Clinical Staff Committees
Clinical Staff Executive Committee
Subject to the overall authority of the Medical Center Operating Board (MCOB), the Clinical Staff Executive Committee (CSEC) has the following duties:
- Monitor, oversee and, where appropriate, manage the quality of clinical care delivered within the Medical Center;
- Communicate to Members and Non-Members of the Clinical Staff regarding clinical practice issues and present the interests of the Clinical Staff to the MCOB;
- Act for and on behalf of the Clinical Staff in the intervals between Clinical Staff meetings and independently with respect to those matters over which CSEC is given authority in these Bylaws;
- Establish, review, and enforce the policies applicable to the Clinical Staff, including the Bylaws, the Code of Conduct, and all other Medical Center clinical policies regarding patient care;
- Control and monitor the membership of the Clinical Staff through oversight of the appointment, credentialing, and privileging process;
- Coordinate the activities and general clinical policies of the Medical Center to support an institutional and integrated approach to patient care within the Medical Center;
- Oversee the functions of performance improvement of the professional services provided by the Clinical Staff within the Medical Center;
- Advise the Medical Center management regarding the allocation and distribution of clinical resources, including assignments of beds, clinics, operating rooms, and other elements that are important to efficient and effective medical care within the Medical Center;
- Provide Clinical Staff representation and participation in any Medical Center deliberation affecting the discharge of Clinical Staff responsibilities;
- Report to the MCOB, as required, on the activities of the Clinical Staff Executive Committee and the Clinical Staff and makes specific recommendations to the MCOB relating to the clinical efforts of the Medical Center;
- Approve the creation of and oversee committees of the Clinical Staff as necessary for compliance with accreditation standards, regulatory requirements and governance of the Clinical Staff;
- Receive and act on reports and recommendations from the Clinical Staff committees and Departments;
- Develop a procedure for managing such conflict as may arise between the Clinical Staff and the Clinical Staff Executive Committee on issues related to the adoption of or amendment to Clinical Policies of the Medical Center;
- Notify Members of the Clinical Staff of its adoption of or amendment to Clinical Staff Policies of the Medical Center, and
- Perform such other duties as may be assigned to it by the MCOB.
Membership
The membership of the Clinical Staff Executive Committee shall consist
of the following individuals, all of whom shall be voting members:
- President of the Clinical Staff
- Vice President of the Clinical Staff
- Chief Executive Officer of the Medical Center
- Associate Vice President for Hospital and Clinics Operations
- Chief Medical Officer of the Medical Center
- Chief Nursing Officer of the Medical Center
- Dean of the School of Medicine
- Designated Institutional Officer for Graduate Medical Education
- Chairs of the Departments of the Medical Center
- Chair, Children’s Hospital Clinical Practice Committee
- Five (5) Clinical Staff Representatives selected by the Clinical Staff and AHPs as provided in the Clinical Staff Bylaws
- President of the Nursing Staff
- President of the Clinical Staff of the University of Virginia Transitional Care Hospital
- Vice President of the Clinical Staff of the University of Virginia Transitional Care Hospital
In addition, the President(s) of the Housestaff Executive Council shall serve on the Clinical Staff Executive Committee as a non-voting, ex-officio member(s). When the Department Chair is unable to attend a CSEC meeting, the Deputy may attend and vote in place of the Department Chair. The Deputy will count in establishing a quorum.
Meetings
The Clinical Staff Executive Committee shall meet at least (10)
times per year at a time and place as designated by the Chair of the
Clinical Staff Executive Committee, and the expectation is the each
member of the Clinical Staff Executive Committee will attend these
meetings. Fifty-one percent (51%) of the membership of the
Clinical Staff Executive Committee shall constitute a quorum.
Attendance at the Clinical Staff Executive Committee meetings is not
assignable for voting purposes.
Contacts
Chair: Robert S. Gibson, MD, MACP, FACC, rsg@virginia.edu Administrative
Contact: Carole Wagonhurst, Clinical Staff Office, 924-2435, cw6k@virginia.edu
Current Membership (as of September 2012)
| Mark Abel, MD | Chair, Orthopaedic Surgery |
| Reid Adams, MD | Surgical Specialties Representative |
| Bo Cofield, DrPH, MHA, FACHE | Associate VP for Hospital and Clinics Operations |
| William Cox, MD |
Housestaff Co-President |
| Thomas Cropley, MD | Chair, Dermatology |
| Steven DeKosky, MD | VP & Dean, School of Medicine |
| Sharon Esau, MD | Medical Director, Transitional Care Hospital |
| Lorna Facteau, DNSc, RN | Chief Nursing Officer |
| James E. Ferguson, MD | Chair, Obstetrics & Gynecology |
| Chris Ghaemmaghami, MD | Hospital Based Specialties Representative |
| Robert Gibson, MD, MACP | President of the Clinical Staff |
| Tracey Hoke, MD, M.Sc., FAAP |
Chair, Children's Hosp Clinical Practice Committee |
| R. Edward Howell |
VP & Chief Executive Officer, Medical Center |
| Bankole Johnson, MBBS, ChB, PhD | Chair, Psychiatric Medicine |
| Karen Johnston, MD | Chair, Neurology |
| Susan Kirk, MD | Associate Dean for Graduate Medical Education |
| Irving Kron, MD | Chair, Surgery |
| James Larner, MD | Chair, Radiation Oncology |
| Thomas Leinbach, MD | Chair, Dentistry |
| Paul Levine, MD | Chair, Otolaryngology |
| B. Gail Macik, MD | Medical Specialties Representative to CSEC |
| Alan Matsumoto, MD | Chair, Radiology |
| Dan McCarter, MD |
Associate Chief Medical Officer for Ambulatory Services |
| Raymond Morgan, MD | Chair, Plastic Surgery |
| Christopher Moskaluk, PhD, MD |
Chair, Pathology |
| James Nataro, MD, PhD | Chair, Pediatrics |
| Peter Netland, MD, PhD | Chair, Ophthalmology |
| Robert O'Connor, MD | Chair, Emergency Medicine |
| Norman Oliver, MD | Chair, Family Medicine |
| Amit Pandit, MD | Housestaff Co-President |
| Barbara Post, MD | Primary Care Representative |
| George Rich, MD | Chair, Anesthesiology |
| Mitchell Rosner, MD | Interim Chair, Department of Medicine |
| Mark Shaffrey, MD | Chair, Neurosurgery |
| Carol Smith, RN, MBA |
Interim Administrator, QPI |
| William Steers, MD | Chair, Urology |
| Scott Syverud, MD | Vice President of the Clinical Staff |
| Tanya Thomas, BSN, RN, OCN |
President, PNSO Nursing Cabinet |
| Jonathon Truwit, MD | Associate Dean for Clinical Affairs |
| Robert P. Wilder, MD | Chair, Physical Medicine |
| Jeff Young, MD | Chief of Quality |
