Clinical Board
Terms of Reference
Clinical Board Function:
- To be the focus of clinical leadership
- To lead the development of clinical governance
- To provide clinical advice to the Board and the Chief Executive
- To oversee the quality programme within the provider arm of Tairawhiti District Health
Membership:
Clinical Directors of each service (ex officio)
Professional Nursing Adviser
Medical Director
Infection Control Adviser
Representative from Nursing.
Representative from Allied Health staff
Maori Health Manager
General Practitioner
Resident Medical Officer
Quality Manager
Chief Pharmacist
Charge Radiographer
The Clinical Board has the power of co-option plus delegates are permitted.
Clinical board will seek the views of expert staff (both internal and external) when appropriate.
The Nursing and Allied Health Staff representatives will be nominated by their representative groups. The GP representative will be nominated by Tairawhiti GPs. Membership of the Clinical Board will be approved by the CE and the Chair of Clinical Board.
Meeting Schedule:
Monthly
QUORUM:
50% plus one (inclusive of delegates).
Specific Functions:
1. To lead, co-ordinate and review quality improvement activities
2. To lead the development, review, formulation and authorisation of clinical policies and procedures
3. To advise the Board and Chief Executive on clinical issues
4. Manage, via a sub-committee approach, specific portfolios of Quality Use of Medicines;
5. Control of Infection; Medical Credentialling, Laboratory & Radiology Users, Clinical Records, Resuscitation, Maternity Services & Blood Transfusion.
6. To over see the development and monitoring of a range of clinical performance indicators
7. To promote best clinical practice within TDH
8. To provide clinical leadership
9. Lead management of clinical risk within TDH
10. To review specific reporting requirements.
Rules of Conduct:
1. A Chair will be elected annually
2. The Clinical Board will not be a platform for industrial relations, personnel interests or issues.
3. Clinical Board shall endeavour to operate on the basis of consensus decision making. However, when this is not possible, a majority view shall prevail.
4. Members will abide by the decisions or recommendations on organisational wide issues made by Clinical Board
5. The meeting agenda will be distributed sufficiently in advance to allow members to prepare adequately for the meeting.
6. All members are expected to contribute positively to the functions of Clinical Board. This involves active participation in the meetings (or when circumstances dictate by their delegated nominee ) and, putting forward the views of the service that the member represents and disseminating information to the services.
Mandate
1. The authority and mandate of the Clinical Board is derived from the Tairawhiti District Health Board's approval of the terms of Reference and constitution of the committee via the Chief Executive.
2. The Clinical Board will work within TDH structures by making recommendations to, or receiving recommendations from other parts of the organisation, such as the Management Team, TDH Board, CE and other relevant groups of committees.
3. The Chair of the Clinical Board will report each month to the TDH Board in writing. These reports will include but are not limited to:
- Significant clinical issues for the month (any noted, those requiring action)
- Ongoing key clinical issues
- Barriers to action (eg clinical, organizational or financial)
- Any other significant issues for the Clinical Board.
4. All TDH staff are expected to adhere to Clinical Board decisions. If staff disagree then representation through their representative on the Clinical Board is the appropriate course.
5. The Clinical Board has the authority to approve terms of reference for further sub-committees as may be required from time to time, within the scope of these terms of reference.
Support
The Clinical Board will be supported by a co-ordinator. This person will report to the Chair of the Clinical Board.
Executive authority
The Clinical Board has no executive authority, apart from the executive authority of its members. It will enact its functions through the existing Tairawhiti District Health structure, but making recommendations to:
Clinical Directors and other Clinical Board members
Management Team
CE
TDH Board
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