TYPES OF COMMITTEES

GOVERNING HEALTH CARE TEAMS

Presented by:- Dr. Priyanka Phonde

WHAT IS HEALTH CARE TEAM? Team Healthcare is more than just a fast-growing healthcare staffing firm that

specializes in recruiting local and international healthcare workers. Hospitals and health have a variety of organizational structures and committees

to provide health care services .Hospitals represent a challenging form of human organization. side-by-side in complex facilities ,while firm leadership is essential in this complex environment,.

Hospitals are difficult to manage because of the diverse skills and background of their work forces, complex organizational structures, and the delicate nature of the services they render. Therefore, hospital administrations must involve various committees to help in efficiently performance.

These teams are necessary and useful when different disciplines or management sectors must agree upon and collaborate on necessary outcomes, when hospital activities are necessary, and when efforts are needed to support quality control. An evaluation of the effectiveness of hospital teams suggests improvement in hospitals.

HISTORY HCT was formed in 2004 in response to a

need for implementing team-based patient safety practices, processes and improvements in healthcare.

HCT has adopted Team STEPPS- Strategies and Tools to Enhance Performance and Patient Safety.

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

cliniciansc. to promote fair policies and procedures that maximize the likelihood

of achieving good, patient-centered outcomes; andd. to enhance the ethical tenor of health care professionals and health

care institutions.

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.

Committees prescribed by regulatory agencies

Committees prescribed by hospital administration

Phil Health

Pharmacy and Therapeutic

Pharmacy and Therapeutic

Execom

Infection Control Infection Control MancomQuality Assurance Quality Assurance Committee on

Medical ServicesWaste Management

Bioethics

Medical Audit and TissueTumor BoardMedical RecordsCredentialsBlood Transfusion

• Hospital CommitteesHospital 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.

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, 2003, the following 13 committees are recommended to constitute the Hospital Committees of MDH:

Governig Board

PresidentMedical

director/medical

superintendent

Administrative officer

Commitees of board

Medical staff organisation

Chief executive officer

AccountingBusiness officeCredits &collectscashierAdmitting

FINANCIAL NURSING

Nursing education

IPD Units

OPD units Operating rooms

Ttrannies Emergency rooms

committees

Medical support

Medicine

House staff

Surgery Gyn&Obs

Pediatrics

Others

AdministrativeEnvironmental

Maintenance

Housekeeping

Plant operations

Laundry

Patients

Dietary

Social services

CHIEF EXECUTIVE OFFICER

ANCILLARY

HOSPITAL INFORMATION SYSTEM

HUMAL RESOURCE MANAGEMENT

RADIOLOGY CLINICAL LABSANAESTHESIA PHYSIAL THERAPYRESPIRATORY THERAPY ELECTROCARDIOGRAPHYPHARMACY ELECTROENCEPHALOGRAPHY

• 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

*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.

The Pharmacy and Therapeutics CommitteeThe 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.

Safety Committee/ Employee Health CommitteeTypically composed of representatives from the occupational health unit, safety manager, humanresources, and employees from the various departments. The duties of this committee usuallyinclude:• Developing and reviewing policies and procedures for safe and healthy work conditionsfor employees.• Developing and evaluating all safety and health programs, including implementation ofthe 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 diseasesThis usually include

Hospital waste management

1. Segregation of waste2. Collection of bio-medical

waste3. Transportation4. Treatment of hospital waste5. Safety measures6. Measures for waste

minimization

Budget/Finance and Audit CommitteeTypically composed of representatives from the Board of Directors, chief executive officer, chieffinancial officer, and various departmental directors. The duties of this committee usuallyinclude:• 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.

URGENT CARE The CMO 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.

TUMOUR BOARD BLOOD BANK 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

BUDGET/FINANCE AND AUDIT COMMITTEE

INFORMATION SYSTEMS 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

MEDICAL RECORD COMMITEEIn most 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 treatment2)Reviewing the security and integrity of MRD3)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.

Hospital Committee General functions:Formulate policiesCoordinateMonitor

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 managementMedical 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)

SSCOMMITTEE

STRENGTH

ENERGY/ EFFORTS

SPIRIT

COURAGEVALUES/ STANDARDS

INTELLIGENCE