2003-253P. - Laserfiche WebLink

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Hospital and shall report and be accountable to the Board therefore . Such activities shall include making recommendations to the Board concerning , 8 .24 Definition of the clinical privileges which may be appropriately granted within the Hospital and within each department , consistent with the patient care criteria set forth herein ; 8 . 2-2 Delineation of clinical privileges for individual members of the Medical Staff in accordance with the procedures outlined herein and , in general , the assignment of patient care responsibilities to other health care professionals consistent with individual qualifications and demonstrated ability ; 8 .2-3 Allocation. of the Hospital ' s resources _ through utilization review procedures ; - - 8 .24 Contemporaneous review and evaluation of patient care practices through defined functions of the Medical Staff, the other health care professional services, and the Hospital administration ; 8 .2-5 Retrospective review and evaluation of the quality of patient care through a valid and reliable patient care evaluation procedure ; ' - 8 .2-6 Provision of continuing professional education , shaped primarily by the needs identified through the review and evaluation activities outlined above ; and , 8 .2=7 Such other matters as the Board , after considering the advice of the Medical Staff, the other health care professionals and the Corporation ' s administrative staff, may deem- necessary for the assessment , preservation and improvement of the quality and efficiency of patient care . - - - Section 8 . 3 . ADMINISTRATIVE RESPONSIBILITY . - Under the general oversight of the President , all professional departments within the Hospital shall conduct activities designed to assess , preserve and improve the quality and efficiency of patient care provided in the hospital . These activities will be reported routinely to the Board of Directors and shall include , but not be limited to the following : - Definition of skills and credentials required to ensure competency to provide patient care services consistent with established criteria . Periodic performance evaluations , at least annually , based on the job description to ensure competency of individuals providing direct patient care . Quality of patient care monitoring , review and improvement outlined in department established policies that are routinely reported through the Quality Assessment Committee and subsequently the Board . The appropriate allocation of supplies , equipment , staff and other resources for the provision of patient care . 19