1998 Calendar (Tentative) - IHI
Banner Health’s Care Management and Quality Committee of the Board
Banner Health’s mission is to make a difference in people’s lives through excellent patient care. As a not for profit provider, ultimate responsibility for Banner Health System and the quality of its products and services belongs to its governing body, the Board of Directors. Because of the organization’s commitment to quality, the Board structure includes a standing committee, the Care Management and Quality Committee that oversees the quality of care and service for Banner.
The following graphic depicts how the By Laws describing the Care Management and Quality Committee guide the development of plans, activities, and ultimately, meeting agendas for the committee. This document describes current information regarding the Care Management and Quality Committee and can be used as a guideline for its work.
Banner Health Care Management and Quality Committee of the Board
Responsibilities
According to Banner Health By Laws, responsibilities of the Care Management and Quality Committee of the Board have been defined as follows:
Duties and Delegated Responsibilities
The Care Management and Quality Committee shall have the following duties and delegated responsibilities:
1. Establish system-wide medical credentialing criteria.
2. Monitor non-financial measures of organizational quality performance.
3. Ensure use of a systematic approach to quality management and assess ongoing improvement in the quality of services delivered by the corporation.
4. Review and make recommendations to the Board regarding a systemwide quality plan.
5. Evaluate and make recommendations to the Board concerning healthcare technologies including, but not limited to, genomics, biotechnology, future clinical services delivery and therapeutics.
6. Evaluate and make recommendations to the Board with respect to ethical implications relating to the activities and services of the corporation, including quality and clinical innovation.
7. Review proposals of management and of the local institutions and their medical staffs concerning medical staff policies, patient care policies, and compliance with standards of governmental and accreditation agencies having jurisdiction over the corporation’s institutions as to such policies which require the involvement of the Board of Directors.
8. Act for the Board of Directors on matters and activities pertaining to the medical staffs of each local institution operated by the corporation to the extent permitted by law and applicable accreditation standards, including any matter which requires action by the Board of Directors, including the adoption, amendment or repeal of medical staff bylaws, rules and regulations.
9. Act for the Board of Directors to the extent permitted by law and applicable accreditation standards, and otherwise make recommendations to the Board of Directors on any matter affecting medical staff membership or privileges, including application for appointment to the medical staff; application for reappointment to a medical staff; request for delineated clinical privileges; and denial, curtailment, limitation or revocation or any of the foregoing.
10. Review reports regarding the quality of care being provided in local institutions.
11. Perform such other duties and responsibilities as the Board may assign to the committee from time to time.
Banner Health Care Management and Quality Committee of the Board
Activities
To determine what activities the Committee needs to undertake to fulfill its responsibilities, the duties in the By Laws have been summarized and matched with appropriate activities. The overarching governance role of developing future oriented strategy implies responsibility for identification of emerging strategic quality issues.
|Responsibilities Assigned in Banner By Laws |Committee Activities |
|Ensure use of a systematic approach to quality management. |Adoption of System-wide Quality Plan |
| |-Annual review |
|Review and make recommendations to the Board regarding a system-wide quality plan|-Evidence that plan is being executed |
| |-Accreditation reports |
|Require specific review and evaluation of activities to assess, preserve and | |
|improve the overall quality and efficiency of patient care (from Article VII on | |
|Medical Staffs) |Review and recommend major organizational resource requirements for|
| |such activities |
|Assess ongoing improvement in the quality of services delivered by the |Review non financial measures of organizational performance |
|corporation |-Reports from all business lines as well as annual HR Competency, |
| |Patient Safety, and Grievance reports |
|Monitor non-financial measures of organizational quality performance. |-Analysis regarding comparisons, trends, progress towards goals |
| | |
|Review reports regarding the quality of care being provided in local | |
|institutions. | |
|Review medical staff policies and patient care policies (as required) |Establish process for review and adoption of policies |
| |-Annual summary report of medical staff bylaw, rules and |
|Adopt, amend, or repeal medical staff bylaws, rules and regulations (as required)|regulations activities |
| |-Annual GME report |
|Establish system-wide medical credentialing criteria. |Establish process for acting on requests from medical staff for |
| |membership, privileges |
|Act on medical staff membership or privileges |-System-wide policy |
| |-Annual summary report on medical staff membership, privileges, and|
| |other physician relationships |
|Evaluate and make recommendations to the Board with respect to ethical |Establish process for ethical considerations |
|implications |-System-wide policy |
|Evaluate and make recommendations to the Board concerning healthcare technologies|Receive information and recommend major capital allocations for |
| |technology in healthcare delivery |
|Develop future oriented strategies regarding strategic quality issues. |Receive information regarding emerging quality issues and trends |
| |impacting healthcare delivery and recommend BH strategies to |
| |address such issues |
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Organizational
Direction
Meeting Agendas
Annual Initiatives
Annual Committee Calendar
Committee Activities
Responsibilities Assigned in Banner By Laws
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