HOSPITAL COMMITTEES:

  1. Leadership Committee
  2. Safety Committee
  3. Quality Management Committee
  4. Infection Control Committee
  5. Ethical Committee
  6. MRD Committee
  7. Pharmacy & Therapeutic Committee (Multi-Disciplinary Committee)
  8. Code Blue Committee
  9. Disaster Management Committee
  10. NABH Core Committee
  11. Anti-Sexual Harassment Committee
  12. Grievance redressal Committee

1. LEADERSHIP COMMITTEE

MEMBERS:

  1. MANAGING TRUSTEE
  2. MEDICAL DIRECTOR
  3. TREASURER
  4. HRM
  5. NABH Coordinator
  6. C.M.O
  7. Sr.M.O
  8. All Unit Heads
  9. Head Nurse

 ROLES & RESPONSIBILITIES:

  1. To ensure safe, high quality patient care.
  2. To prepare Annual budget.
  3. To ensure the hospital provides care, treatment & services in accordance with laws, rules & regulation & Licenses.
  4. To ensure adequate space & equipment are available for patient care.

2. SAFETY COMMITTEE

MEMBERS:

  1. A.O
  2. NABH Coordinator
  3. Safety officer
  4. All unit Heads
  5. Maintenance supervisor

ROLES & RESPONSIBILITIES:

  1. To identify the safety & security risks to patients, staff, Visitors in all phases of activities.
  2. To conduct Facility inspection rounds to ensure safety (twice a year-minimum) in patient care and once a year in non-patient care areas. After going rounds identify root cause, corrective/preventive action of gap should be done.
  3. To identify hazards & risks in the following:
    1. Sharp bends in passages.
    2. Protruding or dandling element in passageways.
    3. Sudden swing or swing doors.
    4. Ramps.
    5. Hazardous materials management (egs -> spillage of blood samples, spillage of acids etc.
    6. Patient transport (internal & external)
    7. Variation of floor heights which may cause fall and injury.
    8. Electrical hazards in the workplace.
    9. To study process failure, Sentinel events and near misses and take appropriate actions.
    10. To coordinate for development, Implementation and monitoring of safety plans, policies and procedures.
    11. To analyse, interpret and disseminate data arising out of Audit/Inspection rounds.
    12. To monitor patient safety devices management, Maintenance installation, updation, utilization. Egs-> grab bars, bed rails, sign postings, safety belts in stretchers, wheel chairs, alarms (visual & auditory), warning signs, call bells, fire safety devices etc)
    13. To ensure staff are educated on safety through training programs & get feedback.
    14. To submit recommendations to the Medical Director if any.

3. QUALITY MANAGEMENT COMMITTEE

MEMBERS:

  1. MEDICAL DIRECTOR
  2. NABH Coordinator
  3. Quality officer
  4. Quality Mangament Team

 ROLES & RESPONSIBILITIES:

  1. Responsible for depending, prioritizing, overseeing & monitoring the performance improvement activities.
  2. Conduct regular audits and submit reports to the Medical Director
  3. To frame corrective plans & execute.
  4. Collaborate with all other committee to know the gaps & improve the quality patient care
  5. Recognizes and celebrates successful performance improvement efforts.

4. INFECTION CONTROL COMMITTEE

 MEMBERS:

  1. NABH Coordinator
  2. Patient Liaison Officer
  3. Lab Head
  4. Microbiologist
  5. Infection control Nurse
  6. Housekeeping Supervisor

ROLES & RESPONSIBILITIES:

  1. To prevent Hospital infection in all phases of activities
  2. To guide the scope & content of employee health programs.
  3. To analyse, interpret & disseminate data arising out of Audit.
  4. To Support in orientation and continual education of all new & old employees as to the importance of IC policies & procedures.
  5. To develop surveillance system for HAI (Hospital acquired Infection)
  6. To develop & implement the IC policies & procedures in the institute.
  7. To ensure the conduct of sterilization & disinfection practices, to ensure housekeeping, laundry, engineering maintenance, waste Management.

5. ETHICAL COMMITTEE

 MEMBERS: 

S. No. DESIGNATION STAFF NAME
1.  Chair Person Dr. K. Krishna Kumar, M.V.Sc., Ph.D., Professor and Head,
Department of Veterinary Gynaecology and Obstetrics,
Madras Veterinary College,  Chennai
  2. IEC Coordinator Dr. D. Britto Wilbert Dhas, MD(Hom) Vice-Principal, Venkateswara Homoeopathic Medical College and Hospital, Chennai
  3. Member Secretary Dr. M. Vidhya, MD(Hom), Professor/HOD, Dept. of Homoeopathic Pharmacy, Venkateswara Homoeopathic Medical College and Hospital, Chennai
  4. Legal Expert Adv. Mrs.  S. Grace Nesamoney, M.A.,B.L., PG.Dip Criminology & Forensic Medicine Rtd. DSP., (SP) Practicing at Madras High Court
  5. Basic Medical Scientist Dr. T. SELVAMOHAN, M.Sc., M.Phil., Ph.D, Asst. Professor, – Dept. of Zoology, Rani Anna Government College for Women Gandhi Nagar, Palayapettai, Tirunelveli.
  6. Social Scientist Mr. M. Maruthi, M.A., BL., Secretary – Thakkar Bapa Vidyalaya Convenor – Youth Forum for Gandhian Studies President – Harijan Sevak Sangh (Tamil Nadu State)
  7. Philosopher Dr. V. Seenivasan, M.A., M.Phil, Ph.D., Professor & HOD – Dept. of Philosophy, Pachaiyappa’s College, Chennai.
  8. Layperson Dr. U. Vijayabanu, Ph.D, Counselling Psychologist.
  9. Clinician Dr. Mohammed Aleem, DHMS, PG.Dip(NIH) Senior Homoeopathic Physician, Dr. Aleem’s Homoeo Clinic, 44, Mahalakshmi Street, T.Nagar, Chennai.
10.   Clinician Dr. Vijayalakshmi, MBBS, PGDip(Ultrasound), Consultant Sonologist Billroth Hospitals, Chennai.

