Utah Admin. Code R432-100-6 - Governing Body
(1) Each licensee
shall have a governing body referred to in this rule as the board.
(2) The board members are legally responsible
for the conduct of the hospital staff. The board members are also responsible
for the appointment of the medical staff and an administrator assigned to carry
out the requirements of Section
R432-100-7.
(3) The licensee shall ensure that the board
is organized in accordance with the articles of incorporation or bylaws that
specify:
(a) the duties and responsibilities
of the board members;
(b) the
method for election or appointment to the board;
(c) the size of the board;
(d) the terms of office of the
board;
(e) the methods for removal
of board members and officers;
(f)
the duties and responsibilities of the officers and any standing
committees;
(g) the numbers or
percentages of members that constitute a quorum for board meetings;
(h) the board's functional organization,
including any standing committees;
(i) to whom responsibility for operation and
maintenance of the hospital, including evaluation of hospital practices, may be
delegated;
(j) the methods
established by the board for holding such individuals responsible;
(k) the mechanism for formal approval of the
organization, bylaws, rules of the medical staff and hospital departments;
and
(l) the frequency of
meetings.
(4) The board
members shall meet not less than quarterly, and shall keep written minutes of
meetings and actions, and distribute copies to members of the board.
(5) The board members shall employ a
competent administrator and vest this person with authority and responsibility
for carrying out board policies. The board shall define the administrator's
qualifications, responsibilities, authority, and accountability in
writing.
(6) The board, through its
officers, committees, medical, and other staff, shall:
(a) develop and implement a long-range
plan;
(b) appoint members of the
medical staff and delineate their clinical privileges;
(c) approve organization, bylaws, and rules
of medical staff and hospital departments; and
(d) maintain a list of the scope and nature
of any contracted services.
Notes
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