Ohio Administrative Code › Title 3335 - Ohio State University › Chapter 3335-93 - University Wexner Medical Center › Section 3335-93-02 - Powers and duties

Current through all regulations passed and filed through July 1, 2024
The university board of trustees retains its ultimate sovereign
				power and authority over and fiduciary responsibility for all aspects of the
				mission and operations of the university Wexner medical center, health sciences
				colleges, and clinical health care enterprises.
Under the ultimate authority of the university board of
				trustees and consistent with Ohio law, the university board of trustees
				authorizes and designates the university Wexner medical center board to act as
				a governing body on behalf of the university for certain quality and patient
				care matters, for all of the hospitals and clinics of the university. In
				accordance with that responsibility, as authorized by the university board of
				trustees, the university Wexner medical center board will be responsible for
				the following:
(A) Assuring the
			 quality of patient care throughout the university Wexner medical center,
			 including the planning and delivery of patient services and formation of
			 quality assessments, improvement mechanisms and monitoring the achievement of
			 quality standards and patient safety goals;
(B) Oversight for the purposes of
			 accreditation and licensure; and
(C) Approval of clinical privileging forms,
			 medical and dental staff appointments, clinical privileges, medical staff
			 operations, including the approval, adoption, and amendment of medical staff
			 bylaws and rules and regulations, and the conducting of peer review and
			 professional review actions for medical staff and credentialed providers within
			 university board of trustees-defined and approved parameters.
Any action taken by the board pursuant to the powers and duties
				as defined in paragraphs (A) to (C) of this rule shall be taken only by the
				voting, non-public members and approved by majority vote thereof.
(D)
								In addition, in accordance with that authority and
			 responsibility authorized by the university board of trustees, and consistent
			 with Ohio law, the university Wexner medical center board shall serve in a
			 consultative role and shall be responsible for, subject to the review and
			 approval of the university board of trustees, the following:
(1)
			 Making recommendations to the university board of trustees, university
			 president, and executive vice president and 
									chief executive officer for the Wexner medical
			 center regarding the development and strategic allocations of resources
			 of the university Wexner medical center, including operations, fiscal health,
			 space and facilities management and utilization, personnel, safety and
			 security, and technology;
(2) Oversight of
			 extramural affiliations, partnerships, operating agreements, and strategic
			 business opportunities as approved by the university board of trustees, with
			 regard to the university Wexner medical center and its affiliated
			 entities;
(3) Upon recommendation
			 by the medical staff of university hospitals or the medical staff of the James,
			 approval of medical staff bylaws amendments and recommendation thereof to the
			 university board of trustees;
(4) Making
			 recommendations for approval to the university board of trustees of the purpose
			 and governance documents of any organization established as an auxiliary
			 service organization to the university Wexner medical center;
(5)
			 Monitoring and assisting the university Wexner medical center in its
			 relationship with the public, affected communities, governmental entities, and
			 public and private organizations;
(6) Monitoring the
			 university Wexner medical center integrity and compliance programs as adopted
			 by the university board of trustees;
(7) Reviewing strategic
			 plans, capital and operating budgets of the university Wexner medical center,
			 and making recommendations for approval to the university board of trustees,
			 university president, and executive vice president and
			 chief executive officer for the Wexner medical
			 center;
(8) Providing general
			 advice and guidance to the university board of trustees, university president,
			 and executive vice president and chief executive officer for the
			 Wexner medical center regarding extramural affiliations, operating
			 agreements and other strategic business opportunities of the university Wexner
			 medical center; and
(9) Advising the
			 university board of trustees, university president, and executive vice
			 president and chief executive officer for the Wexner
			 medical center regarding strategic aspects the university's education and
			 research programs in the health sciences colleges.