The hospital medical committee :
1° Proposes the action programme mentioned in Article L. 6144-1 to the Director. This programme takes into account the improvements implemented following the analysis of undesirable events, in particular those mentioned in article L. 6111-2. It includes the actions required to respond to the recommendations in the certification report and to implement the objectives and commitments set out in the establishment’s multiannual contract of objectives and resources in terms of care safety and continuous quality improvement. This programme is accompanied by monitoring indicators.
The users’ commission and the nursing, re-education and medico-technical care commission contribute to drawing up this action programme.
2° Draw up an annual report presenting, in particular, changes in monitoring indicators.
The Director shall make the action programme and the annual report available to the Director General of the Regional Health Agency.