Assurance that data is systematically aggregated and analyzed on an ongoing basis. Comparison of organization performance both internally and externally over time. Intensive analysis of undesirable patterns or trends in performance and sentinel events. Periodic review of performance of the following: Patient safety Clinical and operational performance (service line and dashboard reports) Utilization management Risk management findings Quality management and peer review findings (Executive Session) Medication usage Blood and blood product usage Approval of Clinical and Administrative Policies that have both a clinical component and an organization wide Meetings The committee will meet 10 per year. Reporting Structure The Quality Management Committee reports to the Executive Committee and through the Executive Committee to the Board. 6.14 Robotic Committee Composition The Robotic Committee shall consist of members from the Obstetrics and Gynecology Department and the Surgery Department involved in the performance of robotic surgery. The chair shall be appointed by the President of the Medical Staff and include representatives from Administration, Nursing and Quality Management. Duties The Committee shall be responsible for: 1) The evaluation of quality improvement data related to robotic surgery; 2) Making recommendations to the appropriate Medical Sections or Departments regarding proposed privileging criteria and proctoring requirements for robotic surgery; 3) Review by the Committee Chair of all requests for robotic surgery privileges and forwarding privileging recommendations to the appropriate Section or
Assurance that data is systematically aggregated and analyzed on an ongoing basis. Comparison of organization performance both internally and externally over time. Intensive analysis of undesirable patterns or trends in performance and sentinel events. Periodic review of performance of the following: Patient safety Clinical and operational performance (service line and dashboard reports) Utilization management Risk management findings Quality management and peer review findings (Executive Session) Medication usage Blood and blood product usage Approval of Clinical and Administrative Policies that have both a clinical component and an organization wide Meetings The committee will meet 10 per year. Reporting Structure The Quality Management Committee reports to the Executive Committee and through the Executive Committee to the Board. 6.14 Robotic Committee Composition The Robotic Committee shall consist of members from the Obstetrics and Gynecology Department and the Surgery Department involved in the performance of robotic surgery. The chair shall be appointed by the President of the Medical Staff and include representatives from Administration, Nursing and Quality Management. Duties The Committee shall be responsible for: 1) The evaluation of quality improvement data related to robotic surgery; 2) Making recommendations to the appropriate Medical Sections or Departments regarding proposed privileging criteria and proctoring requirements for robotic surgery; 3) Review by the Committee Chair of all requests for robotic surgery privileges and forwarding privileging recommendations to the appropriate Section or