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Nursing Quality Council Bylaws

 

Article I: Mission

The Nursing Quality Council monitors the appropriateness and effectiveness of the care provided by the nursing staff while assessing and ensuring compliance with established standards of care and practice.

Article II: Purpose

The purpose of the Nursing Quality Council is to:

  • Develop, revise and approve the annual Nursing Quality Improvement Plan, along with completing an annual evaluation of the effectiveness of the plan.
  • Endorse and monitor unit based quality improvement plans.
  • Integrate the nursing quality improvement process with the hospital plan to detect trends and patterns of performance that affect more than one department or service.
  • Review and evaluate data (NDNQI, unit audit data, benchmarks, etc) and incorporate the data to develop action plans in collaboration with unit practice committees in the department of nursing to ensure quality patient outcomes.
  • Monitor and ensure compliance with established state, federal and regulatory standards.
  • Collaborate with other disciplines to monitor and evaluate compliance to standards and make recommendations to enhance continuous quality improvement and safety.
  • Oversee the process for timely and accurate data submission/reports.
  • Monitor and analyze data relative to nursing quality and safety practices seeking opportunities for continual improvement. Evaluate outcomes in conjunction with these initiatives.

Article III: Membership

Section 1

Membership shall include the following:

  • 1 Director
  • 4 Clinical Nurse Managers
  • 2 Nurse Educators
  • NPI Manager/ analyst
  • 1 staff nurse representative from each of the clinical service areas:
  • Surgery Services
    • Oncology
    • Heart Center
    • Medicine Services
    • Women’s Hospital
    • Children’s Hospital
    • Surgical Services
    • Psychiatry
    • Rehab
    • Emergency Department/ Air Care
    • At- large representative from the procedural areas
    • At- large representative from the clinic areas

Ex Officio Members:

  • Hospital QI Department representative
  • Hospital Patient Safety committee representative
  • Director of Accreditation and Standards
  • Risk Management Department representative
  • Representatives of non-nursing areas involved in clinical practice. Representatives will attend those meetings when their materials/requests are being reviewed for approval or when education issues affect nursing within that setting.

Section 2

Membership Privileges

a. Each Council member/ Clinical service area shall have only one vote (if there is more than one nurse per clinical service area on the Council, there is still one voting member per service).

b. Ex Officio and Ad Hoc members will have no voting privileges.

c. Appointments to the Quality Council will be for a minimum of a one (1) year period for the first year that the Council is in existence; thereafter the period of appointment will be two (2) years. No more than 50% of the Council will be rotated off each year, including the first year of existence.

d. Election of members shall occur by November of each year; the term of membership will begin in January.

e. Members will be responsible for coordinating meetings or reporting activities and disseminating minutes/ information to their respective unit or clinical area representatives.

Article IV: Officers

Section 1

a. The Chair and Co-Chair shall be elected from the membership of the Council. Each will serve one year in the respective position for a total of a two year term (one as Co-Chair, one as Chair). For the first year of the Council, a Director of Nursing will serve as the Chair and a staff nurse will serve in the Co-Chair position.

b. The Nurse Managers will report Council activities to the Nurse Manager Committee on a monthly basis as well as advise the Professional Development Council on management issues.

c. The Director serves as a resource and advises the council on issues that impact the goals and objectives of patient care services and the hospital as a whole.

Section 2

Duties of the Officers:

a. The Council Chair/ Co-Chair is responsible for reporting to the Nursing Executive Council on a monthly basis.

b. Schedule and facilitate regular meetings.

c. Develop an agenda for each meeting.

d. Ensure that meeting minutes are maintained and disseminated.

e. Educate staff as to the activities and goals of the Nursing Quality Council.

f. The Chair will be responsible for the development and submission of an annual report due each December to the Nursing Executive Council.

Article V: Committees

a. Subcommittees under the Nursing Quality Council will include:

  • Pain Committee 
  • Restraint Committee

b. A task force of Ad Hoc committee members shall be formed at the discretion of the Council to meet the needs of the Council or the hospital as a whole.

Meetings:

a. The Nursing Quality Council will meet once a month.

b. Members must attend at least 75% of yearly meetings to retain their Council membership.

c. Inability to attend a meeting must be clearly communicated to the Chair in advance.

d. It is the responsibility of the Council member to obtain information from the missed meeting and disseminate this to the appropriate groups.

Article VI: Quorum

51% of the voting members of the Research Council members shall constitute a quorum for all meetings. A consensus decision making process is preferred; when necessary, a motion will be considered approved when passed by a minimum of 2/3 majority vote.

Article VII: Amendments

a. These bylaws may be amended at any meeting of the Council with a quorum of 2/3 attendance and by a 2/3 majority vote.

b. Members shall be notified in writing (14) fourteen days in advance of proposed change.

c. Notification shall include present article and section citation and proposed amendment.

d. The Nursing Executive Council shall review proposed amendments for final approval.  

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