Section R432-100-6 - Governing Body(1) Each licensee shall have a governing body hereinafter called the board.(2) The board members are legally responsible for the conduct of the hospital staff. The board members are also responsible for the appointment of the medical staff and an administrator assigned to carry out the requirements of Section R432-100-7.(3) The licensee shall ensure that the board is organized in accordance with the articles of incorporation or bylaws that specify:(a) the duties and responsibilities of the board members;(b) the method for election or appointment to the board;(c) the size of the board;(d) the terms of office of the board;(e) the methods for removal of board members and officers;(f) the duties and responsibilities of the officers and any standing committees;(g) the numbers or percentages of members that constitute a quorum for board meetings;(h) the board's functional organization, including any standing committees;(i) to whom responsibility for operation and maintenance of the hospital, including evaluation of hospital practices, may be delegated;(j) the methods established by the board for holding such individuals responsible;(k) the mechanism for formal approval of the organization, bylaws, rules of the medical staff and hospital departments; and(l) the frequency of meetings.(4) The board members shall meet not less than quarterly, and shall keep written minutes of meetings and actions, and distribute copies to members of the board.(5) The board members shall employ a competent executive officer or administrator and vest this person with authority and responsibility for carrying out board policies. The board shall define the executive officer or administrator's qualifications, responsibilities, authority, and accountability in writing.(6) The board, through its officers, committees, medical and other staff, shall: (a) develop and implement a long -range plan;(b) appoint members of the medical staff and delineate their clinical privileges;(c) approve organization, bylaws, and rules of medical staff and hospital departments; and(d) maintain a list of the scope and nature of any contracted services.Utah Admin. Code R432-100-6
Amended by Utah State Bulletin Number 2023-14, effective 7/6/2023