Hospital-wide Committees and Councils | BCH Pediatric Critical Care Resource Team

Committee/Council	Date	Time	Location	Mission	Chair/Facilitator

CAUTI Prevention Champions	1^st Wednesday of every month	1300-1400		To discuss UCSF performance on CAUTI and strategies to reduce CAUTI infections	Amy Larsen [email protected]
BCH CLABSI Prevention Committee (CPC)	4^th Tuesday of every month	1200-1300	C6897/99 Mission Bay	The BCH CPC is a multidisciplinary, hospital-wide group focused solely on CLABSI prevention. CLABSI reduction efforts include house-wide, multidisciplinary participation, a continuous process improvement framework, and leadership support. Ongoing areas of opportunity include maintaining engagement, standardizing CVC rounds discussions, and increasing family engagement.	Lisa Tsang [email protected] Deb Franzon [email protected]
Clinical InQUERi Council (All campuses, including BCH-SF)				The purpose of the Clinical InQuERI Council is to lead the Department of Nursing in developing the capacity of staff at all levels to engage in the full spectrum of Clinical InQuERI as a basis for achieving sustained and cutting edge practice excellence	Yin Lo [email protected] Karolina Jedrzejewska [email protected]
BCH Code White Committee				The BCH Code White and Rapid Response subcommittee is a UCSF Medical Center Committee responsible for the review and analysis of code white emergency response and outcomes in BCH. The committee also provides oversight of the BCH Rapid Response Team and is responsible for monitoring and evaluating RRT outcomes and guiding process improvements. (Also reports to the Code Blue Committee)	Shelley Diane [email protected]
BCH DEI (Diversity, Equality, Education)	Last Thursday of every month, Quarterly/ bi-annual cadence	1400-1500	MB Conference Room	The mission of the UCSF Benioff Children’s Hospitals Diversity, Equity and Inclusion Committee is to aid in building an institution that is rooted in justice and equity to nurture an inclusive culture and to cultivate and implement effective strategies for the just and equitable provision of education, discovery, and patient care	Brandie Hollinger [email protected]
BCH Diabetes Committee	quarterly	TBD	TBD	The diabetes committee is an interdisciplinary group that aims to improve pediatric diabetes care across the organization.	Jeanne Buchanan [email protected]
BCH Falls Committee	3^rd Wednesday of every month	1100-1200		Group comprised staff RN unit reps, PI team member, Physical Therapy staff rep, and Safe Mobilization team rep. We review monthly unit data, including fall events, audits, and IRs. Additionally, we identify gaps and address them as needed. The group is also involved development of new tools, educational needs.	Mary Nottingham Mary.Nottingham @ucsf.edu
Nurse-Resident Council (All campuses including BCH-SF)	1^st Tuesday of every month	1730-1830	Parnassus M1319	Overall goals are to strengthen communication, enhance collaboration, improve patient care between nurses and providers.	Vickie Thun [email protected] Julianne Bakshi [email protected]
BCH Nursing Pharmacy Committee	1^st Thursday of every month	1100-1300		To develop and implement best practices across the Department of Nursing and the Department of Pharmacy to ensure a safe medication process throughout UCSF Medical Center.	Julie Wilson-Ganz (pharmacy lead) [email protected] Shannon Fitzpatrick (nursing lead) [email protected]
BCH Patient and Family Advisory Committee	2^nd Tuesday of every month	1800-2000	Via Zoom	Trained Family advisors who partner with staff and clinicians to provide advice on various topics from policy changes to designing a healing environment to clinical care from a parent perspective. Families represent various units, diagnoses and types of admissions. The FAC mission is to optimize the quality of patient and family experiences at UCSF Benioff Children’s Hospital by incorporating the principles of Family Centered Care.”	Becky Higbee Sumner [email protected]
BCH Patient Safety	2^nd Tuesday of every month	1130-1300	Via Zoom	The Patient Safety Committee is a multidisciplinary medical staff committee. The Committee: Provides consistent oversight of the investigation and mitigation of adverse events, conducts root cause analysis activity, monitors the effectiveness of risk reduction strategies and measures of change to ensure ongoing system improvement, reviews and evaluates incidents ranked as serious, assigns responsibility for follow-up, identifies systems issues that would lead to the likelihood of the event occurring in other settings and delegates’ appropriate actions to mitigate those future risks, reviews aggregate adverse event and incident report data for issues and trends, prioritizes safety system issues that require action, develops implements and monitors the Patient Safety Plan (Policy 1.02.17), each year, selects at least one high-risk process and assures that a proactive risk assessment (FMEA) is conducted and presented to the committee, provides oversight of the analysis and response to Joint Commission Sentinel Event Alerts, provides oversight and evaluates performance data and issues related to the National Patient Safety Goals (k) Determines system wide measures and related benchmarks of patient safety, establishes performance targets and advises leadership of variability (l) Communicates patient safety issues to QIEC to foster integration of efforts among the quality committees.	Arpi Bekmezian [email protected]
BCH Pediatric Palliative Care Council					Christina Badasow [email protected] Alina Wong [email protected]
BCH Pressure Injury Prevention-All Things Skin	2^nd Thursday of every month	0900-1000		The goal of the council is to reduce hospital acquired pressure injuries	Chrissie Smith [email protected]
Professional Development Council (AL campuses, including BCH-SF)	1^st Thursday of every month	0800-1000	Rotate between Parnassus & MB Via Zoom	Purpose(s) of the Council is to establish and support the highest standard of practice that is unique to the UCSF registered nurse. The Council will establish UCSF Medical Center Department of Nursing professional priorities: recognition and retention; nurse achievement of individual, unit and hospital goals, professional development and life-long learning	Anjal Pong [email protected]
BCH Quality Improvement Executive Committee	3^rd Tuesday of every month	1130-1300	Via Zoom	The BCH QIEC Committee is a medical staff committee and provides executive oversight and integration of the work of all Benioff Children’s Hospital quality subcommittees described below. The committee’s objective is to plan, prioritize, integrate, ensure implementation, and monitor activities of the medical staff and appropriate inpatient and outpatient departments/services and disciplines that impact patient care and safety at UCSF Benioff Children’s Hospital	Arpi Bekmezian [email protected]
BCH Vascular Access Committee	4^th Tuesday of every other month ,odd months	1500-1600	Via Zoom		Kim Noh [email protected]
BCH Youth Advisory Council	2^nd Monday of every month	1800-2000	Via Zoom	A platform for teenagers and young adults to collaborate with the interdisciplinary team and strengthen the partnership between the patients, family, medical team, and community	Becky Higbee Sumner [email protected]