TYPES OF COMMITTEESGOVERNING 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.
•Hospital CommitteesHospital Committees are regular standing committees prescribed by regulatory agencies and deemednecessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activitiesthat are considered critical in the delivery of quality health care services.These are in contrast to ad hoc committees, department and unit committees. Committees prescribed by regulatory Committees agencies prescribed by Phil Health hospital administration Pharmacy and Pharmacy and Execom Therapeutic Therapeutic 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
Thus, as of July, 2003, the following 13 committees arerecommended to constitute the Hospital Committees of MDH: 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
Governig Board Medical AdministrativePresident director/medical officer superintendent
Commitees of Medical staff organisation board Chief executive committees officerFINANCIAL NURSING Medical supportAccountin Nursing IPD Medicin House Administrativeg education Units e staffBusiness Surgery Gyn&Ob Environment OPD units Operatioffice ng s al rooms Pediatrics Maintenanc HousekeepingCredits Others e&collects Ttrannies Emerg ency Plant Laundrycashier operations roomsAdmitting Patients Social Dietary services
CHIEF EXECUTIVE OFFICERANCILLARY HOSPITAL INFORMATION HUMAL RESOURCE SYSTEM MANAGEMENTRADIOLOGY CLINICAL LABSANAESTHESIA PHYSIAL THERAPYRESPIRATORY THERAPY ELECTROCARDIOGRAPHYPHARMACY ELECTROENCEPHALOGRAPHY
• ADVANTAGES • DISADVANTAGES•Exchange of views and information. •Waste of time•To bring collective wisdom,group •“if you want a kill an idea,Appoint adeliberation,judgements on subjects committee”•Solution of problems in hospital •Intrerference of external members•Recommend action. •Dominance of overbearing and aggressive•Generate ideas.Discuss pros n cons. members.•To perform at high level of cooperation •Committee members can use their positionand commitment. to further their self interest•To make decision collectively
*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 patients 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/patients 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 staffadvisory group. As the primary, formal communication link between the pharmacy andmedical staff, the P & T Committee is of particular importance to the department ofpharmacy 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 areoffered to the medical staff.An active involvement in the committee by the department of pharmacy services is vitalin order to develop a contemporary and progressive institutional pharmacy program.The Infection Control Committee Every healthcare facility uses interdisciplinary task forces such as the SafetyCommittee 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 representativesfrom 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 Hospital waste managementHealth CommitteeTypically composed of representatives Hospital acquired infection, transfusionfrom the occupational health unit, transmitted diseases, rising incidence ofsafety manager, human Hepatitis B, and HIV, increasing land andresources, and employees from the water pollution lead to increasing possibilityvarious departments. of catching many diseasesThe duties of this committee usually This usually includeinclude:• Developing and reviewing policies and 1. Segregation of wasteprocedures for safe and healthy work conditions 2. Collection of bio-medical wastefor employees. 3. Transportation• Developing and evaluating all safety and 4. Treatment of hospital wastehealth programs, including implementation of 5. Safety measuresthe Exposure Control Plan for Bloodborne 6. Measures for waste minimizationPathogens.• Establishing and implementing procedures forworkplace safety inspections.• Establishing procedures for investigating andrecording all workplace accidents, illnesses
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 Need for Blood Bank Community&Objectives: As a blood transfusion service 1. To formulate integrated, deals with different functions coordinated, and comprehensive related to donors and patients, it is hospital-wide policies on the imperative to keep in mind the management of patients with safety of both donors and cancer in the hospital. recipients. The blood transfusion 2. To monitor and continually service has to be planned and improve the quality of care to organized in such a way that it patients with cancers. fulfils its ideal aims and objectives i.e. 3. To conduct educational and Recruitment of blood donors - training programs for concerned voluntary & replacement staff so as to facilitate implementation of hospital policies Care of donor, donated unit and the on management of cancer patients. recipient 4. To promote research on Maintain adequate blood stock oncology that will continually Provide clinically effective blood improve the quality of care for components cancer patients. Optimal use of available blood
BUDGET/FINANCE AND AUDIT INFORMATION SYSTEMS COMMITTEECOMMITTEE Typically composed of Typically composed of the director representatives from the Board of of information systems and Directors, chief executive officer, chief representatives from the various financial officer, and various This committee usually include: departmental directors. The duties • Evaluating and recommending of this committee usually clinical computer systems. include: • Providing training on clinical • Monitoring the financial status of computer systems. the health care facility. • Advising the Board of Directors • Responding to requests for concerning financial policies. assistance with computer • Reporting to the Board of applications Directors on the effectiveness of resource allocations.
MEDICAL RECORD COMMITEE In 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 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.
The general functions of the MDH Hospital Committees are to formulate policies, coordinate andmonitor hospital-wide activities on specified areas of responsibility.Hospital Committee General functions: Areas of responsibility Report to Formulate policies Coordinate MonitorExecom (Executive Quality services and Board of DirectorsCommitttee) organizational directionMancom (Management Quality services and ExecomCommittee) operational managementQuality Council Quality services and quality Hospital Director management systemCommittee on Medical Quality medical services Hospital DirectorServices rendered by physiciansBioethics Committee Bioethical matters in patient Medical Director carePharmacy and Therapeutic Drug therapy Medical DirectorCommitteeInfection Control Committee Infection control Medical DirectorWaste Management Waste management Operations Officer orCommittee DirectorMedical Audit and Tissue Outcome in patient care suchCommittee as mortality, morbidity, and Medical Director tissue reviewTumor Board Cancer management Medical DirectorMedical Records Committee Medical records (assistance most needed)Credentials Committee Credentialing of physiciansBlood Transfusion Committee Blood transfusion