 ROLES & RESPONSIBILITIES:

  1. To ensure research protocols are carried out in hospitals.
  2. To ensure patient’s rights are taken care of.
  3. To ensure employee rights are taken care of.
  4. To ensure positive ethics culture is maintained throughout the organization.
  5. To address & frame corrective measures from Audit reports.

6. MEDICAL RECORD COMMITTEE 

MEMBERS:

  1. NABH Coordinator
  2. MRD Head
  3. MRD In-charge

ROLES & RESPONSIBILITIES:

  1. To ensure patient’s case books are maintained confidential.
  2. To ensure no case books are lost.
  3. To ensure no pests/rodents inside MRD.
  4. To ensure proper disposal of case books as per the policies.
  5. To ensure proper stacking of case books.

7. PHARMACY & THERAPEUTIC COMMITTEE (Multi-Disciplinary committee)

MEMBERS:

  1. NABH Coordinator
  2. Pharmacy Head
  3. Quality Coordinator
  4. Head pharmacist

ROLES & RESPONSIBILITIES:

  1. To formulate & implement the policies & procedures relating to pharmacy services of medication usage & dispensing.
  2. To formulate & implement the hospital formulary & update same at regular interval.
  3. TO define & establish a framework for reporting adverse drug events.
  4. To design & implement methods for ensuring safe prescribing, safe procuring, distribution, dispensing & monitoring of medicines.
  5. Drug license renewal and be complied with applicable laws & regulations.
  6. To define policies & procedures including safe storage, preparation, handling & disposal of expired medicine.
  7. To analyse, interpret & disseminate data arising out of Audit.
  8. To ensure that all pharmacy registers are in order.

8. CODE BLUE / CPR COMMITTEE

 MEMBERS:

  1. NABH Coordinator
  2. Unit Head
  3. Casualty Medical Officer
  4. Casualty Nurse

ROLES & RESPONSIBILITIES:

  1. Defining role & composition of resuscitation team.
  2. Ensuring CPR equipment is available and in proper working condition.
  3. Planning adequate training in resuscitation for all medical & non-medical staff.
  4. Recording & reporting critical incidents in relation to CPR
  5. Record outcome of CPR

9. DISASTER MANAGEMENT COMMITTEE

MEMBERS:

  1. MEDICAL DIRECTOR
  2. A.O
  3. NABH Coordinator
  4. Safety officer
  5. Maintainance Supervisor

ROLES & RESPONSIBILITIES:

  1. To establish & review the Disaster Management Plan of the institution.
  2. Training of staff on DM
  3. To ensure availability of adequate resources for Disaster Management.
  4. To conduct mock drill 
  5. To test documented appropriate corrective / preventive action.

 10. NABH CORE COMMITTEE

MEMBERS:

  1. MEDICAL DIRECTOR
  2. Treasurer
  3. HRM
  4. NABH Coordinator
  5. C.M.O
  6. Sr.M.O
  7. All unit Head

ROLES & RESPONSIBILITIES:

  1. To ensure Hospital & staff follows the organization’s Mission Vision & Values.
  2. To ensure necessary resources are available to implement & monitor NABH standards.
  3. To identify gaps with respect to NABH & take necessary actions.
  4. To ensure compliance with laid down & applicable legislations & regulations
  5. To ensure grievances of patient’s & employees are taken care of.
  6. To protect patients & employee’s rights.
  7. To liaise with Auditing team

11. ANTI-SEXUAL HARASSMENT COMMITTEE

MEMBERS:

  1. MEDICAL DIRECTOR
  2. HRM
  3. A.O
  4. NABH Coordinator
  5. Patient Liaison Officer

ROLES & RESPONSIBILITIES:

  1. Prevent discrimination & sexual harassment in the institution.
  2. Deal with cases of discrimination & sexual harassment against women in a time bound manner aiming , at ensuring support services to the victimized & termination of the harassment.
  3. Recommend appropriate punitive action against the guilty party to the M.D.

 12. GRIEVANCE REDRESSAL COMMITTEE

 MEMBERS:

  1. MEDICAL DIRECTOR
  2. A.O
  3. HRM
  4. NABH Coordinator
  5. C.M.O
  6. Sr. M.O

ROLES & RESPONSIBILITIES

  1. To address the grievances of the patient & employees.
  2. To take corrective measures of the same.