Governance (Revised 12-12-19)

G.M. 1.0 - Governing Body

Standard: There is an overarching group or body that is legally responsible for the operation and performance of the entity. If the entity is part of a larger organization with an existing governing body (as in a hospital), there is an individual(s) responsible for overseeing imaging department operations and performance.

Elements of Compliance:

• GM 1.1 The entity must have governance (body, committee, lead) in place that is responsible for establishing mission, goals and objectives of the entity.

• GM 1.2 The governing body is responsible for approval and implementation of policies and procedures.

• GM 1.3 The governing body is responsible for financial management, approval of contracts and other legal arrangements for the entity.

• GM 1.4 The governing body ensures compliance with federal, state, local and other relevant regulations.

• GM 1.5 The governing body ensures that effective communications are developed and maintained both within and external to the entity.

• GM 1.6 The governing body ensures that patient safety and quality of care are evaluated and problems are appropriately addressed.

• GM 1.7 The governing body should meet on a regular basis, at least annually, to review the operations and performance of the entity. Minutes or other records should be kept.

Revision History for this Article

Date

Section

Description of Revision(s)

12-12-19

All

Article created; FAQs incorporated; No criteria changes