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
• establish, review, and enforce the policies applicable to the Clinical Staff, including the Bylaws, Clinical Staff Rules and Regulations, 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 various Departments to ensure 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
• perform such other duties as may be assigned to it by the Clinical Staff or the MCOB

Membership
Voting members include the President of the Clinical Staff, President-elect of the Clinical Staff, Chief Executive Officer of the Medical Center, Chief Clinical Officer of the Medical Center, Chief Operations Officer of the Medical Center, Dean of the School of Medicine, Senior Associate Dean for Clinical Affairs, Chairs of the clinical Departments of the Medical Center, Four (4) Clinical Staff Representatives selected by the entire Clinical Staff as provided in Section 10.3. of the Bylaws, and President of the Nursing Staff. The President of the Housestaff Executive Council serves on CSEC as a non-voting, ex-officio member.

Meetings
CSEC meets monthly at a time and place designated by the Chair. Fifty-one percent (51%) of the membership constitutes a quorum. Attendance is not assignable for voting purposes. A substitute may attend a meeting for purposes of information sharing but may not vote by proxy and will not count in the quorum.

Contacts
Chair: Robert S. Gibson, M.D., MACP, rsg@virginia.edu

Support: Carole Wagonhurst, Clinical Staff Office, 924-2435, cw6k@virginia.edu

Current Membership    (as of Jan 1, 2012)

Committees Reporting to CSEC

CSEC Organizational Chart