tag:blogger.com,1999:blog-32053362.post7620493303549496592..comments2024-03-29T06:37:18.029-04:00Comments on Not Running a Hospital: What's in a PCAC?Paul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-32053362.post-78805819408574114012008-01-21T21:23:00.000-05:002008-01-21T21:23:00.000-05:00Hi Richard,Formal evaluation of the CEO is carried...Hi Richard,<BR/><BR/>Formal evaluation of the CEO is carried out by the entire Board. The various Board committees, including PCAC, Finance, and so on report to the Board on the CEO's performance in their araes of jurisdiction.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-7519995112427365812008-01-21T20:57:00.000-05:002008-01-21T20:57:00.000-05:00I would have thought that an important role of the...I would have thought that an important role of the committee would be to make sure that the CEO is exercising his responsibility for quality and safety.<BR/><BR/>I don't see any reference to that.<BR/><BR/>Richard WittrupAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-46477495507553000002008-01-21T18:45:00.000-05:002008-01-21T18:45:00.000-05:00It does clarify; thanks. I hope the PCAC exercise...It does clarify; thanks. I hope the PCAC exercises its oversight over the MEC on those disciplinary actions. As a onetime MEC member, I felt that many times the majority gave erring docs a pass on things they should have called them on. Maybe it's never that specific by the time it gets to PCAC. And there are always confidentiality issues.<BR/>But in summary, I like the lay Board members serving on your quality assurance body. Good idea!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-51883545537972923702008-01-21T16:49:00.000-05:002008-01-21T16:49:00.000-05:00BIDMC Governance = Medical Center Governance. The...BIDMC Governance = Medical Center Governance. These are lay board members.<BR/><BR/>Medical Executive Committee = formal body of MDs on the faculty who promulgate the rules and rgeulations of service in the hospital, including medical peer review, credentialing, disciplinary actions, and the like. THE MEC reports on its activities to the BIDMC Board of Directors and also to the PCAC.<BR/><BR/>Nursing does not have a position on PCAC, but the SVP for Clinical Operations, who oversers nursing, staffs the committee.<BR/><BR/>Hope this clarifies. Thanks for the questions.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-9368018584132619262008-01-21T14:58:00.000-05:002008-01-21T14:58:00.000-05:00Paul, this is very interesting; it resembles the "...Paul, this is very interesting; it resembles the "Performance Improvement Council" we had at our hospitals except for the addition of a large # of laymen and a somewhat broader charter. I have a couple questions:<BR/>a. There appears to be no representative from nursing on the committee,or am I missing that hidden within the titles of the listed executives?<BR/>b. What's the difference between BIDMC Governance and Medical Center Governance? Are these both separate committees, or what?<BR/>c. I am quite curious about the medical peer review function. Perhaps this is mandated by your state. Does this mean recredentialing, or does the committee deal with actual disciplinary actions of physicians on your staff? Or perhaps it would be easier if you would just define "peer review' as used at BIDMC.<BR/><BR/>Thanks for an illuminating post. I can see adding laymen (I assume members of the community/patients) would prevent the "group think" that often prevails inside hospital walls.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-40886531846845982262008-01-20T09:33:00.000-05:002008-01-20T09:33:00.000-05:00I am just astounded at the apparently superhuman r...I am just astounded at the apparently superhuman range of activities handled by some people. Like, although I feel like my life is already full, so it's frustrating I also feel called to participate in supporting these activities; yet the lives of the people on this committee must surely have more and broader accountabilities than mine. Like your guy Halamka - "Chief Information Officer of the CareGroup Health System, Chief Information Officer and Dean for Technology at Harvard Medical School, Chairman of the New England Health Electronic Data Interchange Network (NEHEN), CEO of MA-SHARE (the Regional Health Information Organization), Chair of the US Healthcare Information Technology Standards Panel (HITSP)," AND, in his spare time, a practicing Emergency Physician.<BR/><BR/>I've always heard "If you want something to get done, ask a busy person," apparently because they have some knack. Whatever it is, I'd like to learn it.e-Patient Davehttps://www.blogger.com/profile/11608258246509102466noreply@blogger.com