Members of the Board come together at least 2 times per year to discuss high-level activities going on with PGH. The PGH Strategic Plan is the framework for discussions. Presentations may highlight achievements and areas of concerns. Community members are involved by contributing to the discussions with concerns, requests, and recommendations. 

This committee meets once every quarter (4 x per year) to provide a safe meeting space to review patient quality of care, identify areas of improvement without placing blame, and to promote professionalism, ethical integrity, and transparency. 

Members: 
   Dr. Christina Allen, PHD, MSN, MBA, CNO
   Dr. Peter Chang, MD, PhD, MPH
   MD/NP representative from surgical services
   Medical Residents, Nurse Practitioners, and Nurse Managers

Other Participants may receive invitations depending on the M&M case and staffing, including therapists, staff nurses (average 4 every month), and other relevant employees as appropriate. 
 

The Bioethics committee meets every 2 months and as needed if an urgent case comes up. Members are identified throughout the organization who can offer particular insights to guide clinical decisions for ethical resolutions. Tasks forces of 4-5 persons familiar with a case or with expertise about a case may be appointed from PGH staff as needed. Employees must have completed the bioethics training before they can be assigned to participate in a bioethical task force. Up to 2 staff nurses at a time may participate on a task force. 
The Bioethics training is offered twice a year, with a hospital goal to have at least 2 employees from each unit and service area trained. Interested employees must be approved by their supervisor to attend training sessions and to participate in task forces.

Committee meets every other month or as needed. Attention is particularly given to areas of accreditation compliance. The co-chairs plan for the implementation of a mock accreditation survey every 3 years. The committee members also review surveillance reports. Each of the units and clinics submit a report to the chair on their quality core measures as well as any interventions based on the results. Patient satisfaction and the annual nurse satisfaction surveys are also analyzed through this committee.

Members 
Director of Patient Support Services (Adam Katz, MHA)
Director of Pharmacy Services (Dr. Ethan Woods, MD)
Director of Human Resources (Lisa Driver, MHA)
Infection Control Officer (David Pembroke, MSN, RN)
Compliance and Patient Safety Nurse for OPD clinics (Randy Stevenson, MSN, APRN)
Clinical Nurse Educator for ICU & Stepdown units (Julieta Martinez, MSN, RN, CNE)
Clinical Nurse Educator for Med-Surg units (Sandy Wang, MSN, RN)
Two nurse managers attend: they rotate month-to-month among all nurse managers
Staff nurses (1-year terms): Crystal Downing, BSN, RN (ICU); Raina Haddad, BSN, RN (M/S West); William Harris, BSN, RN (Neuro/Behavioral Unit); Susan Daley, BSN, RN, (OPD Adult Clinics)
 

Committee meets monthly. Tasks include: a review of infection control (IC) statistics at PGH; review infection control and lab policies and make recommendations to the P&P committee when indicated; raise awareness of IC statistics; and plan activities to promote prevention and raise awareness of IC tracking. 
Members
Medical: Dr. River Watts, MD. ABIM, ABEM.CMO
Nursing Leadership: Dr. Christina Allen, PHD, MSN, MBA, CNO
       At least one nurse manager
Laboratory Director: Dr. Gustavo Deleon, MD, CMLT (Certified Medical Laboratory Technician), or representative
Surgical: A representative from Surgical Services (MD or RN) 
Staff Nurse Representatives (at least 4)
       Amy Atwell, BSN, RN
       Uma Ghanta, BSN, RN
       Wendy Griffin, BSN, RN
       Sheila Wagner, BSN, RN 
Alternative Membership 
Compliance officer (Dr. Alex Smith or Randy Stevenson, APRN)
Nurse Managers (Additional)

Committee meets monthly. Committee reviews all of the hospital policies and procedures in a systematic method. Most patient-care policies are reviewed every 1 – 2 years. Non-patient care hospital procedures will be reviewed every 2 – 4 years. Task forces or ad hoc committees can be appointed as needed. Policies follow evidence-based practice principles. Co-chair positions may rotate every 6 months. A staff nurse may serve as co-chair when appropriate for no more than 12 consecutive months. Policies approved by committee must also be approved by the Chief Medical Officer or designated physician/surgeon representative. Human Resources Policies will be reviewed by the Human Resources department and approved by the board. 

Membership
   Representative from therapies department
   2-4 representatives from OPD clinics, including ER and OR
   3 Representatives from inpatient nursing (must be from different units)
   Representation from Lab and/or Radiology
Other Membership as needed
Representatives from Dietary, Housekeeping, IT, etc. to participate in related policy reviews that impact their areas.