3364-1-11. The university of Toledo medical center and clinical operations

(A) Scope and mission

The university of Toledo medical center and its hospital facilities and clinics, which include inpatient and ambulatory services, Kobacker and other regional clinics and sites, are an integral part of the university of Toledo. The board names the clinical affairs committee from its membership and, with the assistance of the president, oversees the operation of the university of Toledo medical center.

The mission of the university of Toledo medical center is to improve the human condition by providing patient-centered, university-quality care. In partnership with the university of Toledo, the university of Toledo medical center continuously strives to develop and incorporate advancements in health care knowledge to improve the safety and quality of patient care. The shared vision of the university of Toledo and the university of Toledo medical center is to redefine the standards of excellence in health care through teamwork, improve the human condition, advance knowledge through excellence in learning, discovery, and engagement, and serve as a diverse, student-centered public research university.

(B) The university of Toledo medical center administration

(1) The executive vice president for clinical affairs provides the oversight for the university of Toledo medical center operations.

(2) The chief executive officer of the university of Toledo medical center directs the administration and is responsible for the operation of the university of Toledo medical center according to the authority delegated by the governing body to the president of the university of Toledo. The chief executive officer provides the leadership, responsibility and accountability for the overall university of Toledo medical center strategy and operations, and advances the mission, vision and goals for the university of Toledo medical center and the university of Toledo. The chief executive officer establishes systems ensuring safe, high quality, patient-centered care through collaboration with the accreditation bodies, board of trustees, administration, medical staff and management staff. The chief executive officer is also responsible for establishing sound fiscal operations and ensuring compliance with applicable laws, regulations and standards of or related to regulatory and accrediting bodies.

(3) The chief medical officer of the university of Toledo medical center is responsible for promoting and supporting the mission, vision and goals for the university of Toledo medical center and the university of Toledo in partnership with senior leadership in the administration, management and operations of the university of Toledo medical center. The chief medical officer will share responsibility and accountability for strategic and operational planning for all clinical services within the university of Toledo medical center. The chief medical officer will ensure that safe, high quality care is provided to patients through collaboration with hospital leadership, medical staff and management staff. The chief medical officer is also responsible for sound fiscal operations and compliance with applicable laws, regulations and standards of or related to regulatory and accrediting bodies.

(4) The chief nursing officer is responsible for nursing care at the university of Toledo medical center. The chief nursing officer is responsible for implementing, overseeing and coordinating various program-related activities and/or projects on an ongoing basis; identifying and advising the chief executive officer and other members of the senior leadership team on opportunities and issues related to the nursing and clinical operations; recommending and implementing changes in policy, practice and service to achieve hospital goals; planning, promoting, directing and leading assigned departments in a manner consistent with the university of Toledo medical center's mission and values; and providing coordination and integration of nursing services for patient care within the context of medical and ancillary services.

(C) Medical staff bylaws of the university of Toledo medical center

The medical staff of the university of Toledo medical center is governed by the medical staff bylaws of the university of Toledo medical center in performing their professional activities and duties. The chief of staff of the medical staff, after approval of the executive committee of the medical staff, will submit recommended changes of the bylaws to the medical staff and the board for action and final approval as set forth in the medical staff bylaws.

(D) The medical staff

(1) All members of the medical staff of the university of Toledo medical center, with the exception of honorary members, will be faculty members of the university of Toledo, college of medicine and life sciences. Membership on the medical staff will be extended to professionally competent persons who continuously meet the qualifications, standards and requirements set forth by the board and as required by the medical staff bylaws . The method for appointment to the medical staff will follow procedures for staff appointments outlined in the medical staff bylaws. Members of the medical staff will perform their duties under the supervision of the clinical service chiefs to which they may be assigned. Only members of the active medical staff and administrative medical staff, as defined by the medical staff bylaws will be eligible to vote or hold office.

(2) The chief of staff of the medical staff will serve as a representative of the medical staff and will be elected by members of the active medical staff and administrative medical staff . The duties of the chief of staff of the medical staff are more fully set forth in the medical staff bylaws.

(E) The university of Toledo medical center - clinical services

(1) Clinical services are organized to coordinate clinical and administrative activities within a clinical service area consistent with the medical staff bylaws . New clinical services will be established by action of the board upon a recommendation of the medical staff as required by the medical staff bylaws.

(2) Service chiefs for each clinical services will be appointed and approved as set forth in the medical staff bylaws. The duties of the clinical service chiefs are set forth in the medical staff bylaws.

Effective: 10/6/2016
Promulgated Under: 111.15
Statutory Authority: 3364
Rule Amplifies: 3364
Prior Effective Dates: 8/1/2012, 07/12/2014