1. TYPES OF COMMITTEES
GOVERNING HEALTH CARE
TEAMS
Presented by:- Dr. Priyanka
Phonde

2. WHAT IS HEALTH CARE TEAM?
 Team Healthcare is more than just a fast-growing healthcare staffing firm that
specializes in recruiting local and international healthcare workers.
 Hospitals and health have a variety of organizational structures and committees to
provide health care services .Hospitals represent a challenging form of human
organization. side-by-side in complex facilities ,while firm leadership is essential in
this complex environment,.
 Hospitals are difficult to manage because of the diverse skills and background of
their work forces, complex organizational structures, and the delicate nature of the
services they render. Therefore, hospital administrations must involve various
committees to help in efficiently performance.
 These teams are necessary and useful when different disciplines or management
sectors must agree upon and collaborate on necessary outcomes, when hospital
activities are necessary, and when efforts are needed to support quality control. An
evaluation of the effectiveness of hospital teams suggests improvement in hospitals.

3. HISTORY
 HCT was formed in 2004 in response to a need for
implementing team-based patient safety practices,
processes and improvements in healthcare.
HCT has adopted Team STEPPS- Strategies and
Tools to Enhance Performance and Patient
Safety.

4. AIMS AND OBJECTIVES
 Emphasis on primary care.
 Primary care should be the cornerstone of a people-centered health
system.
 objective is to keep the number of deaths below 77.5 per 1,000 among
patients reporting to the emergency department with a diagnosis of
heart attack.
 The underlying goals committees are:
a. to promote the rights of patients;
b. to promote shared decision making between patients and their clinicians
c. to promote fair policies and procedures that maximize the likelihood of
achieving good, patient-centered outcomes; and
d. to enhance the ethical tenor of health care professionals and health care
institutions.

5. WHAT IS COMMITTEE?
 A group of persons convened for the accomplishment of
some specific purpose, typically with formal protocols; a
guardian; someone in charge of another person deemed to
be unable to look after himself or herself.
 A committee is generally a formal working group within a
larger organization, often formed by election, often having
authority or legitimacy of some specific kind.

6. •Hospital Committees
Hospital Committees are regular standing committees prescribed by regulatory agencies and deemed
necessary by hospital administration in formulating policies, coordinating and monitoring hospital-wide activities
that are considered critical in the delivery of quality health care services.
These are in contrast to ad hoc committees, department and unit committees.
Committees prescribed by regulatory Committees
agencies prescribed by
Phil Health hospital
administration
Pharmacy and Pharmacy and Execom
Therapeutic Therapeutic
Infection Control Infection Control Mancom
Quality Assurance Quality Assurance Committee on
Medical Services
Waste Management Bioethics
Medical Audit and
Tissue
Tumor Board
Medical Records
Credentials
Blood Transfusion

7. Thus, as of July, 2003, the following 13 committees are
recommended to constitute the Hospital Committees of MDH:
Execom (Executive Committee)
Mancom (Management Committee)
Committee on Medical Services
Bioethics Committee
Pharmacy and Therapeutic Committee
Infection Control Committee
Quality Council
Waste Management Committee
Medical Audit and Tissue Committee
Tumor Board
Medical Records Committee
Credentials Committee
Blood Transfusion Committee

8. Governig Board
Medical
Administrative
President director/medical
officer
superintendent

9. Commitees of Medical staff organisation
board
Chief executive committees
officer
FINANCIAL NURSING Medical support
Accountin Nursing IPD Medicin House Administrative
g education Units e staff
Business Surgery Gyn&Ob Environment
OPD units Operati
office ng s al
rooms Pediatrics Maintenanc Housekeeping
Credits Others
e
&collects Ttrannies Emerg
ency Plant Laundry
cashier operations
rooms
Admitting Patients
Social Dietary
services

10. CHIEF EXECUTIVE OFFICER
ANCILLARY HOSPITAL INFORMATION HUMAL RESOURCE
SYSTEM MANAGEMENT
RADIOLOGY CLINICAL LABS
ANAESTHESIA PHYSIAL THERAPY
RESPIRATORY THERAPY ELECTROCARDIOGRAPHY
PHARMACY ELECTROENCEPHALOGRAPHY

