New Jersey Administrative Code
Title 8 - HEALTH
Chapter 43G - HOSPITAL LICENSING STANDARDS
Subchapter 5 - HOSPITAL ADMINISTRATION AND GENERAL HOSPITAL-WIDE POLICIES
Section 8:43G-5.22 - General hospital governing body training

Universal Citation: NJ Admin Code 8:43G-5.22

Current through Register Vol. 56, No. 6, March 18, 2024

(a) In addition to any general orientation, a general hospital shall ensure that all members of the hospital's governing body complete a trustee training program as set forth in (b) below conducted by an approved training provider within six months of the member's appointment.

(b) The trustee training program shall consist of at least seven hours of instruction and address each of the following subjects:

1. The ethical and fiduciary responsibilities of a member of a hospital governing body;

2. The role of the governing body in improving health care quality and the mechanisms available for doing so;

3. Hospital financial management and understanding the financial statements of healthcare institutions and reimbursement and finance payment systems;

4. Hospital organization and governance; and

5. Legal and regulatory compliance issues.

(c) Instruction may be offered in-person at a classroom or seminar, on-line, audio/webinar, or simulcast.

(d) A general hospital shall maintain a copy of the certificate for each current governing body member issued by the training provider pursuant to N.J.A.C. 8:43-5.23(b).

(e) Any governing board member who has not completed a trustee training program conducted by an approved training provider, shall complete the trustee training program by May 17, 2009.

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