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Hallmark Health System (HHS) Shared Governance Council Structure
Governance Councils assume accountability for the management, operation and integration of the Department of Nursing. Councils have decision making authority within the scope of their responsibility. The Governance Councils are identified as follows:
- Nursing Practice and Quality Council (NPQC)
- Nursing Research Council (NRC)
- Nursing Resource Management / Government Affairs Council (NRM/GAC)
- Nursing Informatics Council (NIC)
- Clinical Practice Leaders Council
- New Graduate Resident Council
- Patient Care Leadership Council (PCLC)
- Chief Nurse Council (CNC)
- Unit-Based Practice Council (UBPC)
Governance Councils meet monthly and are the legitimate forum for decision-making in the department of nursing services and retain the accountability for the process and outcome of issues related to nursing practice, education, quality, research and management. Decision-making at the council level is performed through a voting process. Each council member may vote on council issues. Voting requires a quorum of greater than 50% of membership be present. A majority vote of the quorum is required for adoption when consensus is not reached. Councils may also have non-voting ad hoc members, as deemed necessary by that respective council.
New Graduate Resident Council (NGRC)
The role of NGRC is to ease the transition of the new graduate nurse within the HHS.
Nursing Practice and Quality Council (NPQC)
NPQC represents an integral part of the HHS interdisciplinary approach to the continuous improvement of patient care. The role of the NPQC is to oversee, direct, communicate, and support clinical practice standards including patient care and nursing practice. These standards shall be clearly defined and actualize the care delivery model for all nursing clinical activity. Through development and oversight of these standards, NPQC advocates for the advancement of nursing practice and the quality and safety of patient care. The role is to develop quality initiatives to improve patient outcomes and patient safety and inspire nurses to achieve and maintain a culture of excellence and safety at HHS.
Nursing Research Council (NRC)
The role of the NRC is to promote inquiry, support investigation and facilitate the dissemination and integration of evidence-based nursing knowledge that will impact the practice of nursing care services at HHS and the communities we serve.
Nursing Resource Management/Government Affairs Council (NRM/GAC)
The role of the NRM/GAC is to advise nursing leadership on issues related to the management of nursing resources, both human and material. This focus includes attention to retention and recruitment, availability of resources, the presence of innovative staffing programs and the satisfaction of caregivers with balance afforded in work life/ home life. The Council also serves as a nurse driven, hospital-based advocacy group, which targets health care providers and their leadership, elected officials, public relations representatives, health care consumers and insurance providers. The council provides an expert primary source of information by maintaining a finger on the pulse of current data regarding the direct delivery of cost effective, quality patient care, education, support and community outreach.
Nursing Informatics Council (NIC)
The role of the NIC oversees the development and implementation of information systems specifically for nursing and also serve in a consultative role on development and implementation of hospital information systems that will impact the practice and provision of nursing care services at HHS.
Unit-Based Practice Council (UBPC)
The role of the UBPC is to oversee, direct, communicate and support clinical practice as it relates to patient care, nursing practice and performance and the care delivery model at the unit/service level.The council represents the individual needs and issues of the unit or service. Each unit or service, where appropriate, will have a unit-based practice council.
Patient Care Leadership Council (PCLC)
Integrates the activities of all Governance Councils and the nursing practice operations of HHS. Fosters the standards of best practices. Promotes professionalism in nursing utilizing collaboration, communication and critical thinking.
Clinical Practice Leaders Council
Clinical Practice Leaders (CPL) are critical members of the nursing leadership team for HHS promoting high standards of nursing practice. The Clinical Practice Leader assumes day-to-day responsibility and accountability for the delivery of professional nursing care, direct supervision of nursing staff and the allocation of resources for this area of responsibility.
Chief Nurse Council (CNC)
This council functions as the senior executive decision making group; approving, coordinating, communicating and facilitating the integration of the work of the nursing department. They carry out the ongoing assessment and improvement of clinical care. CNC sets priorities to improve existing processes and monitoring patient outcomes using data derived from a variety of sources. They monitor compliance with established professional and regulatory standards, while serving as sponsor for quality initiatives, and evaluate and revise systems and processes to enhance achievement of identified outcomes. The Chief Nursing Officer (CNO) organizes, assesses, implements, and maintains a nursing service that meets the requirements of the Federal and State agencies, and the professional community. The CNO directs all nursing service employees, participates with management and medical staff in developing the hospital's mission, strategic plans, operational plans and policies, coordinates ancillary services in their roles to interface in patient care, and carries the leadership responsibilities for other Departments outside of nursing.
HHS iis comprised of two component entities, Melrose Wakefield Hospital and Lawrence Memorial Hospital. Each entity has a designated RN executive leader, an Associate Chief Nursing Officer (ACNO) who assumes 24-hour responsibility and accountability for the delivery of professional nursing care and the allocation of resources for this area of responsibility. The site ACNO coordinates and integrates services aligned with the strategic plan, mission and vision of Hallmark Health System. The system vice president for patient care services and Chief Nursing Officer, the ACNOs assure full implementation of the Scope and Standards of Nurse Administrators and the existence of a magnet environment for nurses in the workplace throughout the component entities.