11. • ADVANTAGES • DISADVANTAGES
•Exchange of views and information. •Waste of time
•To bring collective wisdom,group •“if you want a kill an idea,Appoint a
deliberation,judgements on subjects committee”
•Solution of problems in hospital •Intrerference of external members
•Recommend action. •Dominance of overbearing and aggressive
•Generate ideas.Discuss pros n cons. members.
•To perform at high level of cooperation •Committee members can use their position
and commitment. to further their self interest
•To make decision collectively

12. *Medical Executive Committee*
 Typically composed of elected officers of the medical staff, the immediate past
president of the medical staff, the chairpersons of the various medical
departments, and physicians on the Board of Directors.The president of the
hospital,vice president of medical affairs,metron and director of quality
care/assurance/utilization review/risk management
The duties of this committee usually include:
 • Accounting to the Board of Directors for patient/resident care.
 • Acting on reports and recommendations offered by other committees.
 • Coordinating the activities of the medical staff.
 • Making recommendations on medical issues.
 • Recommending appointment, reappointment,and corrective action of medical
staff.
 * Ethics Committee*
 Ethics Committee is an advisory group appointed by the University Hospital
Medical Executive Board. It reviews, on request, ethical or moral questions that
may come up during a patient's care. Committee members include doctors,
nurses, social workers, an attorney, a chaplain etc..
Responsibilities of the Hospital Ethics Committee
 To act as patient advocate on bioethical issues..
 Develop and recommend hospital and other clinical policies and guidelines
that define ethical principles for conduct within the hospital.
 The committee will provide advisory consultation and review in cases where
ethical dilemmas are perceived by the patient/patient's family.the
physician/medical team, or other hospital or clinic staff. The primary responsibility
will be to encourage dialogue, educate, identify issues offer viable options,
 The committee will educate hospital and clinic personnel, patients, and their
families about hospital policies regarding ethical issues.

13. The Pharmacy and Therapeutics Committee
The Pharmacy and Therapeutics (P & T) Committee is an important medical staff
advisory group. As the primary, formal communication link between the pharmacy and
medical staff, the P & T Committee is of particular importance to the department of
pharmacy services.
All matters of use of medications within the institution, including pharmacy programs,
must be reviewed and approved through the committee.
Medication formulary data is reviewed through the committee and recommendations are
offered to the medical staff.
An active involvement in the committee by the department of pharmacy services is vital
in order to develop a contemporary and progressive institutional pharmacy program.
The Infection Control Committee
Every healthcare facility uses interdisciplinary task forces such as the Safety
Committee and the Infection Control Committee to minimize patient and employee risk
Representation may include: physicians, nursing staff, infection control practitioners,
quality assurance personnel, risk management personnel as well as representatives
from microbiology, surgery, central sterilization, environmental services, etc.
.The duties of this committee typically include:
• Monitoring equipment currently in use.
• Evaluating new products being considered or already ordered.
• Providing information about equipment and products to involved employees.

14. Safety Committee/ Employee Hospital waste management
Health Committee
Typically composed of representatives Hospital acquired infection, transfusion
from the occupational health unit, transmitted diseases, rising incidence of
safety manager, human Hepatitis B, and HIV, increasing land and
resources, and employees from the water pollution lead to increasing possibility
various departments. of catching many diseases
The duties of this committee usually This usually include
include:
• Developing and reviewing policies and
1. Segregation of waste
procedures for safe and healthy work conditions 2. Collection of bio-medical waste
for employees. 3. Transportation
• Developing and evaluating all safety and 4. Treatment of hospital waste
health programs, including implementation of 5. Safety measures
the Exposure Control Plan for Bloodborne 6. Measures for waste minimization
Pathogens.
• Establishing and implementing procedures for
workplace safety inspections.
• Establishing procedures for investigating and
recording all workplace accidents, illnesses

15. Budget/Finance and Audit Committee
Typically composed of representatives from the Board of Directors, chief executive officer,
chief
financial officer, and various departmental directors. The duties of this committee usually
include:
• Monitoring the financial status of the health care facility.
• Advising the Board of Directors concerning financial policies.
• Reporting to the Board of Directors on the effectiveness of resource allocations.

