Current through Register Vol. 43, No. 39, September 26, 2024
(a) Governing body.
Each hospital shall have an organized governing body. The governing body shall
be the ultimate authority in the hospital responsible for its organization and
administration in a manner which is consistent with appropriate standards of
patient care, environmental safety and institutional management.
(b) Bylaws. The governing body shall adopt
its own set of bylaws. At a minimum, the bylaws shall contain the following
provisions:
(1) A statement of the mission of
the hospital;
(2) a description of
the powers and duties of the governing body, officers and committees and of the
responsibilities of the chief executive officer;
(3) a statement of the qualifications for
governing body membership, the procedures for selecting members and the term
for members, officers and committee chairpersons;
(4) a description of the authority delegated
to the medical staff;
(5) a
requirement that the governing body review and approve the bylaws of the
medical staff organization;
(6) a
requirement that the governing body approve or deny all applications for
medical staff membership and for the granting of clinical and admitting
privileges; and
(7) a description
of the mechanism by which the governing body bylaws are adopted, reviewed and
revised.
(c) Functions.
At a minimum, the governing body shall:
(1)
Provide adequate physical resources and personnel for appropriate patient care;
(2) participate in planning to
define and help meet the health needs of the community;
(3) formulate short-term and long-term plans
for the development of the hospital;
(4) review the annual audit of the financial
operations of the hospital;
(5)
maintain effective communication with the medical staff;
(6) require the medical staff to establish
controls that are designed to achieve and maintain appropriate standards of
ethical professional practice;
(7)
establish a structure to effectively fulfill the governing body's
responsibilities and to evaluate the implementation of programs and policies;
(8) maintain a written record of
governing body proceedings; and
(9) implement and maintain a risk management
program in accordance with K.S.A. 65-4291 et seq.
(d) Conflict of interest. Members of the
governing body shall not maintain personal or business interests which conflict
with those of the hospital to an extent deemed by the governing body to present
a threat of injury to or loss of the hospital's reputation, assets or ability
to provide patient care.
