Renown - Medical Staff Rules and Regulations - 12-23-24 | Page 39

b.
c.
Participate in evaluating the financial, personnel, and other resource needs for beginning a new program or service, for constructing new facilities, or for acquiring new or replacement capital equipment; and assess the relative priorities or services and needs and allocation of present and future resources; and
Communicate strategic, operational, capital, human resources, information management, and corporate compliance plans to medical staff members.
1.2.7 Bylaws Review
a. Conduct periodic review of the medical staff bylaw, rules, regulations, and policies; and b.
Submit written recommendations to the MEC and to the Board for amendments to the medical staff bylaws, rules, regulations, and policies.
1.2.8 Nominating a.
b.
Identify nominees for election to the officer positions and to other elected positions in the medical staff organizational structure; and
In identifying nominees, consult with members of the staff, the MEC, and administration concerning the qualifications and acceptability of prospective nominees.
1.2.9 Infection Control Oversight a.
b.
The medical staff oversees the development and coordination of the Hospital- wide program for surveillance, prevention, implementation, and control of infection;
Develop and approve policies describing the type and scope of surveillance activities including:
i. Review of cumulative microbiology recurrence and sensitivity reports; Determination of definitions and criteria for healthcare acquired infections; ii.
Review of prevalence and incidence studies, as appropriate; and iii. Collection of additional data as needed; c.
d.
Approve infection prevention and control actions based on evaluation of surveillance reports and other information;
Evaluate, develop, and revise a surveillance plan for all sampling of personnel and environments annually;
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