The governing body shall:
(1) Adopt written policies concerning the
purposes, operation and maintenance of the hospital, and the safety, care and
treatment of patients;
(2) Provide
staff, facilities, equipment, supplies and services to meet the needs of
patients within the purposes of the hospital;
(3) Establish and maintain a current written
organizational plan delineating positions, responsibilities, authorities, and
relationships of positions within the hospital;
(4) Appoint an administrator responsible for
implementing the policies adopted by the governing body;
(5) Appoint a psychiatrist as medical
director responsible for directing and supervising medical treatment and
patient care twenty-four hours per day;
(6) Maintain an organized professional staff
accountable to the governing body;
(7) Appoint and periodically reappoint the
professional staff;
(8) Require and
approve professional staff bylaws and rules concerning, at a minimum:
(a) Organization of the professional
staff;
(b) Delineation of
privileges;
(c) Requirements for
membership;
(d) Specific mechanisms
for appointing and reappointing members;
(e) Granting, renewing and revising clinical
privileges, including temporary ward privileges for community
psychiatrists;
(f)
Self-government;
(g) Required
functions;
(h) Accountability to
the governing body; and
(i)
Mechanisms to monitor and evaluate quality of care and clinical performance;
and
(9) Require that
each person admitted to the hospital is under the care of a professional staff
member with clinical privileges.
