LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 300.01 Clinical Policy Committee
 
Policy Category:  Clinical
Distribution Level:  Directly Operated
Responsible Party:  Chief Medical Office
 
Approved by Curley L. Bonds, MD, Chief Medical Officer, on Feb 28, 2024
 
I.  PURPOSE
 
This policy establishes the members, responsibilities, and authority for Los Angeles County Department of Mental Health (DMH/Department) Clinical Policy Committee (CPC).
 
II.  DEFINITION
 
No definitions are associated with this policy.
 
III.  POLICY
 
Members of the CPC shall be appointed by the Chief Medical Officer to include:
  • Chief Medical Officer
  • Compliance Officer
  • Nursing Representative (or designee)
  • Pharmacy Representative (or designee)
  • Peer Representative (or designee)
  • Clinician Representative (or designee)
  • Senior Deputy of Outpatient Services (or designee)
Additional representatives may include:
  • Child Welfare
  • Clinical Risk Management
  • Intensive Care Division
  • Patients' Rights Office
  • Quality Assurance
  • Quality Improvement
  • Administration
  • Human Resources Employee Relations
Guests who may be a Subject Matter Expert (SME) on a particular clinical standard of care may be requested to join CPC by invitation.

Responsibilities of CPC shall include:
  • Establishing new policies and parameters pertaining to clinical practice at DMH.
  • Reviewing current clinical policies, procedures, and parameters at a minimum of every three (3) years or sooner.
  • Chartering ad hoc workgroups to develop, review, and evaluate clinical practices as described.
  • Acting as the governing body over policies, procedures, and parameters of clinical practice as informed by specific SMEs.
  • Communicating and disseminating educational materials to clinical staff regarding clinical standards of practice.
  • Ensuring that DMH clinical policies, procedures, and parameters adhere to federal, State, and county rules and regulations.
CPC shall meet at a pre-established schedule at minimum of quarterly per year. Additional meetings may be scheduled as necessary for pending legislative changes or reviews.
 
IV.  PROCEDURES
 
V.  AUTHORITY
 
DMH Directive Best Practices
 
VI.  ATTACHMENT
 
No attachments are associated with this policy.