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DACs take professional leadership and define policy and professional and strategic directions. DAC membership is “inclusive” of all relevant senior staff within a Discipline.
Operations implement DAC policy and undertake service provision and laboratory management functions.
Business Systems provide organisation-wide corporate support functions and manage business growth and commercial development.
Quality Systems manage and coordinate the Quality framework (for both pathology and safety), administer Accreditation functions, and support the organisational improvement tools for planning and organisational improvement.
STACs address those cross-functional issues that are not confined to any one portfolio or campus.
For North Coast Area Health Service, note that Northern Rivers Pathology Service Laboratories have been included, but Mid North Coast Laboratories have not been included.
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The PaLMS Executive includes the senior member of each of the arms of the organisational functions and roles.
Note that during the transition towards the Northern Pathology Cluster, the NSCCH regional service and the NRPS regional service have separate and parallel Clinical and Operational reporting lines, and both report directly to the Director of PaLMS.
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PaLMS Executive portfolios and responsibilities are summarised in brief.
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Each NPAAC Category GX laboratory (at which there are two or more pathologists) has a Regional Director, who takes responsibility for local professional and clinical issues. The Role of Regional Director carries with it a Managerial Allowance.
The Clinical Director is a separate and distinct role from that of a Regional Director, although the position occupant could also be a Regional Director. That is, the Clinical Director can be either a position in its own right, or the role can be taken by one of the Regional Directors assuming a larger-than-Regional scope of responsibility. The role of Clinical Director carries with it a Managerial Allowance.
The Clinical and Regional Directors form the Clinical Executive.
Senior Medical Staff are responsible to their local Regional Director.
Heads of DACs are ultimately responsible to the Director of PaLMS, but through the Clinical Director. Heads of DACs are not automatically members of the Clinical Executive.
Note that the Regional Director of NRPS is a part of the Clinical Executive. During the transition to the Northern Pathology Cluster, the Regional Director of NRPS is on a separate and parallel reporting line to that of the Clinical Director. Both report to the Director of PaLMS.
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The Chief Operating Officer (COO) manages overall pathology operations throughout NSCCH.
Note that the POM (NRPS) is a part of the Operations Executive. During the transition to the Northern Pathology Cluster, the POM (NRPS) is on a separate and parallel reporting line to that of the COO.
Both report to the Director of PaLMS.
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The Chief Business Officer (CBO) manages the overall Business functions of the organisation, as well as coordinating the local Business functions of each Region.
Various support members of the Business Systems portfolio may be in attendance, depending on the issue being considered.
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The Quality Manager (QM) manages the overall Quality System of the organisation. For consistency and standardisation throughout the organisation this is centrally controlled. However, a network of Quality Representatives is present throughout the organisation to ensure that all parts of the organisation actively participate in, contribute to, and comply with the obligations of, the Quality System.
Note that the Quality Management portfolio includes not only organisational quality systems and technical quality, but also safety, and organisational planning and improvement frameworks.
The Quality Management portfolio, while maintaining, managing and monitoring the above systems, is not actually responsible for the detailed contents of the systems. Quality, safety and continual improvement are an obligation for all staff, and a responsibility of all managers.
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The DACs and STACs are detailed.
The Heads of DACs are senior Medical staff appointed through advertisement and formal competitive recruitment within PaLMS. The role of Head of DAC carries with it a Managerial Allowance.
Each DAC is free to create Subcommittees as appropriate (for example, Haematology has indicated it will be creating a Transfusion Subcommittee, etc). The Head of a Subcommittee does not automatically receive a Managerial Allowance, but the Head of the parent DAC may wish to recommend that this be offered, depending on the scope and complexity of the Subcommittee.
The Chairs of STACs are as shown. These positions are normally held by the appropriate senior member of PaLMS staff, and do not automatically carry a Managerial Allowance. However where a Chair does not already receive appropriate recognition for senior duties, an appropriate Allowance will be considered.
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The Management Structure of Operations within the NSCCH Region is shown in more detail.
For Branch Labs, note that MN/MV are currently co-managed by the same Lab Manager
For General Labs, note that the Gosford Lab Manager also manages AP and Micro labs on that campus (but noting that the AP and Micro DACs will presumably have determined the same clinical policies across all of PaLMS).
For Special Lab Divisions at the RNS campus, note that a transition structure will need to operate from the current structure to the proposed new structure; it will also be affected by the timetable of construction of the new Research facility, as some components of Haematology are proposed to be relocated to the Research facility.
Note that there is no Biochemistry or Haematology “Special Laboratory”, as much of these lie within the General Laboratories at RNS and GOS. Boutique Biochemistry and Haematology laboratories are operationally managed by M&M
Note that there is no Immunorheumatology Special Laboratory, as parts of this lie within the General Laboratories at RNS and GOS. Boutique Immunology laboratories are operationally managed by M&M.
Note that the Multidisciplinary Genetics Laboratory remains pro tem as part of the Metabolic and Molecular Medicine Division, pending HAPS joining the Cluster. At that time, Genetics may be of sufficient size and complexity to become a Specialty Division in its own right. In the interim:
It is intended that all Genetics labs will be operationally co-located to a central laboratory, to be constructed, which is under M&M operational coordination.
However, the various Disciplines and other Specialty Labs have professional supervision of their component services within the Genetics labs. For example, Cytogenetics and Molecular Haematology have professional linkages to Haematology, Cancer Genetics is linked to Kolling, Community Genetics is linked to LCG, and AP. Biochemistry and Microbiology have each foreshadowed future activities within this central Genetics facility.
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