New Mexico Administrative Code › Title 7 - HEALTH › Chapter 7 - HOSPITALS › Part 4 - BOARD OF TRUSTEES OF MINERS' COLFAX MEDICAL CENTER › Section 7.7.4.12 - COMMITTEES OF THE BOARD OF TRUSTEES

Current through Register Vol. 35, No. 13, July 16, 2024
There shall be two types of committees of the board of
				  trustees--permanent and special.
A.
				Permanent committees:
(1) Committee of the
				whole: The general conduct of the board of trustees' business shall be through
				the five-member body acting as a whole on matters pertaining to the operation
				of the medical center, unless otherwise specified in these by-laws or voted by
				the board of trustees. In acting as a whole, the board should provide for
				effective means of liaison between the governing body, the medical staff and
				the administration, and shall evaluate annually the administrator's
				performance.
(2) Joint conference
				committee: The joint conference committee shall serve as a liaison between the
				board of trustees, the medical staff, and the administration. The committee
				shall provide a forum for effective communication regarding medical center
				policy and operation; institutional/program planning and goal setting;
				accrediting and licensing requirements and inspections; requests and
				recommendations from the medical staff; quality assurance; matters related to
				the medical staff by-laws, rules and regulations and other matters of mutual
				concern to the medical staff, the administration, and the board, which may be
				referred to this committee by the board of trustees. The committee shall
				consist of the chair and secretary-treasurer of the board of trustees, the
				chief and vice-chief of the medical staff, and the hospital administrator. The
				chair of the board of trustees shall serve as chair of the joint conference
				committee. The committee shall meet at least quarterly, and shall maintain a
				written record of its attendance, proceedings, recommendations, and actions,
				which shall be forwarded to the board and to the medical staff.
(3) Credentials committee: The credentials
				committee shall be composed of three licensed physicians appointed by the board
				of trustees. The chief of the medical staff shall submit recommendations of
				qualified individuals to the board of trustees for their review and
				consideration. The committee shall review the professional credentials of all
				physicians and health care professionals, except those allied health
				professionals employed by the medical center, who apply to join or to continue
				as medical center staff for the purpose of rendering patient care. The
				committee shall, to the best of its ability, determine the competence of the
				applicant, the need for the services which the applicant would offer, and the
				availability of related support services which may be required for quality
				patient care. After consideration of these factors, the committee shall make a
				recommendation to the board of trustees regarding the granting, suspension, or
				revocation of privileges and the appropriate scope of privileges. The board of
				trustees will act to grant, suspend, or rescind privileges, with consideration
				of the committee's recommendations.