الأخبار والأحداث

عضوية جمعية التمريض الإماراتية

استمارة التسجيل للعضوية

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21st Oct,2017

Palliative Care Workshop
Venue: BSP Auditorium(SKMC)
Time: 08:00am-14:00pm

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23rd Sep, 2017

13th Pediatric & Nursing Seminar "Set The Blueprint Foundation for Future Protection" at Al Bustan Rotana Hotel, Dubai

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قريبا


FAQs
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1. What Chief Nursing Executive role and responsibility changes can be expected with the passage of the Excellent Care for All Act (Bill 46)?

a. Non-voting Board membership – The Chief Nursing Executive is now a non-voting member of the hospital Board. Similarly, the hospital administrator, president of medical staff, chief of staff, chair of MAC are all non-voting members of the board. No employee of the hospital can vote on the hospital Board.

b. Quality Committee membership – The Chief Nursing Executive is now a member of the Quality Committee of the hospital.

2. What does it mean to be a non-voting member of the Board?

Board members – voting and non-voting – are responsible for passing by-laws to provide for the management and administration of the hospital , monitoring hospital activities for compliance with the Public Hospital Act, regulations and by-laws and taking such measures as are necessary to ensure compliance with the Act, regulations and by-laws. While non-voting members cannot vote, which includes moving and seconding motions, they can probably vote on committees, count towards a quorum and perform other functions of a Board member. Non-voting directors, as directors, owe fiduciary duties to the organization.

3. As a member of the Quality Committee, does the Chief Nursing Executive have voting privileges?

Regulations under the Excellent Care for All Act specify the members of the Quality Committee, including the Chief Nursing Executive. However, the Act and regulations are silent on who has, or has not, voting privileges on the Committee. The Registered Nurses’ Association of Ontario’s (RNAO) practical conclusion that membership of the committee includes voting privileges seems to be supported by the Ontario Hospital Association. It also was the intention of the Minister’s Office as communicated clearly to the RNAO both verbally and in writing.

4. What are the implications of being an employee of the hospital in voting (Quality Committee) and non-voting (Board) positions?

No employee of the hospital can vote on the hospital Board. Members of the Quality Committee can vote on the Quality Committee (see Q.3 above).

5. In the past, the Chief Nursing Executive was the senior support for the Quality Committee and the Board on quality issues. How do Chief Nursing Executive responsibilities change in these new roles as a non-voting member of the Board and as a voting member of the Quality Committee?

At times the same person who provides senior staff support will also sit as a voting member of the Quality Committee and as a non-voting member of the hospital Board. There is no indication in the legislation nor the regulations that the Chief Nursing Executive cannot have both roles.

6. What is the difference between the Chief Nursing Executive, the Chief of Staff, and the Chief Executive Officer with respect to voting privileges on the hospital Board?

None. No employee of the hospital can vote on the hospital Board.

7. What is the reporting relationship of the Medical Advisory Committee to the Quality Committee and to the Board?

The Quality Committee’s mandate is to “monitor and report to the Board on quality issues and on the overall quality of services provided” in the hospital. It is suggested that reports from the Medical Advisory Committee identifying and making recommendations with respect to systemic or recurring quality of care issues should be directed to the Quality Committee and through the Quality Committee to the hospital Board. Further, taking an expansive view of the Quality Committee’s mandate to drive the quality agenda, it has also been suggested that the Medical Advisory Committee’s role in reviewing professional staff appointments and re-appointment should also report through the Quality Committee. There is no doubt that the role and understanding of the Quality Committee will evolve and grow.

8. What are the roles and responsibilities of the Quality Committee?

It is the role of the Quality Committee to drive the quality agenda of the hospital. Its responsibilities, as set out by the Excellent Care for All Act, include:
• To monitor and report on quality issues and on the overall quality of services provided in the hospital, with reference to appropriate data.
• To consider and make recommendations regarding quality improvement initiatives and policies.
• To ensure that information on best practices as supported by scientific evidence is distributed to employees and persons providing services within the hospital and to monitor the use of that information by those persons.
• To oversee preparation of annual quality improvement plans.

9. Which health sectors are affected by the new Excellent Care for All Act and regulations?

The Excellent Care for All Act only applies to hospitals within the meaning of the Public Hospitals Act. In time, the government can extend the Act’s application by regulation to other health care organizations.

10. Does the Medical Advisory Committee retain jurisdiction over the quality of care provided by nurse practitioners employed by hospitals?

No. The Medical Advisory Committee can no longer make recommendations to the hospital Board regarding the quality of care provided in the hospital by nurse practitioners who are employees of the hospital.

11. If the Chief Nursing Executive is not a member of the senior executive committee, how can she/he contribute effectively to Board discussions when she/he is not aware of discussions that have occurred at the executive meeting, particularly discussions in preparation for upcoming Board meetings?

Under the Excellent Care for All Act, 2010 regulations, the following people are “executives” with respect to a public hospital: members of the senior management group of the hospital who report directly to the hospital’s chief executive officer, the chief of staff of the hospital (where there is one) and the chief nursing executive of the hospital. By definition,
therefore, the Chief Nursing Executive is senior executive staff and has the same responsibilities as other senior executives