440 IAC 4.1-2-2 Organizational standards and requirements

Sec. 2. (a) The center shall have a governing board. (b) The purpose of the governing board is to make policy and to assure the effective implementation of the policy. (c) The governing board shall meet the following criteria: (1) The governing board shall be composed of at least five (5) individuals. At least one (1) member shall be a primary or secondary consumer. (2) Each county served by the center shall have at least one (1) member from that county on the governing board. (3) No governing board member, with the exception of the president/chief executive officer, may be employed by or contract with the center. (4) If a board member, including officers of the board, has a conflict of interest, the individual should not vote or use his or her personal influence on the matter. The minutes of the meeting shall reflect that a disclosure was made, the abstention from voting, and that a quorum was present. (d) The governing board shall meet on a regular basis. The duties of the governing board include the following: (1) Employ a chief executive officer for the center. The chief executive officer shall have at least a master's degree and shall have demonstrated managerial experience in the mental health care or related field. Individuals employed as chief executive officers in a center as of January 1, 1995, shall be considered as meeting this qualification. (2) Evaluate the chief executive officer. Evaluations must be conducted every other year, at a minimum. (3) Establish and enforce prudent business and fiscal policies for the center. (4) Develop and enforce written policies governing center operations. (5) Develop and implement an ongoing strategic plan that identifies the priorities of the governing board and utilizes community input and consumer assessment of programs and services offered. (6) Assure that minutes of all meetings are maintained and accurately reflect the actions taken. (7) Develop and enforce policies and procedures regarding conflict of interest by both governing board members and center employees. (8) Conduct an annual assessment that includes the following: (A) A review of the business practices of the center to ensure that: (i) appropriate risk management procedures are in place; (ii) prudent financial practices occur; (iii) there is an attempt at maximizing revenue generation; and (iv) professional practices are maintained in regard to information systems, accounts receivable, and accounts payable. Deficiencies in the center's business practices shall be identified and a plan of corrective action implemented. (B) A review of the programs of the center, assessing whether the programs are well-utilized, cost effective, and clinically effective. Deficiencies in the center's current program practices shall be identified and a plan of corrective action implemented. (e) The center shall have on staff a medical services director who: (1) has responsibility for the oversight and provision of all medical services; and (2) is a physician licensed to practice medicine in Indiana. (f) The center may have a professional staff organization that has the oversight of clinical services. (g) The chief executive officer may not be the same person as the medical services director. (h) A center that is part of a general hospital may, in lieu of a separate governing board, have an advisory board.