Table 3

 Accountability structures

SiteReporting structureLocation on organisational chartWritten reportsStrategic planEvaluation processes
CEO, chief executive officer; COO, chief operating officer; CNO, chief nursing officer; VP, vice president.
1NoneNot locatedPeriodic verbal reportsNoneNone
2CEO and executive VP, policy and planningDirect line to executive VP, policy and planningNoneUnder developmentNone
3Executive VP and COODirect line to executive VP and COOBiannual reportCompleted in conjunction with hospital strategic planning processPerformance evaluation, annual review, goal setting, and education
4CEOUnder associate VP of planning and program development; Ethics Committee and Research Ethics Board direct line to Medical Advisory Council CommitteeAnnual summaryNonePerformance evaluation
5CEODirect line to President and CEOQuarterly reportsNonePerformance evaluation, annual review, goal setting, and education
6Director, quality and risk managementNot locatedNoneUnder developmentNone
7VP, professional practiceUnder VP, professional practice and CNOBiannual reportUnder developmentAnnual review, goal setting, and education
8Medical directorNot locatedAnnual reportYesAnnual review, goal setting, and performance evaluation
9President and CEODirect line to President and CEONoneProgramme proposal based on needs assessment and strategic plan of hospitalPerformance evaluation, annual review, goal setting, and education