center CNO
IC Physicians, Nurses, etc.
Physicians, Nurses, etc. in CC
Depts.
IC Physicians, Nurses, etc.
offsite
IC Physicians, Nurses, etc.
Clinical Practice Committee MEC
Operations Clinical Center Departments
OHSRP
Clinical Center Safety &
Compliance
IC Physicians, Nurses, etc. offsite
Clinical Center COO
Clinical Center CEO
Research and Research Training
Clinical Center Hospital Board
ORSC
NCI Safety & Compliance
NIAID Safety & Compliance
(n) Safety & Compliance
Resource Protocol Review
Sterile Products Request Comm
IC BSCs
NIH Director
IC Directors DDIR
Clinical Center CSO
IC Scientific Directors
CC BSC
Clinical Research Education
NIH Steering Committee
22
Finances
NIH Director
IC Directors
Clinical Center Hospital Board
MBWG
CCGB
NIH Steering Committee
NIH Director
IC Directors DDIR
Clinical Center CSO
Clinical Center CSO
IC Physicians, Nurses, etc.
offsite 23
24http://2012books.lardbucket.org/books/job-searching-in-six-steps/s12-04-different-types-of-questions.html