- All plans (the strategic plan, the internal and external emergency plan, the plan for the disposal of medical waste and hazardous materials, the fire safety plan, the medical equipment plan, the utility system plan, the manpower plan, the quality plan and the patient safety plan).

- Setting standards (adopt, modify, develop).

- Communication standards (dissemination of general culture, training on how each standard applies, staff knowledge, how it affects responsibilities, education with background, training for trainers, assessment and feedback).

- Review policies and procedures.

- Documentation issues (plans, minutes of meetings, accreditation, privileges, job description, competency assessment of competency skills).