16. URGENT CARE
 The CMO should regularly participate in Advanced
Cardiac Life Support and Advanced Trauma Life
Support programmes and disaster drills conducted by
the hospital from time to time. The hospital
administration should have a dedicated person to look
after the casualty.
 Nursing staff is the backbone of the casualty and the
department should have dedicated nurses who may be
rotated through the critical care areas of the hospital to
improve their skills and response time, as the casualty
is also an acute care area, which caters to critically ill
patients.

17. TUMOUR BOARD BLOOD BANK COMMITTEE
 The Role of the Tumor Board In a  Need for Blood Bank
Community&Objectives:  As a blood transfusion service
 1. To formulate integrated, deals with different functions
coordinated, and comprehensive related to donors and patients, it is
hospital-wide policies on the imperative to keep in mind the
management of patients with safety of both donors and
cancer in the hospital. recipients. The blood transfusion
2. To monitor and continually service has to be planned and

improve the quality of care to organized in such a way that it
patients with cancers. fulfils its ideal aims and objectives
i.e.
 3. To conduct educational and Recruitment of blood donors -
training programs for concerned 
voluntary & replacement
staff so as to facilitate
implementation of hospital policies  Care of donor, donated unit and the
on management of cancer patients. recipient
 4. To promote research on  Maintain adequate blood stock
oncology that will continually  Provide clinically effective blood
improve the quality of care for components
cancer patients.  Optimal use of available blood

18. BUDGET/FINANCE AND AUDIT INFORMATION SYSTEMS COMMITTEE
COMMITTEE
 Typically composed of  Typically composed of the director
representatives from the Board of of information systems and
Directors, chief executive officer,
chief representatives from the various
 financial officer, and various  This committee usually include:
departmental directors. The duties  • Evaluating and recommending
of this committee usually clinical computer systems.
 include:  • Providing training on clinical
 • Monitoring the financial status of computer systems.
the health care facility.
 • Advising the Board of Directors  • Responding to requests for
concerning financial policies. assistance with computer
 • Reporting to the Board of applications
Directors on the effectiveness of
resource allocations.

19. MEDICAL RECORD COMMITEE
In most of the hospitals,the quality review of the midical
record is done by a medical record committee.
Functions:
1) Reviewing the medical records for timely
Complition.
Clinical relevance
Adequacy of the file for use in quality review activities and
medico-legal documents
The whole course of treatment
2)Reviewing the security and integrity of MRD
3)Checking the retrivel system of department for easy and
quick retrival.
Role of MRD :-to maintain records of hospital
To ensure completeness,
be self regulating,to avoid any deficiencies
and errors in future.

20. The general functions of the MDH Hospital Committees are to formulate policies, coordinate and
monitor hospital-wide activities on specified areas of responsibility.
Hospital Committee General functions: Areas of responsibility Report to
Formulate policies
Coordinate
Monitor
Execom (Executive Quality services and Board of Directors
Committtee) organizational direction
Mancom (Management Quality services and Execom
Committee) operational management
Quality Council Quality services and quality Hospital Director
management system
Committee on Medical Quality medical services Hospital Director
Services rendered by physicians
Bioethics Committee Bioethical matters in patient Medical Director
care
Pharmacy and Therapeutic Drug therapy Medical Director
Committee
Infection Control Committee Infection control Medical Director
Waste Management Waste management Operations Officer or
Committee Director
Medical Audit and Tissue Outcome in patient care such
Committee as mortality, morbidity, and Medical Director
tissue review
Tumor Board Cancer management Medical Director
Medical Records Committee Medical records (assistance most
needed)
Credentials Committee Credentialing of physicians
Blood Transfusion Committee Blood transfusion

21. STRENGTH
ENERGY/
EFFORTS
INTELLIGENCE
COMMITTEE
SS
SPIRIT
VALUES/
COURAGE STANDARDS