Sec. 446. Indian Health Governing Board

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Not later than six months after the date of receipt by the Secretary of Health and Human Services of a written request from the tribe or tribes served by a hospital operated by the Indian Health Service, the Secretary shall install a governance board exclusively for such hospital for a trial period of three years: Provided , That the governance board shall be comprised of Indian Health Service senior executives, elected tribal officials, and hospital administration experts outside of the Indian Health Service system:

Provided further , that the governance board shall follow industry-wide best practices: Provided further , that the governance board shall approve, oversee the implementation of, and evaluate metrics of quality care, patient safety and satisfaction, and finance: Provided further , that the governance board shall work with the Indian Health Service on developing standards and procedures for employee recruitment, retention, training, communication, and dismissal to assure consistency with other high performing federally run health facilities:

Provided further , that the hospital shall have a chief executive officer hired and accountable to the Director of the Indian Health Service who shall be a liaison between the Indian Health Service and the governance board: Provided further , that the chief executive officer shall retain authority for all hospital personnel matters in accordance with existing law: Provided further , that the chief executive officer and the governance board shall sign a memorandum of understanding to share all pertinent hospital information while protecting individual privacy rights in accordance with existing law:

Provided further, that the Secretary shall replace the chief executive officer upon receipt of a written request by the governance board: Provided further , that the governance board shall meet at the hospital regularly: Provided further, that the governance board shall regularly communicate to the affected tribe or tribes, to the Secretary, and to the Congress: Provided further , that at the end of the trial period, the governance board shall publish and disseminate a report evaluating the aforementioned metrics and providing recommendations for any other tribe or tribes wanting to establish a similar governance board at any other hospital operated by the Indian Health Service:

Provided further, that if a tribe moves from direct service delivery to delivery through contracting or compacting pursuant to Public Law 93–638 , the tribe involved in the pilot has the opportunity to end the pilot and the opportunity to collaborate with the Indian Health Service to reconfigure a governance structure in which that Indian Health Service may upon request continue its participation in the governance structure in a contracted or compacted arrangement.

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Pub. L. 93-638

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Sec. 446

Indian Health Governing Board

Pub. L.Pub. L. 93-638

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