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