Quality Improvement Plan Page 23
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32CROUSE HOSPITAL QUALITY IMPROVEMENT PLAN 2013
APPENDIX C: COUNCIL SUMMARIES
Oversight Councils
Key Quality Improvement Oversight Councils and their related functions
:
OVERSIGHT BODY
ROLE/RESPONSIBILITY
REPORTS TO
Overall accountability for the quality of care provided by Crouse Hospital
External
Crouse Hospital Board of
oversight entities
Trustees
and the
Chair: Community leader
community
elected by the Board
To oversee the Quality Improvement program for the Board of Trustees. The committee
Crouse Hospital
Quality Improvement
will accomplish this function through:
Board of
Committee of the Board
Trustees
•
Review of reports from Committees within the QI structure on actions taken to
Chair: Member of the Crouse
improve the quality of care provided by the hospital and medical staff.
Hospital Board of Trustees
•
Review of reports received from external sources related to the quality of
service or patient care provided at Crouse and the follow up actions taken as a
result of this monitoring.
•
Review of reports from the Risk Management and Safety Programs.
•
The review of data, reports, profiles or information from any organizational
source in order to monitor and report on the quality of patient care provided at
Crouse to the Hospital Board of Trustees.
The full committee charge for the Medical Staff Executive Committee is outlined in the
Crouse Hospital
Medical Staff Executive
Bylaws, Rules and Regulations of the Crouse Medical Staff. Those responsibilities that
Board of
Committee
relate to the quality improvement function can be summarized as follows:
Trustees
Chair: President of the Crouse
•
Recommend to the Board of Trustees medical staff appointments,
Medical Staff
reappointments and changes in category.
•
Provide medical staff oversight for the QI review activities of the medical staff
departments and the committees of the medical staff.
22
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