The ROM chapter focuses on the role of the organization’s leadership and governance in establishing a culture of quality, safety, and ethical practice. It requires the management to define the organization’s vision, mission, and scope of services, and to ensure adequate resources, structures, and processes are in place to support patient care.

This chapter covers governance structures, strategic and operational planning, coordination between departments, ethical management practices, and compliance with statutory and regulatory requirements. It emphasizes leadership accountability in driving quality improvement and patient safety across the organization.

The organization has a defined governance structure with clear roles and responsibilities of leadership.

Vision, mission, and scope of services are documented and communicated across the organization.

Management ensures coordination between clinical and non-clinical departments.

The organization complies with applicable legal, statutory, and regulatory requirements.

Ethical management practices are established and monitored, including handling of conflicts of interest.

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