Renown Regional Rules & Regulations | 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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