HR.1 The hospitals leaders define the
qualifications and performance expectations for all staff positions.
LD.2. Each hospital department has effective leadership.
LD.2.11 Departments that are not medical staff services that provide patient care are
directed by one or more qualified professionals.
LD.2.11.1 Responsibility for administrative direction and clinical direction is defined
in writing.
LD.2.11.2 A qualified professional with appropriate clinical training and experience is
responsible for the clinical direction of patient care.
LD.2.11.3 When a department has more than one director, the responsibilities of each
are clearly defined in writing.