NAC449.15325. Governing body; bylaws and policies.

     1. Each facility shall have a governing body that has the ultimate authority for the administration of the overall program of the facility.

     2. The governing body shall adopt written bylaws and policies that define the powers and duties of the governing body, its committees, the administrator and any advisory group.

     3. The bylaws and policies must:

     (a) Identify the overall goals of the facility;

     (b) Include, without limitation, an organizational chart of the facility;

     (c) Define the major lines of authority and areas of responsibility within the program of treatment provided by the facility;

     (d) Define the membership of the governing body, the types of membership, the method of selection or appointment of members, offices or committees and their terms of office; and

     (e) Define the frequency of meetings of the governing body and attendance requirements.

     4. The governing body shall:

     (a) Appoint a qualified administrator of the facility with authority and responsibilities appropriate to the requirements of the program;

     (b) Establish policies governing the responsibilities, authority and duties of the administrator that are designed to enable the administrator to perform the administrative and treatment functions of the facility;

     (c) Appoint a medical director of the facility who is responsible for the medical services provided at the facility;

     (d) Determine, in accordance with state law, which categories of practitioners are eligible to be appointed to the medical staff of the facility;

     (e) Appoint members to the medical staff of the facility who are accountable to the governing body for the quality of medical care provided to clients of the facility, taking into consideration any recommendations of the existing members of the medical staff;

     (f) Review and revise the bylaws and policies of the governing body;

     (g) Adopt controls designed to achieve and maintain maximum standards of service; and

     (h) Review and approve an annual budget to carry out the objectives of the program.

     5. The governing body shall retain the ultimate responsibility for the overall program and its objectives.

     6. The governing body shall meet at least semiannually. Minutes must be kept of the meetings, including, without limitation, the date of each meeting, those in attendance, topics discussed, decisions made and actions taken, and all program reports.

     (Added to NAC by Bd. of Health by R129-99, 11-29-99, eff. 1-1-2000)