Ohio Administrative Code › Title 3335 - Ohio State University › Chapter 3335-101 - Medical Staff › Section 3335-101-07 - Hospitals clinical departments

Current through all regulations passed and filed through July 1, 2024
(A) Appointment of the chief of each clinical
			 department of each hospital  is subject to approval by the
			 university Wexner medical center board on the recommendation of the dean of the
			 applicable professional college and the executive vice president
			 and chancellor for health affairs. All such
			 appointments shall be periodically reviewed by the university Wexner medical
			 center board. Any vacancy in the position of chief of a clinical department may
			 be filled on an interim basis by the dean of the appropriate professional
			 college, after consultation with the university Wexner medical center board.
			 (In standard practice, the chief of a clinical department will be the chair of
			 the corresponding academic department.)
(B) The university Wexner medical center
			 board may delegate, through approval of the medical staff bylaws or by
			 appropriate board resolution, to the chiefs of the clinical departments
			 responsibility for maintaining the quality of medical care in their services,
			 and for recommending an applicant's appointment or reappointment to the
			 appropriate medical staff and privileges for such an applicant.
(C) The executive vice president
			 
								and chancellor for health affairs shall recommend a
			 candidate for the appointment of the chief 
								clinical
			 officer of the medical center to the university Wexner medical center board
			 . The 
			 university Wexner medical center board
			  shall appoint the chief
			 
								clinical officer of the medical center. The chief
			 
								clinical officer of the medical center shall report to
			 the vice president for health services, the executive vice president
			 
								and chancellor for health affairs and to the
			 university Wexner medical center board. In matters relating to medical care in
			 the university hospitals, members of the clinical departments of the university
			 hospitals are accountable to the clinical chiefs, and medical directors who are
			 accountable to the chief 
								clinical officer of the medical center.
(D) The chief 
								clinical
			 officer is the senior medical officer for the medical center with the
			 responsibility and authority for all health and medical care delivered at the
			 medical center. The chief 
								clinical officer is responsible for overall
			 quality improvement and clinical leadership throughout the medical center,
			 physician alignment, patient safety and medical staff
			 development.
								
								The chief clinical officer is a key member of the
			 senior management team and is expected to participate in all strategic,
			 operational and policy decisions as a senior corporate officer of the medical
			 center. The chief 
								clinical officer is accountable for developing
			 and managing systems and forums that foster the transfer of knowledge,
			 information and process improvement methodologies to administrative and
			 clinical leadership and staff. The chief 
								clinical
			 officer has the authority and responsibility of the organization of clinical
			 service to optimize high quality care.
(E) The executive vice president
			 
								and chancellor for health affairs shall appoint a
			 medical director for each of the university hospitals. The medical director of each hospital shall report to
			 the chief executive officer or executive director of the respective hospital,
			 to the chief 
								clinical officer of the medical center, and to
			 the university Wexner medical center board. In matters relating to medical care
			 in the hospitals, members of the clinical departments of the hospitals are
			 accountable to the clinical chiefs, who are accountable to the medical
			 directors.
(F) The executive vice
			 president 
								and chancellor for health affairs shall appoint a
			 director of medical affairs for the James cancer hospital who shall be the
			 chief medical officer of the James cancer hospital. The director of medical
			 affairs shall report to the chief executive officer of the James cancer
			 hospital and to the university Wexner medical center board. In matters relating
			 to medical care in the James cancer hospital, members of the clinical
			 departments of the hospitals are accountable to the clinical chiefs, who are
			 accountable to the director of medical affairs.
(G) The chief 
								clinical
			 officer of the medical center, the director of medical affairs of the James
			 cancer hospital and the medical directors of each hospital shall each be a
			 physician and shall maintain an appointment as an attending staff member of his
			 or her respective medical staff. The chief 
								clinical
			 officer of the medical center, medical directors of each hospital and director
			 of medical affairs shall have authority as conferred by the executive vice
			 president 
								and chancellor for health affairs and the
			 university Wexner medical center board; including the responsibility for
			 clinical research and education programs and services, supervision of patient
			 and clinical activity; and responsibility for the clinical organization of his
			 or her respective hospital. The chief 
								clinical
			 officer of the medical center and director of medical affairs shall direct and
			 supervise the medical staff quality assurance, utilization review, and
			 credentialing activity. The chief 
								clinical  officer of the medical center, medical
			 directors of each hospital and director of medical affairs shall establish
			 priorities, jointly with the chief executive officer or executive director of
			 his or her respective hospital, for capital medical equipment, clinical space,
			 and the establishment of new clinical programs, or the revision of existing
			 clinical programs.