New Jersey Administrative Code
Title 8 - HEALTH
Chapter 33C - CERTIFICATE OF NEED AND HEALTHCARE FACILITY LICENSURE: REGIONALIZED PERINATAL SERVICES AND MATERNAL AND CHILD HEALTH CONSORTIA
Subchapter 6 - GOVERNING AUTHORITY
Section 8:33C-6.2 - Responsibility of the governing authority

1. Adoption and documented review of written by-laws, or their equivalent, in accordance with a schedule established by the governing authority;

2. Development and documented review of all policies and procedures, in accordance with a schedule established by the governing authority;

3. Establishment and implementation of a system whereby patient and staff grievances and/or recommendations, including those relating to patient rights, can be identified. This system shall include a feedback mechanism through management to the governing authority, specifying what action was taken;

4. Establishment of a governing authority meeting schedule, as well as a meeting schedule for the governing authority's committees, and/or their equivalents. The governing authority shall conduct the meetings, and shall keep formal minutes of all of its meetings and its committee meetings;

5. Delineation of the duties of the officers of any governing authority committees, or their equivalent. When the governing authority establishes committees, or their equivalent, their purpose, structure, responsibilities, and authority, and the relationship of the committee to other entities within the MCHC, shall be fully documented;

6. Establishment of the qualifications of members and officers of the governing authority; the procedures for electing and appointing officers; and the terms of service for members, officers, and committee chairpersons or their equivalent; and

7. Development of an allocation and collection system to ensure adequate revenue from members of the MCHC who have been assessed dues, in accordance with the by-laws, necessary to fund the budget approved by the Department in accordance with 8:33C-5.1(e).